Intake Specialist

PROMPTCARE HOME INFUSION LLC•New Providence, NJ

7d•Hybrid

About The Position

We are seeking an experienced Intake Specialist to join our team. The Intake Specialist is responsible for receiving and managing referrals from various referral sources in our service areas. The ideal candidate will have a strong background in infusion therapy and be able to provide exceptional customer service to our patients. If you are a detail-oriented individual with a passion for providing exceptional patient care, we encourage you to apply for this exciting opportunity.

Requirements

High school diploma or GED
Previous experience working with insurance companies and healthcare professionals (physicians, nurses, etc.) is preferred
Previous experience with specialty pharmacy patient admissions and customer service in a similar referral source-based practice setting is strongly preferred
IVIg case management experienced preferred
Must have strong PC skills, especially the MS Office suite. Previous experience with the pharmacy order processing system, CPR+, is a major advantage (although training will be provided)

Responsibilities

Obtains initial patient referral admission data and documents
Directly interfaces with external clients and obtains initial authorization
Notifies appropriate staff of all pending referrals and patient admissions
Enters new patient information into the order processing system
Generates and tracks forms (e.g., LMN, AOB, Consent for Treatment) until all pertinent documentation is received
Consistently updates patient and clinical information in the order processing system
Manages patients on the master log every day and forwards to appropriate staff
Responsible for verifying eligibility and benefits through insurance companies including obtaining prior authorizations and/or pre-determinations
Communicates in writing or via phone with clients, family members, agents, physicians and discharge planners on eligibility requirements, policy benefits, eligibility determinations and contract provisions
Proactively researches and resolves issues impacting benefit coverage and revenue optimization
Performs medical /pharmacy benefit verification requiring complex decision skills based on payer and process knowledge resulting in on boarding or case determined a “no go”
Contacts benefit providers to gather policy benefits/limitations
Coordinates and ensures services provided will be reimbursable (e.g., deductible amounts, co-payments, effective date, levels of care, authorization, etc.)
Communicates with patients regarding Welcome and Financial call information
Works closely with the billing department for re-authorizations or billing needs, etc.
Other duties assigned

Benefits

Comprehensive Medical, Dental, and Vision Package
401(k) Plan with Company Match
Generous PTO: Vacation, Sick Time, Personal Days, and Paid Holidays
Life Insurance: Standard coverage with optional enhancements
Employee Assistance Program: Free counseling and coaching sessions
Emotional Well-being and Work-Life Balance Resources
Short & Long-Term Disability: Company-paid with optional supplements
Accidental Death and Dismemberment Insurance
FSA and HSA: Manage healthcare expensesCommuter Spending Programs
Volunteer and Engagement Opportunities
Employee Referral Bonuses
Exclusive Discounts on entertainment, travel, and various other supplemental and cellphone plans