LPN - Hospice Intake Specialist

Gentiva Hospice•Greenville, NC

About The Position

The Intake Specialist leads and coordinates patient admissions for the hospice program, with primary responsibility for timely admissions. The role communicates by telephone and coordinates services with referral sources, RN/Case Managers, insurance companies, patients, and families, as well as coordinating services and equipment with contracted vendors. The Intake Specialist maintains contact with pending patients, families, and referral sources; follows prospective patients and referrals not taken under care; and uses the Company information system to process admission information. The role also manages related expenditures in accordance with the Company budget. The successful candidate works in an interdisciplinary setting and maintains business and clinical files in a systematic, orderly manner. Strong communication, organization, negotiation, and public-relations skills are required, along with PC proficiency, including Microsoft Office products. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. This is a safety-sensitive position. Employees must meet minimum requirements to be eligible for benefits and, where applicable, state-specific requirements. The Company is an equal opportunity employer and maintains a drug-free workplace.

Requirements

High school diploma or equivalent.
Customer service experience.
Strong communication, organization, negotiation, and public-relations skills.
Proficiency with a PC, including Microsoft Office products.
Ability to work in an interdisciplinary setting and maintain business and clinical files systematically and orderly.
Ability to perform the primary responsibilities satisfactorily.

Nice To Haves

Hospice or medical office experience.
LPN/LV certification or a bachelor’s degree.

Responsibilities

Contact patients and families within one hour of referral and coordinate admissions within the three-hour admission commitment.
Process referrals by obtaining sufficient admission and insurance information to support appropriate, timely admissions.
Communicate pending admissions to appropriate clinical and admission staff and participate in morning Stand-Up meetings.
Participate in marketing activities, including seeking referral sources, maintaining positive referral relationships, supporting growth strategies, attending meetings and events, and preparing referral-statistics reports.
Maintain accurate referral data in the Company computer system and maintain working knowledge of community resources.
Participate in evening or weekend on-call work or overtime as required.
Perform admissions presentations in the field and by phone as directed by the ED to help meet the three-hour admission standard.
Verify payer source, benefits, eligibility, and authorizations; enter accurate information to support maximum reimbursement; and complete required payer verification forms.
Provide insurance and billing documentation to the Billing Coordinator or designee for confirmation before admission and/or bill submission.
Provide admission staff with accurate insurance and admission information to support appropriate disclosure of patient rights, responsibilities, financial liabilities, and benefit details.
Provide clarification and protected health information to payers when requested to support timely and maximum reimbursement.
Review insurance-related documentation for signatures, dates, and accuracy.
Comply with applicable laws, Medicare regulations, Company policies and procedures, and HR requirements; report suspected noncompliance through the chain of command or Integrity Hotline.
Meet Company Service Standards and conduct business professionally and ethically; maintain regular attendance and a positive, supportive approach with staff.
Participate in required HIPAA privacy, Business Ethics, and Compliance programs; review and follow Company policies and the Employee Handbook.
Participate in special projects and perform other duties as assigned.

Benefits

Competitive pay.
401(k) with company match.
Career advancement opportunities.
National and local recognition programs.
Teammate Assistance Fund.
Medical, dental, and vision insurance for full-time associates.
Mileage reimbursement or fleet vehicle program for full-time associates.
Generous paid time off and seven paid holidays for full-time associates.
Wellness programs, including telemedicine, diabetes management, and joint and spine concierge care, for full-time associates.
Education support and tuition assistance for full-time associates.
Free continuing education units (CEUs) for full-time associates.
Company-paid life and long-term disability insurance for full-time associates.
Voluntary benefits, including pet, critical illness, accident, and long-term care coverage, for full-time associates.