Weekend Intake Coordinator

UMass Memorial Health•Leominster, MA

24d•$17 - $31

About The Position

Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. This position is responsible for the efficient processing of all incoming referrals which includes the coordination of information flow from Hospital Case Managers, Physician offices, and Careport to clinical teams.

Requirements

High School diploma or equivalent
Minimum two (2) years of office experience and one (1) year of Intake experience, preferably in a health care environment
A comprehensive understanding of Medicare PDGM guidelines
Strong computer/data entry skills
Excellent organizational/communication skills
Ability to handle multiple tasks
Adheres to Agency’s confidentiality policies
Excellent customer service skills
Ability to follow up to completion on all duties and team responsibilities

Nice To Haves

Medical terminology
Epic experience
ICD-10 coding knowledge

Responsibilities

Processes all incoming referral request according to departmental procedures and policies. Researches referral requests as needed to ensure all intake information is completed. Refers unusual referral requests to the Clinical Manager or designee according to departmental policy to resolve.
Enters referral information into the electronic medical records in a complete and timely fashion. Gathers missing information and enters into the system.
Scans and saves regular required referral information.
Reviews and completes multiple assigned work queues on a daily basis.
Participates in daily huddles with the Clinical and Scheduling teams to review pending referral requests from all referral sources. Prepares reports of pending referral requests for review by the team to determine available service options. Provides referral sources and patient’s families with correct information regarding the service to be provided whether internally or through another agency.
Verifies insurance eligibility and authorizations are complete, timely, and accurate according to departmental policies to help ensure patient is cleared for services. Documents insurance coverage. Refers nonstandard insurance questions to the Manager.
Responds to callers’ inquiries and communicates accurate and complete information. Keeps referral sources and/or patient’s families informed throughout the process.
Communicates with a wide variety of referral sources, both internal and external customers including current and prospective patients.
Schedules initial patient visit and ensures communication with Home Health Team Schedulers.
Verifies what prior hospice services, if any, the patient has received to understand where the patient is in the hospice benefit period and documents the information obtained from the Medicare system.
Communicates the durable medical equipment (DME) and/or supplies needed for the patient to the Home Health Team Schedulers to ensure the appropriate equipment and/or supplies are delivered on time to the patient.
Maintain knowledge of current laws and regulations of federal, state, and regulatory bodies relative to home health and hospice and works within those constraints to maintain actions within the agencies’ and corporation’s compliance programs.
May provide input to department policies and procedures.
May assist with orientation of new Caregivers to the department.
Complies with established departmental policies, procedures and objectives.
Attends variety of meetings, conferences, seminars as required or directed.
Demonstrates use of Quality Improvement in daily operations.
Complies with all health and safety regulations and requirements.
Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors.
Maintains, regular, reliable, and predictable attendance.
Performs other similar and related duties as required or directed.