KPH HEALTHCARE SERVICES, INC · 1 day ago
Intake/Benefits Coordinator
Hoffman Estates, IL
Part-time
Onsite
Entry, Mid Level
2+ years expKPH Healthcare Services, Inc is a healthcare provider focused on client intake and benefits coordination. The Intake/Benefits Coordinator is responsible for managing the client intake process, ensuring compliance with regulations, and maintaining relationships with customers and referral sources.
Health CareMedicalPharmaceutical
Responsibilities
Directs daily referral and intake operations including providing direct oversight of the establishment and implementation of intake
Ensures compliance with State, Federal, and other referral/intake regulatory
Directs the implementation of improved work methods and procedures to ensure clients are admitted in accordance with
Establishes and maintains positive working relationships with current and potential referral
Ensures maximum third-party reimbursement through insurance verification and authorization
Assists in negotiations for service pricing with insurance Case Managers and other payers within established financial and credit
Builds and monitors community and customer perceptions of HOME LIFE HEALTHCARE, CORP. as a high-quality provider of
Gathers, collates, and reports referral statistics including key customer referral
Maintains comprehensive working knowledge of HOME LIFE HEALTHCARE, CORP. contractual relationships and ensures that clients are admitted according to contract provisions
Maintains comprehensive working knowledge of community resources and assists referral sources in accessing community resources should services not be provided by HOME LIFE HEALTHCARE
Handles all telephone calls regarding scheduling and coordination of service delivery personnel to meet client scheduling
Accepts assignments from the Director of Nursing or Chief Clinical Officer
Schedules personnel
Contacts individuals’ assignments and scheduling
Receives a comprehensive "report" of staffing and service activity from the on-call coordinator
Coordinates client requests for service
Accurately schedules clinician in EMR (Kinnser) as needed and notifies clients regarding the status of their services
Assists in determining client needs and provides general information regarding services
Coordinates personnel scheduling requests as needed
Accurately records employee availability and coordinates availability with service requests
Notifies personnel in a timely fashion if the client cancels a request. Makes every attempt to reschedule agency personnel on another assignment
Contacts personnel, as needed, to request availability to work
Maintains an accurate telephone log of all communications with agency personnel and referral sources
Consults with the case manager or supervisor for any of the following:
Clients needing initial or emergency assessments
Inability to staff a client
Client complaints unable to be resolved
Service delivery personnel complaints or issues unable to be resolved
Clinical issues or problems needing the attention of a nurse
Provides "on-call report" to the supervisor each evening
Reports status of assignments given by the supervisor that day
Reports service requests received during office hours and the status of the requests
Reports information received from or about personnel including:
Availability received (dates, times, )
Changes in personnel status (active, inactive, part-time, )
Changes in personnel addresses, phone numbers
Problems in scheduling or actions requiring disciplinary action
Any other information which might be useful to the supervisor in providing quality services to clients
Verifies third party reimbursement coverage
Follows up on pending unresolved coverage issues
Obtaining initial authorization from payer sources to begin services
Obtains authorization from insurance companies and keep tracks of any pending authorizations and overdue
Assisting with resolving insurance issues, reauthorization, and eligibility issues
Verifying eligibility on a continues basis with all insurance carriers
Communication payer verification or benefits issues
Facilitating follow-up with payer staff/case managers regarding ongoing services, eligibility and authorization
Responsible for completing all mandatory and regulatory training programs
Perform other duties as assigned
Qualification
Required
Complies with accepted professional standards and practice
Two years' experience in intake/ scheduling position, preferably in private duty or home health
Has an ability to market aggressively and deal tactfully with vendors and referral sources
Has knowledge of corporate business management, governmental regulations, and private payer practices
Demonstrates good communications skills, negotiation skills, and public relations
Demonstrates autonomy, organization, assertiveness, and flexibility and cooperation in performing job
Is self-directed with the ability to work with little
Has excellent coordination and communication skills
Associates Degree
At least 2 years experience in Home Health or similar field
Drug test
Initial and continuous exclusion and sanction/disciplinary monitoring
Any and all additional eligibility requirements based on the specific position
Company
KPH HEALTHCARE SERVICES, INC
KPH Healthcare Services, Inc.
Founded in 1903East Syracuse, New York, USA
1001-5000 employees
Funding
Current Stage
Late StageCompany data provided by crunchbase