Intake & Authorization Coordinator

Responsibilities

• Referral & Admissions Coordination: Answer and respond to intake calls with a sense of urgency and professionalism. Coordinate and process referrals, insurance authorizations, and admission details to support a fast and accurate start of care. Gather required patient information and enter into EMR accurately; update as needed. Assemble and manage start-of-care (SOC) or admission packets. Notify patients of out-of-pocket costs and collect payments as needed. Manage the MSP (Medicare Secondary Payer) process.
• Insurance & Documentation Support: Verify patient payer coverage through electronic portals. Maintain accurate records for eligibility and benefit periods. Upload and manage documents and physician orders in the EMR. Assist with time-sensitive information including benefit periods, Face-to-Face forms, and CTIs. Deliver or pick up documentation from referral sources as needed (limited travel).
• Compliance & Confidentiality: Maintain the confidentiality of all patient care information. Ensure patient records are secure and compliant with applicable laws and regulations. Stay current on all mandatory and departmental training. Participate in compliance projects and submit required reports as requested.
• Administrative Support: Assist other team members when workload permits. Assist in answering a multi-line phone system. Provide feedback and recommendations to the Director of Shared Services. Support projects and quality initiatives, including QAPI and audits such as ADRs and RCD.
• Communication & Team Culture: Foster a positive, calm, and supportive environment within the department. Maintain open and respectful communication with internal teams and external partners. Provide regular updates and share critical information with the team. Exercise sound judgment and include appropriate team members in decision-making.
• Safety & Risk Awareness: Participate in emergency preparedness programs and drills. Identify and report safety concerns promptly. Remain aware of healthcare environment risks, including infectious materials and challenging interactions.

Qualifications

• Associate’s degree or equivalent experience preferred.
• Minimum of 1 year experience in admissions, authorization, or administrative experience preferred.
• Familiarity with EMR and healthcare systems such as Allscripts, Trella Health, PCC, MatrixCare, and Careficient preferred.
• Valid driver’s license and insurance required.