Apply on Employer Site

Children's Nebraska · 3 hours ago

Home Health Intake Specialist / FT, Mon - Fri, 7:30 - 4:00 pm

Omaha, NE

Full-time

Onsite

Mid Level

3+ years exp

Children’s Nebraska is the state’s only full-service pediatric healthcare center dedicated to improving the life of every child. The Home Health Intake Specialist role involves receiving patient information, verifying insurance, and coordinating with various departments to ensure the provision of appropriate services and products for patients.

Health CareMedicalNon Profit

Growth Opportunities

Responsibilities

Receives information on new or existing patients with new service(s) from the referral source either by a phone call or faxed order

Receives and enters orders in the computer software for supplies, and equipment pick up delivery tickets

For each patient there is an insurance verification and eligibility check

Ensure insurance eligibility check is documented

Obtains verbal or written prior authorizations for all services in a timely manner and records the authorization in the computer software

Notifies all parties involved of insurance coverage levels, or lack thereof

Registers new patients in the computer system with complete and accurate information

For each subsequent parent/caregiver contact verifies the patient address, phone number and insurance (eligibility check) with the parent/caregiver

Daily multiple reviews all tasks, emails, faxes, and notes:

Incoming faxes; reviews the list and completes physician orders, by generating sales orders and/or sales order templates and reviewing accurate product fulfillment. Assigns the fax to the appropriate patient. As needed, completes steps in section one for new patients or new service referrals

Review assigned tasks, emails, and work queues daily and take steps complete the tasks assigned, including identifying issues that can impact claims and routing to the appropriate department

Incomplete orders; contacts clinical departments for any needed information on new orders that are held in the Incomplete order list. If the order is pending a future start date, then the insurance verification, assessment for authorization may be completed prior to the start date

Authorization tracking; obtains the needed authorization at the beginning of service. Reassesses the need for further authorizations at the end of the authorization

Review new orders/referrals, including verifying insurance, completing an eligibility check, assessing insurance need for authorization for the requested service, updating sales order template to include new/updated order information such as order doctor and ICD-10 codes, and documenting this information into a patient note

Review daily emails and take calls for patient/patient families ordering ongoing monthly supply order, this includes reviewing all patient demographics, updating insurance when applicable, checks eligibility, assesses need for authorization and obtains the needed supply list, prepare the sales order, update to the correct delivery method WIP state, document all changes and communications in a patient note. Updates ICD-10 codes, demographics, and insurance information on patients as necessary

Updates all sales order templates when necessary due to insurance change, this includes adding all items to be billed to insurance and updating price options

Qualification

Insurance verificationPatient registrationDME product knowledgeICD-10 codingCustomer serviceComputer proficiencyEffective communicationIndependent work

Required

High School Diploma or GED equivalent

Minimum of 3 year experience in customer service setting, one of which can be experience working with insurance and/or revenue cycle related processes