Director, Intake

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. Coupled with over 30 years of combined experience, KabaFusion is the industry leader in home infusion.

Our culture celebrates and supports the differences that make us unique. Here, it doesn’t matter what your role is—your hard work and dedication is not only recognized but celebrated.

About the Role

The Director of Intake will be responsible for overall operations of the Intake Department by managing the Intake personnel 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. Additional dimensions may include working with operating budget, revenue responsibility, and purchasing responsibility. Ensures company’s goals and objectives are aligned with the organization’s broader mission, vision, and driving strategies. Directly accountable and reports to the Sr. VP of Operations / VP of Clinical.

Responsibilities

• Oversees the intake process by managing eligibility, authorization, changes in orders, negotiated rates, financial obligation documents, and all necessary payor information for all services rendered by the company.
• Protects the assets of the organization through effective internal controls, internal auditing, and supervision of Intake Department operations.
• Resolve discrepancies, concerns, and irregularities.
• Manage supervisors and Intake Reps in performance of their duties, ensuring proper training and customer service levels are met, auditing quality of work performed by staff, and ensuring operational flow of department is optimal.
• Monitor customer service via telephone calls, fax, email, and internet access to improve service and outcomes.
• Collaborates with third-party payer administrators, Contract Management Group, and Business Development staff on contract issues.
• Submit information to Contract Management and Business Development staff regarding contract issues as they affect revenue and sales.
• Notifies appropriate staff of changes in contract arrangements or updates in third-party payer guidelines.
• Manage and ensure intake processes are compliant with ACHC and government regulations.
• Effectively develop and manage the Intake Department fiscal budget.
• Perform management duties including hiring, evaluating, training, development, and disciplining of staff.
• Participate in overall management of location(s) by meeting with General Manager and other Department managers to review operations, discuss and formulate resolutions to outstanding issues while maintaining and fostering an atmosphere of cooperation between departments.
• Performs other related duties as directed by manager.

Requirements

• 5+ years’ experience in billing and/or intake management of infusion (required).
• At least 2 years’ management experience.

Skills

• Prior knowledge of intake and authorization guidelines, regulations, and standards for home infusion and home health.
• Knowledge and experience of insurance verification, authorization, and eligibility process.
• Strong negotiation skills to negotiate patient-specific financial arrangements.
• Advanced leadership, consulting, and communication skills (oral, written, and presentation) with ability to communicate with all levels of staff and customer base.
• Ability to interact with co-workers, staff members, and clients with courteousness, respect, professionalism, and diplomacy in a fast-paced environment in both group settings and one-to-one interactions.
• Intermediate to advanced skills in Microsoft Office including Word, Excel, PowerPoint, Outlook, and CPR+ software systems.
• 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.
• Ability to work independently, organize workload of self and staff, complete reports/projects per established timelines, delegating work to staff, and provide follow-up as needed.
• Excellent interpersonal skills and ability to provide excellent internal and external customer service.
• Adheres to stated policies and procedures, federal and state regulations related to health and safety, HIPAA, and quality management.
• Ability to maintain a high level of confidentiality concerning materials and conversations with staff, management, patients, and third-party payer administrators.

Benefits

• Competitive compensation.
• Benefits start on your 1st day of employment.
• 401k with 4% match – no waiting or vesting period.
• PTO / Floating Holidays / Paid Holidays.
• Company-paid life insurance and short-term disability.
• Employee Assistance programs to help with mental health / wellness.
• Learning & Development Programs.
• Perks… includes discounts on travel, cell phone, clothing, and more.
• Generous employee referral program.