MGA Homecare · 4 hours ago

Central Intake Coordinator

Phoenix, AZ

Full-time

Remote

Entry Level

1+ years exp

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Health CareHome Health Care

Work & Life Balance

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Responsibilities

Handles all daily patient referrals and intake operations and reviews and processes pending referrals.

Enters all demographic and insurance information for new customers and updates as needed.

Completes registration of clients into the home care management program in an accurate and timely manner.

Informs location staff of received referral/s with full details on deductible, coinsurance and copay.

Adheres to the rules regarding confidentiality of HIPAA protected health information.

Assists with the identification and reporting of potential quality management and non-coverage issues.

Communicates with relevant parties to obtain authorization of home health services, initial and ongoing.

Interfaces with providers/office staff/clinical staff/caregivers for the purpose of attaining additional information required for authorization approval.

Provides direct support regarding utilization, authorization, and referral activities.

Contacts providers and families with authorization, denial, and appeals process information.

Completes monthly authorization expiry reports and informs location of upcoming renewals.

Completes any and all changes to health insurance in KanTime.

Verifies eligibility of members and member benefit coverage at initial start of care and ongoing eligibility and benefits verification on the 1st and 15th of each month.

Reports all discrepancies to the Director of Clinical Services, Director of Therapy, Account Manager, and Director of Central Intake.

Performs all other duties assigned by Director of Central Intake.

Supports and executes the mission, ethics, and goals of the company effectively.

Represents themselves in a positive and professional manner in the company and community.

Adheres to dress code with a clean and neat professional appearance.

Reports on time and as scheduled to complete work within designated time.

Adhere to all company policies and procedures outlined in Employee Handbook, Employee Agreement, or communicated from executive team.

Qualification

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