What are the responsibilities and job description for the Intake Coordinator, Home Health position at Humana?
Description
Responsibilities
As an Intake Coordinator, you will:
Receive/respond to incoming calls from referral sources or potential patients, exchange information to identify patient needs, and determine the Company’s ability to meet them.
Record the outcome of calls either manually or in an automated manner, make follow-up calls as necessary, and identify alternative community service resources when solutions are not available.
Perform initial telephone screening to determine patients’ appropriateness for home care services with referral sources. Advise branch staff of patient acceptance and provide all relevant information to ensure patients’ smooth transition to home care.
Contact referral sources to advise of referral status, and provide to the clinical team who will deliver the services requested.
Identify potential payer sources, verify benefits with payer sources (as required by department organizational structure), negotiate rates and obtain initial authorizations and frequency of visits from case managers. Establish primary payers and document conversations with payer sources.
Access national or regional account information, including the names of accounts and terms of the contracts as appropriate and communicate these conversations to branch and intake department staff as needed. Work with Intake team, branch staff, and patients to identify potential solutions as problems are identified with payer sources.
Monitor and track referral sources’ satisfaction levels. Communicate customer service issues to up-line Intake and branch staff as appropriate.
Required Experience/Skills:
- High School Diploma or equivalent
- Minimum of three years health care delivery or related business experience
- Strong knowledge of medical terminology and a customer service focus
- Knowledge of insurance reimbursement process
- Effective data entry and word processing, problem-solving, human relations, and oral/written communications skills
Scheduled Weekly Hours
40Salary : $12 - $0
