As an Intake Coordinator, you will:
- Receive/respond to incoming calls from referral sources or potential patients, exchange information to identify patient needs, and determine the Company’s ability to meet them.
- Record the outcome of calls either manually or in an automated manner, make follow-up calls as necessary, and identify alternative community service resources when solutions are not available.
- Perform initial telephone screening to determine patients’ appropriateness for home care services with referral sources. Advise branch staff of patient acceptance and provide all relevant information to ensure patients’ smooth transition to home care.
- Contact referral sources to advise of referral status, and provide to the clinical team who will deliver the services requested.
- Identify potential payer sources, verify benefits with payer sources (as required by department organizational structure), negotiate rates and obtain initial authorizations and frequency of visits from case managers. Establish primary payers and document conversations with payer sources.
- Access national or regional account information, including the names of accounts and terms of the contracts as appropriate and communicate these conversations to branch and intake department staff as needed. Work with Intake team, branch staff, and patients to identify potential solutions as problems are identified with payer sources.
- Monitor and track referral sources’ satisfaction levels. Communicate customer service issues to up-line Intake and branch staff as appropriate.
Use your skills to make an impact
Required Experience/Skills:
- High School Diploma or equivalent
- Minimum of three years health care delivery or related business experience
- Strong knowledge of medical terminology and a customer service focus
- Knowledge of insurance reimbursement process
- Effective data entry and word processing, problem-solving, human relations, and oral/written communications skills
Scheduled Weekly Hours
1
About us
About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive in-home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.
About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first – for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.