Intake Specialist

Vital Care Infusion Services•Orlando, FL

16d•Onsite

About The Position

The Intake Specialist processes referrals with an emphasis on accuracy, timeliness, and adherence to established processes to reduce denials, days sales outstanding, and bad debt. The role identifies additional revenue opportunities and ways to improve collections while working within accepted practices. It also handles credentialing and re-credentialing and contract applications. This is a full-time, onsite position in Meridian, Mississippi. The salary range is $18.92–$23.46.

Requirements

High school diploma or equivalent, plus additional specialized training in intake, pharmacy or medical billing, and/or collections.
Two years of intake, medical billing, and/or collections experience.
Two years of home infusion therapy experience.
Excellent English listening, speaking, comprehension, and writing skills, including the ability to influence patients, caregivers, and payer representatives, answer questions, and advance reimbursement and collection efforts.
Understanding of processes, systems, and techniques for successful billing and collection across payer types.
Ability to identify documentation gaps and problems, determine lasting solutions, make effective decisions, and take corrective action.
Strong organizational skills and ability to maintain clear, complete records of activities, cases, and related documentation.
Knowledge and skill in using Microsoft Office software and pharmacy applications.

Nice To Haves

Coding Course Certification is highly preferred.

Responsibilities

Review patient files for completeness and accuracy, identify and audit claims, ensure all revenue opportunities are included, and submit primary and secondary bills to payers for reimbursement through paper bills and clearinghouse submissions.
Communicate order-intake status effectively with franchise partners and other Vital Care Infusion Services departments.
Document case activity, communications, and correspondence in the computer system, maintaining complete and accurate account records and actions taken to resolve outstanding claims issues.
Schedule follow-ups at required intervals.
Investigate and verify pharmacy and medical third-party benefits.
Obtain prior authorizations by initiating requests, providing additional required information, tracking progress, expediting payer responses, and keeping customers informed.
Track, report, and escalate authorization-related service issues and other issues that delay service, to support patient access and prevent interruptions to therapy.
Explain patients’ financial obligations so they understand therapy costs before services begin.
Contribute medical billing expertise to training and knowledge-transfer programs, materials, policies, and procedures that improve the RCM team’s efficiency and effectiveness.
Assist with online adjudication of collection issues and nurse billing as assigned.
Perform other related duties as assigned.