Intake Coordinator Insurance Authorization Specialist

About the Role

The Intake Coordinator/Insurance Authorization Specialist is responsible for the daily operational aspects of the referral process, acting as a liaison between the Clinical Department and insurers to ensure authorizations for billing are obtained. This role also provides technical support to the Clinical Reviewer and Support Staff Supervisor.

Responsibilities

• Demonstrate strong working knowledge of Home Care Services (VNA/Senior Network Health (SNH)/Mohawk Valley Home Care (MVHC)) and community resources (e.g., MOW, Life Line).
• Serve as a resource to internal and external referral services and community providers.
• Obtain patient referrals from the Intake Department.
• Secure initial insurance authorizations and document status in the Electronic Medical Record (EMR).
• Enter referral information into the EMR.
• Understand call center processes/equipment and mentor new staff in daily operations.
• Ensure compliance with call center and insurance regulation documentation requirements.
• Coordinate caller information needs to ensure timely completion of referrals.
• Support referral information flow to ensure timely completion of referrals and initial insurance authorizations.
• Contact patient insurance carriers to verify eligibility, obtain initial authorizations, or request additional authorizations.
• Monitor workflow for additional service authorizations as needed.

Requirements

• High School diploma.
• Minimum of 1 to 3 years of medical office or customer service experience.

Pay

$20.00 - $24.00 per hour.

Schedule

• Full-time, non-union position.
• Day shift with 7.5 hours worked per day.
• FTE: 0.94.