Intake Specialist

TEKsystems•Hagerstown, MD

2d•$18 - $19•Onsite

About The Position

The Intake Specialist will verify insurance eligibility and benefits of prospective referrals, determining rate requirements related to in-network or out-of-network coverage accurately and in a timely manner. This role is responsible for obtaining all necessary authorizations from payers for requested services and initiating one-time letters of agreement (LOAs), negotiating rates according to established policies. The specialist will identify changes in payer policies that could affect authorization acquisition and escalate to leadership as needed. This position requires managing work assignments to ensure prompt completion of tasks and coordination notes, and communicating any payer updates or changes to the branch location. A key responsibility is accurately and promptly documenting and communicating patient-specific financial information, including deductibles, out-of-pocket expenses, lifetime maximums, benefit days, and patient responsibility. The role also involves documenting specific authorization details, such as effective and end dates, in the associated software application through patient notes, authorizations, tasks, workflow, phone calls, and/or email. Additionally, the Intake Specialist must review and respond to urgent requests from branch locations in a timely and accurate manner.

Requirements

Data entry
Customer service
Financial
Customer service oriented
Microsoft office
Clerical
Authorizations
Health care
Health insurance
Data entry accuracy
Ability to navigate multiple monitors
Consistent experience or ability to jump into a new environment
Computer proficiency is extremely important
Comfortable with computers
Dependable
Willingness to learn
Must pass Excel Testing (70% and above)
Minimal time off in first 6 months

Nice To Haves

Open to retail, cashier, restaurant industry, customer service (who want to get into more back office support) experience if have the ability to learn quick
Intangibles

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.