Intake Specialist 1

Essential Duties & Responsibilities

• Manage email, fax and web portals for new referrals
• Answer incoming calls regarding referrals and work closely with other departments to complete referrals
• Verify insurance coverage to determine patient OOP, obtain documentation to ensure the product(s) are being ordered meet(s) insurance requirements, coordinate with authorization counterparts to ensure all information required by insurance is successfully authorized, dispense and bill medication
• Capture all relevant information in internal systems
• Arrange nursing as needed for patients with a variety of nursing agencies, based on insurance and patient need and assist in negotiating nursing rates with nursing agencies if subcontracting is needed due to insurance company requirements

Requirements

• High School Diploma or GED required
• Current, unrestricted Pharmacy Technician license in the state of practice and Pharmacy Technician certification, or professional licensure/certification (LPN, Medical Assistant, etc.) preferred
• One to two years of related intake or medical office experience preferred
• IV/Specialty Pharmacy Experience (preferred)
• Knowledge of HCPC coding, medical/pharmacy terminology and ICD-10 codes preferred
• Medical ERM and/or other medical software knowledge required

Functional Competencies

• Attention to detail
• Critical thinking
• Problem solving
• Approachable
• Phone etiquette
• Dependable
• Versatile communication
• Teamwork
• Cooperation
• Collaboration