Intake Specialist

Beacon Hill - Job Details
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Intake Specialist

Blawnox, Pennsylvania

|

Direct (Permanent) Full Time

|

$ 21 - $ 26 per hour

Blawnox, Pennsylvania

Direct (Permanent) Full Time

$ 21 - $ 26 per hour

July 27, 2022

|

Job ID: a1300441pit_1658949944

July 27, 2022

Job ID: a1300441pit_1658949944

Job Summary

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M-F 1PM- 9:30PM- any hours worked later than 7PM daily will be paid of a 15% higher rate.

Job purpose

The Intake Specialist is an integral member of the reimbursement team and has primary responsibility for the timely handling of new medical orders from hospitals and physician offices. This individual is responsible for front-end functions of the order fulfillment process. Individual will work with numerous insurance types in reviewing medical orders and clinical documentation to determine benefit and clinical eligibility for the LifeVest. Individual is responsible for creating and maintaining relationships with insurance companies, sales reps, and other internal departments.

Duties and responsibilities

  • Creation of patient record
  • Verification of benefits
  • Triage, work and resolve intake orders
  • Explain medical need and educate insurance case managers on LifeVest system to obtain authorization for services
  • Obtain necessary documentation (medical order, clinical notes, testing) and submit to insurance carrier for coverage determination
  • Obtain authorizations as required by payer
  • Execute timely follow up on all assigned tasks
  • Maintain a score of at least Meets Expectations on monthly scorecard
  • Identify qualifying diagnosis based on payer requirements
  • Triage fax documents for timely review
  • Communicate authorization results and order status to sales representatives
  • Complete fee calculator and inform billing department of appropriate charges
  • Contact customers, physician offices, and sales representatives to relay and/or obtain insurance information and/or additional documentation to assist with seeking reimbursement and coordination of benefits
  • Performs other duties as assigned by management

Qualifications

Qualifications include:

  • H.S. Diploma or equivalent required. Associate's or Bachelor's degree in nursing, business, or other related field preferred
  • 2-3 years insurance verification experience
  • Superior communication; both verbal and written
  • Strong customer service skills
  • Proficiency in navigating several software systems concurrently
  • Aptitude to handle multiple tasks simultaneously under strict deadlines
  • Attention to detail
  • Superior organizational and time management skills
  • Ability to communicate policy information in a clear and detailed manner
  • Proficiency with MS Office Suite
a1300441pit_1658949944

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About Beacon Hill

Beacon Hill is an Equal Opportunity Employer that values the strength diversity brings to the workplace. Individuals with Disabilities and Protected Veterans are encouraged to apply.

Founded by industry leaders to set a new standard in search, career placement and flexible staffing, we deliver coordinated staffing solutions with unparalleled service, a commitment to project completion and success and a passion for innovation, creativity and continuous improvement.

Our niche brands offer a complete suite of staffing services to emerging growth companies and the Fortune 500 across market sectors, career specialties/disciplines and industries. Over time, office locations, specialty practice areas and service offerings will be added to address ever changing constituent needs.

We look forward to working with you.

Beacon Hill. Employing the Future™