Intake Coordinator

About the role

The Intake Coordinator acts as a liaison between the referral source and the Pharmacy to ensure a seamless transition from the acute care setting to home care for our patients.

Responsibilities

• Establish and maintain relationships with referral sources by receiving and processing intake information for potential patients who require home infusion therapy.
• Facilitate intake process by procuring all patient information necessary to determine home infusion admission based on supportive clinical data, prescribed therapy, assignment of home infusion benefits, and following all patient acceptance criteria policies and procedures.
• Identify participating payers and contractual pricing agreements.
• Verify health insurance coverage using verification forms.
• Inquire about case management, including authorization number and pre-certification.
• Obtain and maintain authorization numbers.
• Perform case management updates for changes in therapy and patient status.
• Once verification is complete and admission criteria is reviewed/approved by clinical staff, contact referral source to notify of acceptance or denial of referral.
• Coordinate the discharge plan with the referral source/discharge planner, nursing agency (when applicable), pharmacy, and patient/caregiver.
• Establish relationships with licensed and certified nursing agencies to provide clinical nursing services to pharmacy patients.
• Notify patient or approved patient advocate and explain their financial responsibilities.
• Complete all applicable sections of Intake and Confirmation forms and enter into CPR+.
• Negotiate pricing with case management under the direct supervision of Center Manager.
• Assist with the creation and maintenance of Medicare CMNs.
• Obtain and track authorizations.
• Complete monthly re-verification of Medicaid recipients.
• Document credit and cash co-payments made at location level.
• Obtain clinical documentation necessary for billing.
• Responsible for the intake of personal referrals.
• Perform data-entry and updating of patients' demographic information.
• Conduct insurance benefit verification and coordinate with nursing and pharmacy staff.
• Prepare and manage paperwork and documentation for billing and collections.
• Resolve patient/payee issues in a timely manner.