intake specialist

Randstad • Spring, TX

412d • $45,760 - $49,920 • Remote

About The Position

The Intake Specialist is responsible for verifying insurance benefits for new patient referrals and re-verifying existing patient benefits. This role involves obtaining pre-certifications, pre-determinations, and authorizations for services according to insurance guidelines, as well as evaluating the profitability of therapies and addressing any issues that arise. This is a temporary, fully remote position lasting 3 to 6 months, requiring candidates to reside in the CST/EST time zones and work during CST hours.

Requirements

• Two or more years of related experience in a healthcare industry, preferably intake/patient access experience.
• Experience with infusion/injectable medication prior authorizations.
• Must be able to communicate effectively, both orally and in writing.
• Must demonstrate an understanding of reimbursement practices including government program regulation and managed care contracting.
• Experience working in, and managing changing priorities, in a high volume, fast-paced work environment.
• Excellent personal computing skills and a working knowledge of MS Office software.
• Maintains clear communication with customers regarding mutual expectations.
• Ability to work well as part of a collaborative team as well as independently.
• EPIC EMR Experience highly preferred.

Responsibilities

• Manage work queue to department standards for productivity and quality.
• Verifies insurance benefits for new patient referrals.
• Re-verifies insurance benefits for existing patients.
• Accurately evaluates charge and reimbursement estimates for infusion therapies.
• Reviews all medical documentation against medical policy and initiates/obtains pre-determination, pre-certification, and authorizations as needed.
• Follow-up on pending pre-certifications and/or pre-determinations until the outcome is decided.
• Updates and maintains insurance and authorization information in the billing software.
• Obtains PCP referrals as needed.
• Completes special projects as assigned.
• Performs other job-related duties as assigned.

Benefits

• Health insurance
• 401K contribution
• Incentive and recognition program

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Administrative and Support Services
• Education Level: High school or GED