Lead Intake Coordinator
| Company | BrightSpring Health Services |
|---|---|
| Location | Wayne, NJ, USA |
| Salary | $31 – $33 |
| Type | Full-Time |
| Degrees | Associate’s |
| Experience Level | Mid Level, Senior |
Requirements
- High school diploma or equivalent required; Associate’s degree or some college coursework strongly preferred
- Five (5) years of experience in a professional work environment required
- Healthcare experience
- Knowledge of health insurance and third party terms and terminology required
- Knowledge of insurance verification and pre-certification procedures
- Experience working with all payor types, including Medicare, Medicaid, and commercial insurance companies including PBM drug cards
- Minimum of two (2) years of experience collecting referral information in the healthcare market
- Strong interpersonal and written and verbal communication skills
- Ability to meet performance standards and effectively work under pressure in a fast-paced environment
- Requires analytical and problem-solving skills
- Strong customer service and multi-tasking capabilities
- Demonstrated excellence in customer service to patients, healthcare professionals, and insurance carriers
- Demonstrated ability to work as a team member with a customer satisfaction focus
Responsibilities
- Lead team efforts to regularly assess performance to various reimbursement metrics – daily, weekly, and monthly reports
- Subject matter expert resource in the region in order to effectively support and train all aspects of admissions/intake position throughout the region’s locations
- Responsible for taking Infusion Therapy referrals from referral sources
- Responsible for ensuring that all patients meet medical criteria for prescribed services
- Ability to train, test, and evaluate others in all essential position responsibilities for proficiency
- Ensures that all intake forms are complete, clear, and within Amerita’s scope of service
- Verifies insurance, obtains authorizations and re-authorizations as required by payors, enters patient demographic, insurance and authorization information into computer system, communicates with other departments regarding status of referrals and notifies patients and families regarding coverage and payment responsibilities prior to dispensing medications
- Ensures that insurance verification is complete and authorization is in place prior to giving the referral to a Pharmacist
- Responsible for obtaining reauthorizations for subsequent deliveries
- Performs monthly eligibility checks on active patients
- Maintains confidentiality of patient and proprietary information
- Performs other tasks or special projects as requested by management
Preferred Qualifications
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No preferred qualifications provided.