Sleep Intake Specialist

VieMed Healthcare • Lafayette, LA

10d • Onsite

About The Position

Reasonable accommodations may be made to enable individuals with disabilities to
perform the essential functions of this position.

Requirements

• High School Diploma or equivalent
• One (1) to two (2) years working for a Durable Medical Equipment company or relevant medical office experience preferred.
• Basic understandings of medical insurance benefits
• Skill in establishing and maintaining effective working relationships with other employees, patients, organizations, and the public.
• Able to read and understand medical documentation effectively.
• Knowledge and understanding of same and similar DME equipment.
• Knowledge and understanding of In-network vs Out of Network, PPO, HMO
• Thorough understanding and maintaining of medical insurances company’s regulations and requirements to include but not limited to Medicare and Medicaid.
• Working knowledge of CPT, HCPCS & ICD10 codes, HCFA 1500, UB04 claim forms, HIPAA, billing and insurance regulations, medical terminology, insurance benefits.
• Up to date with health information technologies and applications
• Proficient in Microsoft Office, including Outlook, Word, and Excel
• Work week is Monday through Friday and candidates will work an agreed upon shift (8am-5pm)
• Possible weekend work or overtime
• This position will require the employee to handle Protected Health Information (PHI) for duties related to document and report preparation.
• Policies and procedures will be strictly adhered to make sure PHI is protected as required by the HIPAA Privacy Rule.
• This position will work in an office environment.
• You will be expected to work during normal business hours, which are Monday through Friday, 8:00 a.m. to 5:00 p.m.
• Please note this job description is not designed to cover and/or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job.
• Essential duties and responsibilities may change at any time with or without notice.

Responsibilities

• Obtains patient demographic and health insurance information; collects co-pay(s) when appropriate.
• Learns and maintains knowledge of current patient database & billing system.
• Retrieves incoming referral(s) and logs demographic information into current patient database & billing system.
• Reviews medical records from referral(s) to determine if medical necessity has been met.
• Communicates to sales team &/or referral source(s), if referral is acceptable or what is missing to complete referral(s)
• Documents in computer system the status of referral
• Answers telephone in a polite and professional manner. Communicates information to appropriate personnel and management in a timely manner.
• Establishes and maintains effective and professional communication and good working relationships with co-workers, physicians, patients, patients’ family, organizations, and the public.
• Reports all concerns or issues directly to Sleep Customer Service Representative Supervisor or Sleep Intake Supervisor
• Utilizes initiative, strives to maintain steady level of productivity and is self-motivated.
• Other responsibilities and projects as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED