Intake Specialist - Full Time
Cataldo Ambulance Service Inc. · Somerville, MA · 2 wk ago
On-siteOTHRFull-time
Key Responsibilities
- Will Call Management: Handle incoming calls from patients and medical facilities to schedule non-emergency ambulance services, ensuring accurate and efficient scheduling of trips.
- Insurance Verification: Confirm patient eligibility and benefits with private insurance carriers, Medicare, and Medicaid.
- Insurance Documentation: Verify and collect necessary insurance information from patients and facilities, including but not limited to insurance cards, policy numbers, and patient demographics.
- Insurance Prior Authorizations: Communicate with insurance providers to secure prior authorizations for ambulance services, following up as needed to ensure timely approval.
- Billing Information: Enter complete and accurate patient and trip information into the company's billing system and maintain detailed records of all transactions and communications.
- Patient Support: Address customer service inquiries, explain the ambulance billing and collections process, and establish payment plans.
- Compliance & Privacy: Ensure all activities and documentation adhere to company policies, healthcare regulations, and insurance requirements. Strictly adhering to HIPAA regulations, maintaining the confidentiality of sensitive medical and financial data.
- Team Collaboration: Collaborate closely with Dispatch to ensure trips are financially cleared in a timely and organized manner, allowing for the efficient dispatch of ambulance units.
- Customer Service: Provide exceptional customer service by addressing facility/patient inquiries, resolving issues, and maintaining a professional and empathetic demeanor during all interactions.
- Consistently meets and maintains productivity goals and defined benchmarks on a weekly basis.
- Additional projects and responsibilities as assigned and requested.
Requirements
- Must be minimum of 18 years of age.
- Ability to meet the essential duties and physical, mental and sensory requirements of the position at all times.
- Comply with UDS drug screening at any and all times.
- Completion and receipt of satisfactory background check and MA CORI (Criminal Offender Record Information), verification may be required annually.