What are the responsibilities and job description for the Central Intake Coordinator position at Ohio Living and Careers?
It's fun to work in a company where people truly BELIEVE in what they're doing!
Our intention is to have employees who are passionate about making their personal mission statement come to life each day at work! Be it through providing healing, eradicating loneliness, contributing to efficiencies, streamlining processes, being dependable, sparking creativity or something else, the demonstration of HOW you do your job is just as important as WHAT you do in your job.
Alongside our valued employees, we are making a difference throughout the state of Ohio in the lives of those that need healthcare or those embracing the next chapter of their lives. Sustained members of our team demonstrate accountable behavior and share our values of customer service, innovation, integrity, inclusion, financial stewardship, leadership and care.
The Central Intake Coordinator verifies patient insurance eligibility, verifies patient benefits and confirms if insurance is active in the Ohio Living network and answers home health and hospice services inquiries from potential patients and professional referral sources determining the services the patients’ needs and then retaining them as a patient, partners with field staff in identifying service needs of current patients. The Central Intake Coordinator also maintains an accurate patient listing for all home health and hospice services in accordance with company standards and federal, state, and local standards, guidelines, and regulations.
Essential Activities and Tasks
Operations Management and Administration - 80%
Reviews all available insurances and selects the appropriate primary payor to bill and interprets patient’s insurance plan and prioritizes the coordination of benefits.
Verifies patient eligibility and benefits and confirms insurance is active in Ohio Living network.
Identifies accurate patient liability to include on patient admission agreement for patient’s informed consent on cost of care.
Verifies and validates that new patients are not receiving HH/Hospice services from any other Provider.
Enters all benefit and eligibility data to initiate opening new patient files in the EMR, and reverifies current patient’s payors every 1st of each month while receiving services.
Labels and attaches all clinical documents into EMR for use by clinicians, office staff, authorizations, billing, etc.
Utilizes EMR systems, payor portals, and other computer programs to determine benefit eligibility.
Ensures timely completion of intake process to satisfy requests of patients and referral sources, which may entail working after normal hours, on weekends, and on holidays as required.
Quality and Compliance Management - 10%
Maintains current and accurate records through use of computers and/or other documentation in accordance with company standards and federal, state, and local standards, guidelines, and regulations.
Maintains knowledge of requirements of regulatory agencies, accrediting bodies, and third-party payers.
Obtains and reviews pertinent demographic and medical information from patients, referral sources, and location staff.
Sales and Marketing Management - 10%
Answers all phone inquiries from consumers and referral sources, along with making outbound calls to previous patients, to assist them in accessing appropriate home health and hospice services and benefits and ultimately retaining them as a patient.
Establishes and maintains good working relationships with referral sources, patients and/or caregivers, Business Development, Billing, and site staff.
All other duties as assigned.
Qualifications
Education
High school diploma or equivalent required.
Experience
One year experience in an insurance or payor role within home health or hospice agency preferred.
Experience with utilizing payor portals preferred.
Experience with HomeCare HomeBase (HCHB) or another EMR Database required.
Experience with accurate data entry required.
Proficiency with Windows, Microsoft Office (Word, Excel, PowerPoint), and the internet required.
Other Requirements
Must be able to read, write, speak, and understand the English language proficiently.
Working Conditions and Special Requirements
Sitting - Up to 8 hours/day
Standing - Up to 4 hours/day
Walking - Up to 2 hours/day
Lifting, transferring, pushing or pulling equipment/supplies - Up to 25 pounds
Work weekends, evenings, and holidays - Required as scheduled
On-call availability - Scheduled rotation
Risk Category for Exposure to Bloodborne Diseases - III