The intake clerk position uses outstanding customer service skills to meet the client intake and information services of both our internal and external customers.
Essential Duties/ Responsibilities
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Duties include the following: Other duties may be assigned
Intake verbal and written referrals
Prior to the client’s intake appointment, verifies clients insurance coverage and prepares forms for intake interview.
Conducts intake interviews with new or readmitted clients to gather necessary administrative information, assists clients in completing paperwork, computes and verifies family income and size and places client appropriately on sliding scale, and explains billing policies and fees to clients.
Enters administrative information into company’s computerized database.
Following a client’s assessment with a clinician, reviews enrollment information form from clinician for accuracy.
Provides necessary follow up to ensure client’s enrollment has been approved.
Forwards copies of completed intake paperwork needed to clinical xxx-xxx-xxxx.
Issues notices and revised fee agreements, compiles data, and enters information for sliding scale reduction updates.
Runs reports and initiates corrective action as necessary to insure accuracy and completeness of administrative information.
Completes and / or inputs billing/ clinical transaction information.
Maintains current knowledge regarding third-party and first-party payment procedures and regulations as well as preferred provider agreements.
Assists clients and staff with client account questions as they occur.
Refers clients with possible Medicaid eligibility criteria and or unresolved account questions to Patient Accounts/ Customer Service Representative. Follow up with such patients on a monthly basis to maintain compliance.
Keeps current with trends and developments related to essential job competencies.
Updates Sales staff with daily referrals
Audit incomplete records and works with healthcare personnel in retrieving missing information.
Aid in educating healthcare personnel on Local Coverage Determinations and Insurance Policy’s.
Provides consultation to patient’s referral sources and peers regarding reimbursement criteria, patient’s financial responsibility for specific services/ product lines.
Track and follow-up with Therapy Staff regarding patient evaluations
Monitor patient compliance, and keep physicians/ healthcare staff updated.
Conducts follow up on claims, denials, appeals process, and initiates follow through.
Maintains knowledge of coding procedures (HCPC and ICD-9/ICD-10) for all HME items
Effectively communicates audit results, identifies process improvements and provides recommendations.
Understands and complies with company HIPPA Policies and Regulations at all times.