Intake Representative jobs in United States
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Koya Medical, Inc. · 23 hours ago

Intake Representative

Koya Medical, Inc. is a transformative healthcare company focused on developing breakthrough treatments for lymphedema and venous diseases. They are seeking a Patient Intake & Document Collection Specialist to facilitate the onboarding of new patients and manage the intake and verification processes.

BiotechnologyHealth CareInternetPharmaceutical

Responsibilities

Processes all incoming referrals, interviewing client/referral source to secure demographic and qualifying data, and securing verification and authorization of benefits as appropriate
Coordinates incoming and outgoing calls and emails from both referral sources and patient/customers
Maintains a working knowledge of third party payer guidelines to support the Payer Operations team who handles insurance authorizations
Operates in CRM system (SalesForce.com) to record/document and manage patient protected health information
Establishes and maintains positive working relationships with current and potential customers and referral sources and with other company resources including field sales and commercial operations
Assists other Intake/Home Care Coordinators as directed by the Vice President, Strategic Market Access and Health Economics
Practices and reflects knowledge of HIPAA, TJC, and other federal/state regulatory agencies affecting patients and our business
Knowledgeable of compliance requirements for federally funded healthcare programs (e.g. Medicare and Medicaid) regarding fraud, waste and abuse. Brings any questions or concerns regarding compliance to the immediate attention of administrative staff. Takes appropriate action on concerns reported by department staff related to compliance

Qualification

Insurance coding knowledgePatient intake experienceCRM system proficiencyDetail orientationCommunication skillsData entry skillsEthical conductPersonal effectivenessTime managementOrganizational skills

Required

At least three years of medical experience; preferably in home medical equipment
Minimum high-school degree
Has previous health care or home care related Intake/Authorization experience
Knowledge of insurance requirements
Strong administrative, organizational, and (oral and written) communication skills
Specialized knowledge of insurance coding, coverage, and policy
Confident and resourceful when faced with challenges related to a start-up company
Practices and reflects knowledge of HIPAA, TJC, and other federal/state regulatory agencies affecting patients and our business
Knowledgeable of compliance requirements for federally funded healthcare programs (e.g. Medicare and Medicaid) regarding fraud, waste and abuse

Preferred

College degree preferred

Benefits

Base + bonus compensation package
Competitive benefits program

Company

Koya Medical, Inc.

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Koya Medical is a transformative healthcare company developing breakthrough treatments for venous and lymphatic diseases to increase movement, mobility and personalized care that is unavailable with traditional compression therapy.

Funding

Current Stage
Growth Stage
Total Funding
$70.22M
Key Investors
OrbiMed3×5 PartnersArboretum Ventures
2023-11-15Series C· $30M
2022-02-03Series B· $26M
2021-01-14Series A· $11M

Leadership Team

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Damian Rippole
Chief Operating Officer & Financial Officer
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Company data provided by crunchbase