Job Description

AdvisaCare Home Health is currently accepting resumes for a full-time Intake Specialist to join our team at our Kalamazoo location!

The Intake Specialist is responsible for ensuring that benefit information, initial authorization and patient liability are obtained prior to the clinical staff starting care. This position also includes scheduling of clinical staff and tracking orders and other pertinent documentation from physicians/ referral sources. Utilization of Wellsky/Kinnser Agency Manager as EMR platform.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Responsible for obtaining detailed and accurate benefit information using websites or phone for all insurance companies.

• Validate and document all payor information such as patient name, DOB etc., in the Wellsky/Kinnser system.

• Clearly document benefit information such as deductibles, co-pay, co-insurance and out of pocket maximums in the patient’s chart.

• Obtain start of care authorization for managed care cases not requiring clinical documentation.

• Verification of all pre-operative patients prior to scheduled surgery.

• Daily/continuous monitoring of task flow screen related to all insurance issues including, but not limited to the following: verify Medicare eligibility, complete insurance verification, review eligibility alerts, obtain initial authorization, re-verify insurance at recertification and resumption of care.

• Daily/ continuous monitoring of orders needing to be sent to physicians and follow-up with physician offices as necessary.

• Assist intake department, discharge planners and referral sources with contracted insurance issues and patient placement, including obtaining necessary documentation for patient initiation of services.

• Responsible for contacting physician offices or patients for information or to clarify benefit.

• Scheduling clinical staff once insurance has been verified/ authorization obtained.

• Assist billing department with various billing duties.

• Ability to think critically and act independently
• Candidate will be required to work Referral On Call a weekend in rotation with other Intake Staff!

Requirements

QUALIFICATION REQUIREMENTS

• To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.

• Knowledge of Medicare

• Knowledge of insurance websites such as CareCentrix, Availity, Priority, etc.

• Knowledge of Wellsky/Kinnser Agency Manager is preferred

• Conscientious with attention to detail

• Demonstrates patience, flexibility and cooperative attitude

• Effective verbal and written communication skills with others both internally and externally

EDUCATION/EXPERIENCE

• High school diploma or GED

• Minimum of one (1) year insurance verification, insurance authorization or medical billing experience.

Benefits

We offer medical/dental/vision benefits, 401K Plan, as well as vacation/sick time and paid holidays.

Join the AdvisaCare family and let's make a difference together!