Intake Specialist
Description
Verifies insurance eligibility and benefits of prospective referrals and determines rate requirements as it relates to in or out of network coverage in an accurate and timely manner. Obtains all authorization as needed from payer for services ordered/requested. Initiates one-time letters of agreement (LOAs) and negotiates rates as dictated by established policies and procedures. Recognizes changes in a payer that could affect our ability to obtain authorization and escalates to leadership as needed. Manages work assignment to ensure all tasks and coordination notes are completed promptly. Coordinates and communicates with the branch location regarding any changes or updates from the payer. Documents and communicates patient deductible, out-of-pocket expense, lifetime maximum, benefit days, patient responsibility and any additional benefits information to agency accurately and promptly. Documents specific details related to the authorization including effective and end dates in associated software application via patient notes, authorizations, tasks, workflow, phone calls and/or email in an accurate and timely manner. Reviews and replies to branch location's urgent requests in a timely and accurate manner.
Skills
- Data entry
- Clerical
- Authorizations
- Health care
- Health insurance
- Data entry accuracy
Top Skills
- Data entry
- Customer service
- Financial
- Customer service oriented
- Microsoft office
Additional Skills & Qualifications
- Meets and strives to exceed the productivity metrics as outlined in policy
- Microsoft Office
Software Skills
- Microsoft Office
Requirements
- Eligibility requirements apply to some benefits and may depend on your job classification and length of employment
- Must complete MS EXCEL SHL Testing (70% and above)
- Experience Level: Entry Level
- Job Type & Location: Contract position based out of Frederick, MD
- Pay and Benefits: The pay range for this position is $18.00 - $19.00/hr
- Requirements: Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: Medical, dental & vision Critical Illness, Accident, and Hospital 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available Life Insurance (Voluntary Life & AD&D for the employee and dependents) Short and long-term disability Health Spending Account (HSA) Transportation benefits Employee Assistance Program Time Off/Leave (PTO, Vacation or Sick Leave)
- Workplace Type: Fully onsite position in Frederick, MD