Intake Coordinator

Lincare

Grain Valley, MO

Apply

JOB DETAILS

SKILLS

Acute Care, Billing, Billing Records, Case Management, Clinical Data, Clinical Nursing, Clinical Support, Credit and Collections, Data Entry, Demographics, Discharge Plans, Document Management, Driver's License, Financial Management, Health Insurance, Healthcare, High School Diploma, Home Care, ICD-9, Insurance, Intravenous Therapies, Medicaid, Medical Records, Medical Terminology, Medical Treatment, Medicare, Negotiation Skills, Nursing, Nursing Credentials, Organizational Skills, Patient Care, Patient Follow-up, Pharmacy, Pricing, Purchasing/Procurement, Time Management

LOCATION

Grain Valley, MO

POSTED

1 day ago

The Intake Coordinator acts as a liaison between the referral source and the Pharmacy to ensure a seamless transition from the acute care setting to home care for our patients.

- Establishes and maintains relationships with referral sources by receiving and processing intake information for potential patients who require home infusion therapy
- - Facilitates intake process by procuring all patient information necessary to determine home infusion admission based on supportive clinical data, prescribed therapy, assignment of home infusion benefits, and following all patient acceptance criteria policies and procedures
  - - Identifies participating payers and contractual pricing agreements
    - - Verifies health insurance coverage using verification forms
      - Inquires about case management, with authorization number and pre-certification
        Obtains/maintains authorization numbers
        Performs case management updates for changes in therapy and patient status
        Once verification is complete and admission criteria is reviewed/approved by clinical staff, contacts referral source to notify of acceptance or denial of referral
        When needed, coordinates the discharge plan with the referral source/discharge planner, nursing agency when applicable, pharmacy, and patient/caregiver
        Establishes relationships with licensed and certified nursing agencies to provide clinical nursing services to pharmacy patients
        Notifies patient or approved patient advocate and explains their financial responsibilities
        Completes all applicable sections of Intake and Confirmation forms, and enters into CPR+
        Negotiates pricing with case management under the direct supervision of Center Manager
        Assists with the creation and maintenance of Medicare CMNs
        Obtains and tracks authorizations
        Completes monthly re-verification of Medicaid recipients
        Documents credit and cash co-payments made at location level
        Obtains clinical documentation necessary for billing
        Responsible for the intake of personal referrals
        Data-entry and updating patients' demographic information
        Insurance benefit verification and coordination with nursing and pharmacy staff
        Prepares and manages paperwork and documentation for billing and collections
        Resolves patient/payee issues in a timely manner
        #CC
        
        EDUCATION/EXPERIENCE
        high school diploma or equivalent
        2-5 years of medical terminology, insurance verification, and/or medical services experience required
        1-2 years of experience with home infusion preferred
        Experience with ICD-9 coding preferred
        College degree is desirable
        2-3 years experience with home care, discharge planning, or insurance billing a plus
        Maintain a current insurable driver's license
        
        Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled

About the Company

Lincare

Resume Resources

Free Resume Templates Free Resume Builder