About the Role
The Intake Coordinator/Insurance Authorization Specialist is responsible for managing the referral process, acting as a liaison between clinical staff and insurers to secure billing authorizations, and providing technical support to clinical staff.
Responsibilities
- Maintain strong working knowledge of Home Care Services and community resources.
- Serve as a resource to internal and external referral services and community providers.
- Obtain patient referrals from the Intake Department.
- Secure initial insurance authorizations and document their status in the EMR.
- Enter referral information into the EMR.
- Demonstrate knowledge of call center processes and equipment, and mentor new staff.
- Understand call center and insurance regulation documentation requirements.
- Coordinate caller information needs and ensure timely referral completion.
- Support referral information flow for timely referrals and initial insurance authorization.
- Contact patient insurance carriers to verify eligibility, obtain initial authorizations, or request additional authorizations.
- Review workflow for necessary additional service authorizations.
Requirements
- High School diploma
- Minimum of 1 to 3 years medical office/customer service experience.
Skills
- Home Care Services knowledge
- Community resources knowledge
- EMR documentation
- Call center processes
- Insurance regulation documentation
Work Type
- Full-Time
Experience Level
- 1-3 years
Education Level
- High School diploma
Salary/Compensations
- $20.00 - $24.00 Per Hour
Equal Opportunity
- Qualified applicants will receive consideration for employment without regard to their age, race, religion, national origin, ethnicity, age, gender (including pregnancy, childbirth, et al), sexual orientation, gender identity or expression, protected veteran status, or disability.
