Intake Supervisor

Essential Duties and Responsibilities

• Performs a variety of systems administration and support tasks.
• Designs, implements, and enforces policies and procedures.
• Directs, leads, and coordinates the overall functions for the 20 plus person medical authorizations, billers, intake, and post-acute departments.
• Streamlines effective authorizations, billers, intake, and post-acute processes.
• Serves as the practice expert for all authorizations, billers, intake, and post-acute processes.
• Oversees the operations of the authorization, billers, intake, and post-acute departments, including charge entry, referral intake and insurance verification.
• Supervises office personnel, which includes work allocation, training, and problem resolution; evaluates performance and makes recommendations for personnel actions; motivates employees to achieve peak productivity and performance.
• Audits current procedures to monitor and improve efficiency of Authorizations, Billers, Intake, and Post-Acute operations.
• Provides, oversees, and/or coordinates the provision of training for new and existing billing, authorization, intake, and post-acute staff on applicable operating policies, protocols, systems and procedures, standards, and techniques.
• Collaborates with team members to request any time away from work in a manner that does not negatively impact necessary daily functions.
• Maintains a working knowledge of all health information management issues such as HIPAA and all health regulations.
• Ensures that the activities of the Authorization, Billing, Intake, and Post-Acute operations are conducted in a manner that is consistent with overall department protocol, and in compliance with Federal, State, and payer regulations, guidelines, and requirements.
• Holds bi-weekly staff meetings for authorizations, billers, intake, and post-acute to ensure proper team building and protocol.
• Reports all concerns or issues directly to Intake Supervisor and Intake Manager.

Qualifications

• High School Diploma or equivalent
• One (1) to two (2) years working for a Durable Medical Equipment company or relevant medical office experience preferred
• Basic understandings of medical insurance benefits
• Skills in establishing and maintaining effective working relationships with other employees, patients, organizations, and the public
• Effectively communicate with physicians, patients, insurers, colleagues, and staff
• Able to read and understand medical documentation effectively
• Knowledge and understanding of same and similar DME equipment
• Knowledge and understanding of In-network vs Out of Network, PPO, HMO
• Thorough understanding and maintaining of medical insurances company’s regulations and requirements to include but not limited to Medicare and Medicaid
• Working knowledge of CPT, HCPCS & ICD10 codes, HCFA 1500, UB04 claim forms, HIPAA, billing and insurance regulations, medical terminology, insurance benefits
• Learns and maintains knowledge of current patient database & billing system
• Up to date with health information technologies and applications
• Answers telephone in a polite and professional manner. Communicates information to appropriate personnel and management in a timely manner
• Establishes and maintains effective communication and good working relationships with co-workers, patients, organizations, and the public
• Proficient in Microsoft Office, including Outlook, Word, and Excel
• Utilizes initiative, strives to maintain steady level of productivity and is self-motivated

Policies and Procedures

• This position will require the employee to handle Protected Health Information (PHI) for duties related to document and report preparation.
• Policies and procedures will be strictly adhered to make sure PHI is protected as required by the HIPAA Privacy Rule.

Schedule & Compliance

• Monday–Friday shifts between 7:00 AM and 7:00 PM. (specific shift to be agreed upon)
• Occasional weekend work, overtime, or on-call rotation may be required
• Strict adherence to HIPAA Privacy Rules when handling PHI