Intake Coordinator

About the role

AdvisaCare Home Health and Hospice is seeking a Full-time Intake Specialist to join our team in Lansing. The Intake Specialist ensures benefit information, initial authorization, and patient liability are obtained before clinical staff begin care. This role includes scheduling clinical staff and tracking orders and documentation from physicians and referral sources, using Kinnser Agency Manager as the EMR platform.

Responsibilities

• Obtain detailed and accurate benefit information using insurance websites or phone for all insurance companies.
• Validate and document all payor information such as patient name, DOB, etc., in the Kinnser system.
• Clearly document benefit information such as deductibles and out-of-pocket maximums in the patient's chart.
• Obtain start-of-care authorization for managed care cases not requiring clinical documentation.
• Verify all pre-operative patients prior to scheduled surgery.
• Daily/continuous monitoring of task flow screen related to all insurance issues, including but not limited to:
  • Verify Medicare eligibility.
  • Complete insurance verification.
  • Review eligibility alerts.
  • Obtain initial authorization.
  • Re-verify insurance at recertification and resumption of care.
• Daily/continuous monitoring of orders needing to be sent to physicians and follow-up with physician offices as necessary.
• Assist the intake department, discharge planners, and referral sources with contracted insurance issues and patient placement.
• Contact physician offices or patients for information or to clarify benefits.
• Schedule clinical staff once insurance has been verified/authorization obtained.
• Assist the billing department with various billing duties.
• Demonstrate the ability to think critically and act independently.

Requirements

• High school diploma or GED.
• Minimum of one (1) year of insurance verification, insurance authorization, or medical billing experience.
• Knowledge of Medicare.
• Knowledge of insurance websites such as Web Denis, etc.
• Knowledge of Kinnser Agency Manager is preferred.
• Conscientious with attention to detail.
• Demonstrates patience, flexibility, and a cooperative attitude.
• Effective verbal and written communication skills with others both internally and externally.

Benefits

• Medical, dental, and vision benefits.
• 401K Plan.
• Vacation, sick time, and paid holidays.