Intake Specialist - Full Time

CATALDO AMBULANCE BUSINESS TRUST•Somerville, MA

7d•$20 - $26•Onsite

About The Position

The intake specialist manages various aspects of the in-take process, ensuring the efficient financial clearance of emergency and non-emergency Ambulance transports. They review patient care reports, verify insurance, and assist patients with billing inquiries. They work closely with Communications/Dispatch, patients, and insurance providers to facilitate proper documentation, insurance authorizations, and payments, ultimately ensuring the seamless provision of our life-saving services.

Requirements

High school diploma or GED equivalent is required.
1-3 years of Medical Billing experience
Must be minimum of 18 years of age
Ability to meet the essential duties and physical, mental and sensory requirements of the position at all times.
Comply with UDS drug screening at any and all times
Completion and receipt of satisfactory background check and MA CORI (Criminal Offender Record Information), verification may be required annually.

Nice To Haves

Post-secondary certification in medical billing or coding (CPB from AAPC or other) highly preferred.
Prior experience in EMS, Ambulance, transportation Medical billing preferred
Knowledge of HIPPA and Healthcare standards
Deep understanding of Medicaid and Medicare Ambulance Guidelines, as well as private insurance reimbursement protocols.
Proficiency with medical billing software, electronic health records (HER) systems
Working knowledge of Web based applications and Microsoft Office, including Excel and Word required
Communicate effectively, both verbally and in writing; ability to understand and carry out verbal and written instructions.
Analytical skills to gather and interpret data
Ability to exercise sound judgment and discretion at all times
Strong interpersonal skills
Excellent organization skills: attention to detail and follow-through
Resolve issues quickly and efficiently
Able to multitask, take charge and ownership of tasks
Ability to work independently and in a team setting
Handle highly confidential information with complete discretion
Ability to work in a Fast paced, high demand environment

Responsibilities

Handle incoming calls from patients and medical facilities to schedule non-emergency ambulance services, ensuring accurate and efficient scheduling of trips.
Confirm patient eligibility and benefits with private insurance carriers, Medicare, and Medicaid.
Verify and collect necessary insurance information from patients and facilities, including but not limited to insurance cards, policy numbers, and patient demographics.
Communicate with insurance providers to secure prior authorizations for ambulance services, following up as needed to ensure timely approval.
Enter complete and accurate patient and trip information into the company's billing system and maintain detailed records of all transactions and communications.
Address customer service inquiries, explain the ambulance billing and collections process, and establish payment plans.
Ensure all activities and documentation adhere to company policies, healthcare regulations, and insurance requirements. Strictly adhering to HIPAA regulations, maintaining the confidentiality of sensitive medical and financial data.
Collaborate closely with Dispatch to ensure trips are financially cleared in a timely and organized manner, allowing for the efficient dispatch of ambulance units.
Provide exceptional customer service by addressing facility/patient inquiries, resolving issues, and maintaining a professional and empathetic demeanor during all interactions.
Consistently meets and maintains productivity goals and defined benchmarks on a weekly basis.
Additional projects and responsibilities as assigned and requested.
Maintains knowledge of and complies with all company policies, procedures, and guidelines at all times.