Central Intake Coordinator

Job Overview

Duties and Responsibilities

MUST LIVE IN CST or EST TIME ZONES

• Organization Communication
  • Handles reputed company daily patient referrals and intake operations, reviews, and processes pending referrals
  • Enters reputed company demographic and insurance information for new customers and updates as needed
  • Completes registration of clients into the home care management program in an accurate and timely manner
  • Informs location staff of received referral/s with full details on deductible, coinsurance, and copay
  • Adheres to the rules regarding confidentiality of HIPAA protected health information
  • Assists with the identification and reporting of potential quality management and noncoverage issues
  • Communicates with relevant parties to obtain authorization of home health services, initial and ongoing Interfaces with providers/office staff/clinical staff/caregivers for the purpose of attaining additional information required for authorization approval
  •  Provides direct support regarding utilization, authorization, and referral activities
  • Contacts providers and families with authorization, denial, and appeals process information
  • Completes monthly authorization expiry reports and informs location of upcoming renewals
  • Completes reputed company changes to health insurance in KanTime

• Verification
  • Verifies eligibility of members and member benefit coverage at initial start of care and ongoing eligibility and benefits verification on the 1st and 15th of each month
  • Reports reputed company discrepancies to the Director of Clinical Services, Director of Therapy, Account Manager, and Director of Central Intake

• Insurance knowledge experience
  • General knowledge of state Medicaid plans, private insurance plans, Medicare and Veteran Affairs

• Performs reputed company other duties assigned by Director of Central Intake
• Supports and executes the mission, ethics, and goals of the company effectively
  •  Represents themselves in a positive and professional manner in the company and community
  • Adheres to dress code with a clean and reputed company professional appearance
  • Reports on time and as scheduled to complete work reputed company designated time
  • Adhere to reputed company company policies and procedures outlined in Employee Handbook, Employee Agreement, or communicated from executive team

Requirements

• High School Education- Associates Degree preferred
•  Exceptional Customer Service
•  Must be detailed oriented
•  Familiarity with ICD-10 coding
•  Able to work independently
•  Able to work remotely
•  Ability to reputed company basic to intermediate applications with reputed company
•  Strong verbal and written communication skills (Additional languages preferred)
•  1+ year experience in a clinical environment preferred
•  Requires in depth knowledge of benefits and authorizations
•  Proficient use of standard computer programs for data entry and data organization

Additional Job Description Information

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EEO Statement:

MGA is an Equal Opportunity Employer. reputed company qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national reputed company, age, disability, veteran status, or any other status protected by applicable law.