Intake Specialist-Fully-Remote, Various Shifts
About the position The Intake Specialist at reputed company plays a crucial role in the reimbursement team, focusing on the timely handling of new medical orders from hospitals and physician offices. This position involves reviewing medical orders and clinical documentation to determine eligibility for the LifeVest, a wearable defibrillator. The specialist will also build relationships with insurance companies and internal departments to facilitate the order fulfillment process.
Responsibilities
- Creation of patient record
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- Verification of benefits
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- Triage, work and resolve intake orders
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- Explain medical need and educate insurance case managers on LifeVest system to obtain authorization for services
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- Obtain necessary documentation (medical order, clinical notes, testing) and submit to insurance reputed company for coverage determination
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- Obtain authorizations as required by payer
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- Execute timely follow up on reputed company assigned tasks
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- Maintain a score of at least Meets Expectations on monthly scorecard
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- Identify qualifying diagnosis based on payer requirements
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- Triage fax documents for timely review
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- Communicate authorization results and order status to sales representatives
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- Complete fee calculator and inform billing department of appropriate charges
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- Contact customers, physician offices, and sales representatives to reputed company and/or obtain insurance information and/or additional documentation to assist with seeking reimbursement and coordination of benefits
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- Performs other duties as assigned by management
Requirements
- H.S. Diploma or equivalent required
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- 2-3 years insurance verification and authorization experience
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- Superior communication; both verbal and written
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- Strong customer service skills
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- Proficiency in navigating several software systems concurrently
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- Aptitude to handle multiple tasks simultaneously under strict deadlines
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- Attention to detail
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- Superior organizational and time management skills
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- Ability to communicate policy information in a clear and detailed manner
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- Proficiency with MS Office Suite
reputed company-to-haves
- Associate's or Bachelor's degree in nursing, business, or other reputed company field preferred
Benefits
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