Intake Assessment Representative-PAH

Position Summary

This position is responsible for initiating and coordinating referrals, gathering all necessary referral and payor information and then inputting into EMR, verifying patient information and initial eligibility with patient and referral source, and coordinating and scheduling date for HH admission. This position ensures that information obtained at time of referral is accurate and complete.

• Ability to critically think and solve complex problems when processing referrals.
• Ability to coordinate multiple tasks and to prioritize according to established time lines and unexpected emergent requests.
• Ability to access and productively use multiple software programs.
• Ability to effectively communicate with internal and external HS customers.

Providence at Home with Compassus

This position is responsible for initiating and coordinating referrals, gathering all necessary referral and payor information and then inputting into EMR, verifying patient information and initial eligibility with patient and referral source, and coordinating and scheduling date for HH admission. This position ensures that information obtained at time of referral is accurate and complete.

• Ability to critically think and solve complex problems when processing referrals.
• Ability to coordinate multiple tasks and to prioritize according to established time lines and unexpected emergent requests.
• Ability to access and productively use multiple software programs.
• Ability to effectively communicate with internal and external HS customers.

• Ability to critically think and solve complex problems when processing referrals.
• Ability to coordinate multiple tasks and to prioritize according to established time lines and unexpected emergent requests.
• Ability to access and productively use multiple software programs.
• Ability to effectively communicate with internal and external HS customers.

Patient Population Served:
Not Applicable

• Coordinates and processes incoming referrals, including assessing for needs from other HS departments.
• Evaluates referral information and contacts patient and or referral source and responsible for determining initial eligibility for HH services.
• Coordinates and ensures insurance information is obtained and accurately recorded into electronic medical record (EMR).
• Coordinates and evaluates patient information for referrals within guidelines.
• Accurately documents referral information utilizing critical thinking skills.
• Responsible for triaging and coordinating with appropriate team members for review if incomplete.
• Serves as a liaison between referral sources, MD office, patients/families, department supervisors, managers, insurance team, Access RNs to ensure timely patient care.
• Coordinates and communicates with appropriate team members to ensure service standards are met.
• Oversees all fax communications: triages faxes, contacts referral source to ensure complete referrals and coordinates the electronic referral system.
• Responsible for coordinating accurate insurance information and problem solves insurance eligibility with insurance team.
• Utilizes critical thinking skills to coordinate and assign appropriate start of care date under clinical guidelines utilizing clinical staff as appropriate.
• Coordinates with referral sources, inclusive of hospital, physician, facility customers and insurance case managers to obtain additional information, confirm referral receipt and communicate start of care date.
• Measures productivity and manages team assignments as needed.
• Prepares specific reports as directed for distribution within Home Health and other departments.
• Responsible for staying current on CMS regulations and maintaining current knowledge of Home Services products and services, and other referral sources.
• Seeks at all times to enhance Home Services Departments relationship with referral and reimbursement sources.
• Participates in Access Services and Insurance Staff meetings and education sessions.
• Performs other duties as assigned.

• Required
  - Coursework/Training Educational coursework in medical terminology. Or equivalent educ/experience
• OR:
  Preferred
  - Bachelor's Degree
• OR:
• Required - 2 years Experience in customer service including demonstrated computer proficiency
• Preferred - 1 year Experience in a clinical setting or home services.
• AK:
• Preferred - 6 months General office experience, preferably in a health care environment.
• Preferred - 6 months Experience with…