Intake Specialist

TEKsystems•Mt Airy, MD

9d•$18 - $19•Onsite

About The Position

The Intake Specialist role is responsible for verifying insurance eligibility and benefits of prospective referrals, obtaining necessary authorizations, and negotiating rates. This position plays a crucial part in ensuring accurate documentation and communication regarding patient benefits and financial responsibilities. The specialist will manage work assignments, coordinate with branch locations, and document authorization details in the associated software application. A key aspect of this role involves timely and accurate communication with both payers and internal teams.

Requirements

Data entry
Customer service
Financial
Customer service oriented
Microsoft office
Clerical
Authorizations
Health care
Health insurance
Data entry accuracy
Meets and strives to exceed the productivity metrics as outlined in policy.
Microsoft Office skills
Ability to navigate multiple monitors.
Consistent experience or ability to jump into a new environment
Computer proficiency is extremely important!
Open to ALL different experience if comfortable with computers
Intangibles
Customer service
Dependable
Willingness to learn
MUST PASS

Responsibilities

Verifies insurance eligibility and benefits of prospective referrals and determines rate requirements as it relates to in or out of network coverage in an accurate and timely manner.
Obtains all authorization as needed from payer for services ordered/requested.
Initiates one-time letters of agreement (LOAs) and negotiates rates as dictated by established policies and procedures.
Recognizes changes in a payer that could affect our ability to obtain authorization and escalates to leadership as needed.
Manages work assignment to ensure all tasks and coordination notes are completed promptly.
Coordinates and communicates with the branch location regarding any changes or updates from the payer.
Documents and communicates patient deductible, out-of-pocket expense, lifetime maximum, benefit days, patient responsibility and any additional benefits information to agency accurately and promptly.
Documents specific details related to the authorization including effective and end dates in associated software application via patient notes, authorizations, tasks, workflow, phone calls and/or email in an accurate and timely manner.
Reviews and replies to branch location's urgent requests in a timely and accurate manner.