Home Health Intake Coordinator

United States·PortageFull-timemid

Patient Access RepresentativeHealthcare Non-Clinical

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Quick Summary

Key Responsibilities

verify Medicare eligibility, complete insurance verification, review eligibility alerts, obtain initial authorization, re-verify insurance at recertification and resumption of care.

Technical Tools

Patient Access RepresentativeHealthcare Non-Clinical

Responsibilities

~1 min read

→Responsible for obtaining detailed and accurate benefit information using websites or phone for all insurance companies.

→Validate and document all payor information such as patient name, DOB etc., in the Wellsky/Kinnser system.

→Clearly document benefit information such as deductibles, co-pay, co-insurance and out of pocket maximums in the patient’s chart.

→Obtain start of care authorization for managed care cases not requiring clinical documentation.

→Verification of all pre-operative patients prior to scheduled surgery.

→Daily/continuous monitoring of task flow screen related to all insurance issues including, but not limited to the following: verify Medicare eligibility, complete insurance verification, review eligibility alerts, obtain initial authorization, re-verify insurance at recertification and resumption of care.

→Daily/ continuous monitoring of orders needing to be sent to physicians and follow-up with physician offices as necessary.

→Assist intake department, discharge planners and referral sources with contracted insurance issues and patient placement, including obtaining necessary documentation for patient initiation of services.