Intake Specialist
| Company | ZOLL Medical Corporation |
|---|---|
| Location | Pittsburgh, PA, USA |
| Salary | $Not Provided – $Not Provided |
| Type | Full-Time |
| Degrees | Bachelor’s |
| Experience Level | Junior, Mid Level |
Requirements
- High School Diploma required
- Associate’s Degree or Bachelor’s Degree in nursing, business, or other related field preferred
- 2+ years insurance verification experience
- Superior communication; both verbal and written
- Strong customer service skills
- Proficiency in navigating several software systems concurrently
- Aptitude to handle multiple tasks simultaneously under strict deadlines
- Attention to detail
- Superior organizational and time management skills
- Ability to communicate policy information in a clear and detailed manner
- Proficiency with MS Office Suite
Responsibilities
- Creation of patient record
- Verification of benefits
- Triage, work and resolve intake orders
- Explain medical need and educate insurance case managers on LifeVest system to obtain authorization for services
- Obtain necessary documentation (medical order, clinical notes, testing) and submit to insurance carrier for coverage determination
- Obtain authorizations as required by payer
- Execute timely follow up on all assigned tasks
- Maintain a score of at least Meets Expectations on monthly scorecard
- Identify qualifying diagnosis based on payer requirements
- Triage fax documents for timely review
- Communicate authorization results and order status to sales representatives
- Complete fee calculator and inform billing department of appropriate charges
- Contact customers, physician offices, and sales representatives to relay and/or obtain insurance information and/or additional documentation to assist with seeking reimbursement and coordination of benefits
Preferred Qualifications
- Associate’s Degree or Bachelor’s Degree in nursing, business, or other related field preferred