Peoples Health Services · 9 hours ago
LPN Intake Specialist
Pensacola, Florida
Full-time
Onsite
Mid Level
3+ years expPeoples Health Services is seeking an LPN Intake Specialist responsible for distributing admission information and ensuring proper data entry for referrals. The role involves prioritizing phone calls, interpreting insurance benefits, and collaborating with clinical staff to facilitate home care services.
Hospital & Health Care
Responsibilities
Accurately enters all demographic, financial and referral data in to the computer systems to facilitate billing and scheduling in a timely manner
Answer phones and appropriately routes referral calls. Routes calls based on clinical needs
Prioritizes phone call for follow up (i.e., doctors, insurance company)
Back up to Intake Supervisor by preparing the client referral for clinical services, and loading new referral sources, in accordance with company policy, state and federal guidelines and private insurance contracts
Monitors the web-based program, “Allscripts”, for open referrals and respond as needed
Assist with accepting physician orders, as needed
Appropriately prioritizes referrals so that the most urgent needs are met first. This includes consulting with CTM’s, schedulers, and referral sources for coordination of admission dates ad times
Calculates co-pays and deductible amounts as per insurance reimbursement rates
Completes all necessary documentation for initial authorization in accordance with the insurance company contracts
Completes all request for all follow up authorization as needed, notifies staff of all authorizations received and visit limits as well as need to discharge client due to denial for further authorization
Participates in communications and resolution of problems with insurance interpretation. Identifies insurance carriers and verifies benefits and eligibility
Collaborates with CTM/Case Manager on authorized visit to assure accurate utilization for patient needs
Follow up with AE/Liaisons via text or email to assure notification of referrals received and documentation needed
Answer text or calls on weekends and after hours for insurance questions of new referrals
Acts as backup to clinical staff and assist as necessary with copying, faxing, etc
Demonstrates the ability to make customers feel satisfied and appreciated
Maintains an understanding of the company’s scope of services
Understands the infrastructure and how and where to transfer calls in the company
Maintains a professional image
Uses appropriate phone etiquette
Promotes a customer friendly atmosphere for all visitors and ensures patient confidentiality at all times
Participates in accreditation program
Assist referral sources with finding placement for patient that company cannot accept due to insurance reasons
Passes on all outstanding referrals and details to the night time/ weekend intake supervisor, via phone/ email
Maintains daily referral report and sends out to assigned staff
Performs other duties as assigned
Qualification
Required
Current Florida LPN license required
Dependable transportation with valid driver's license and auto insurance
Graduate of an accredited LPN program
Proficiency using Microsoft Word and Excel
Able to prioritize and manage time effectively and make independent decisions when necessary
Preferred
Minimum three (3) years of prior experience in a medical field or medical office setting
Knowledge of billing, insurance reimbursement, medical terminology, diagnosis coding
Experience with troubleshooting computer errors, maintaining records, and organizing
Company
Peoples Health Services
Our care team is focused on helping you manage your loved one’s chronic condition, recovery from an illness or surgery, or a change in medical condition.
51-200 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase