Specialty Intake Manager

Kabafusion•Lexington, MA

57d

About The Position

Come join an exciting and innovative company that puts the care back in healthcare!At KabaFusion, our patients come from all walks of life and so do we. We hire GREAT people, period! Our culture celebrates and supports the differences that make us unique. Here, it doesnt matter what your role is, your hard work and dedication is not only recognized but celebrated. Join us and find out why this is the place to excel and do your best work. About Us: What started as a single pharmacy in 2010 has grown into KabaFusion becoming the largest privately held home infusion company in the country. We have a national network of pharmacies and nursing offices strategically placed to service 40+ states. Couple that with over 30 years of combined experience and its no wonder why KabaFusion is the industry leader in home infusion. JOB SUMMARY:This position is responsible for a region of the Specialty Intake Department to ensure all information needed to acquire reimbursement for services is obtained at the start of care and ensures all principles of managing Intake are handled appropriately and in accordance with applicable procedures. The position also confirms that all referrals and authorizations for specialty therapies are processed appropriately, accurately and in a timely manner.

Requirements

Bachelors degree in business or related field, or education and experience equivalent to bachelors degree.
Minimum three (3) years of experience in billing and/or intake preferred.
Minimum one (1) year of supervisory or management experience preferred.
Proficient experience with Microsoft Office including Word, Excel, PowerPoint, Outlook, Teams, and CPR+ software system or similar system preferred.
Knowledge of intake and authorization guidelines, regulations and standards for home infusion and home health required.
Knowledge and experience of insurance verification, authorization and eligibility process.
Strong communication skills to work on patient specific financial arrangements.
Possess and exhibit advanced leadership skills, consulting skills and communication skills (oral, written and presentation) with ability to communicate with staff, executives, and patients.
Demonstrate the ability to make strategic, operational, and administrative decisions in response to emerging conditions and environmental circumstances; innovative and flexible; ability to exercise good, professional judgment and accept responsibility.
Demonstrate the ability to work independently with strong organizational and analytical skills to complete reports/projects having strict timelines.
Demonstrate the ability to delegate work to staff and provide follow-up as needed.

Responsibilities

Direct the intake process by managing eligibility, authorization, negotiated rates, financial obligation documents, and all necessary payor information for all services rendered by the company.
Manage Intake Supervisors, Leads, and Representatives, for specialty patients.
Conduct interviews, onboard, and provide orientation to new employees.
Conduct performance management including performance evaluations and ensure that proper training and customer service levels are met.
Ensure operational workflow of department is optimal.
Monitor customer service to improve patient, stakeholder, and referral source services and outcomes.
Manage and ensure intake processes for specialty therapies are compliant with ACHC, URAC, and government regulations.
Liaise with other departmental managers to promote adherence to internal procedures.
Collaborate with functional leaders to drive utilization of external co-payment assistance options for patients in accordance with applicable procedures.
Other related duties as assigned.