Referral Intake Specialist

Job Title: Referral Intake Specialist

The Referral (Intake) Specialist will serve as the primary customer service contact within Intake. This individual will assist the Clinical Supervisor in ensuring the effective communication between Intake staff and referring physicians, acute care hospitals, skilled nursing facilities, patients, families, Agency staff, Liaisons, and other referral sources. Utilizes and promotes use of excellent customer service skills when working with internal and external customer service sources.

• Provides the primary referral and inquiry customer service presence for the Agency’s services.
• Manages all incoming calls to Intake and ensures a response on or before the third ring.
• Initiates referral documentation of a predetermined set of data elements in the EMR from all referral sources and assigns to the appropriate next person in the referral management process.
• Establishes positive relationships with payer verification/authorization sources.
• Ensures that consistent and timely initial communication regarding referrals occurswithin Intake and with all Agency offices or service lines.
• Verifies insurance and eligibility of benefits per established procedures and processes.
• Obtains authorizations for follow up care/services per established procedureand processes as indicated.
• Accurately records and data enters insurance/authorization informationper EMR requirements.
• Continually monitors payer verification/authorizations needed/requested/expiring and notifiesappropriate personnel based on established procedure and process.
• Works closely with the Team Assistants to facilitate scheduling of authorized visits only.
• Supports/collaborates with the Case Managers in ensuring the accuracy of needed informationto request authorization for appropriate patient care services.
• Collaborates and communicates with the Revenue Cycle Manager to maintainupdated information regarding payer contracts and related requirements affecting verification/authorization.

Principal Duties and Responsibilities (Included but not limited to):

• Assists the Revenue Cycle Manager in problem solving payer verification/ authorization-related collection issues.
• Appropriately utilizes Director for outliers, problems or difficulties.
• Demonstrates knowledge of and consistent application at all timesof patient rights to confidentiality.
• Demonstrates a high degree of commitment to customer service and quality care provision.
• Applies effective, respectful and positive verbal and written communication methods in the daily work setting to promote a collaborative work environment.

Education, Experience, and Licenses:

• High school diploma or equivalent with successful completed course work or equivalent experience in medical terminology and/or working in a healthcare environment.
• Minimum of one year experience working in a health care environment preferred. Customer service background via telephonic communications required.

Proven customer relations and phone etiquette abilities required.

Skills and Abilities:

• Clerical and computer skills required including experience with data entry, office machines and a working knowledge of phone and filing systems.
• Knowledge of basic Medical Terminology required.
• Able to operate copy machines, basic computer programs, fax machines, word processing and e-mail. Excellent communication skills, written and verbal English skills required.Familiarity with Excel preferred.
• Strong data entry and general computer skills required. This position maintains a 5% or less data entry error. Must be able to conduct a conversation while entering the data into the appropriate EMR(s). Must be able to communicate effectively, to perform multiple tasks effectively and efficiently, to work with minimal supervision, to react to change productively and to handle other essential tasks as assigned.
• Ability to professionally handle confidential information, comply with HIPAA regulations and maintain workflow systems required.

Physical Requirements:

• Prolonged periods of sitting at a desk and working on a computer.
• Must be able to lift up to 15 pounds at times.

BOOST is an equal opportunity employer that is committed to diversity and inclusion in the workplace.
We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.

This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship.
BOOST makes hiring decisions based solely on qualifications, merit, and business needs at the time.

Job Type: Full-time

Pay: $40.00 - $50.00 per hour

Healthcare setting:

• Clinic

Medical specialties:

• Home Health

Schedule:

• 8 hour shift
• Monday to Friday

Ability to commute/relocate:

• Culver City, CA 90230: Reliably commute or planning to relocate before starting work (Required)

Experience:

• Home health: 2 years (Required)
• Medical terminology: 2 years (Required)
• EMR systems: 2 years (Required)

Work Location: In person

Salary : $40 - $50