AdaptHealth
Intake Specialist – AdaptHealth
Join AdaptHealth as an Intake Specialist to empower patients in their homes by providing precise data entry, inventory selection, and patient communications. The role supports our home medical equipment services and is crucial in connecting patients with the right resources.
Responsibilities
Accurately enters referrals within allotted timeframe to meet productivity and quality standards.
Communicates with referral sources, physicians, and staff to ensure documentation is routed for signature/completion.
Works with leadership to ensure appropriate inventory/services are provided.
Communicates with patients regarding financial responsibility, collects payment, and documents it in the patient record.
Reviews medical records for non‑sales assisted referrals to ensure compliance prior to service provision.
Follows company philosophies and procedures to ensure appropriate shipping methods for delivery.
Answers phone calls promptly and assists callers.
Determines payer qualification status by reading clinical documentation and applying payer guidelines.
Obtains compliant documentation from community referral sources to accelerate the referral process.
Contacts patients when documentation fails payer guidelines, provides updates, and offers alternative options.
Collaborates with sales team to gather necessary documentation and maintain referral source relationships.
Navigates multiple online EMR systems to retrieve required documentation.
Works with insurance verification team to ensure accurate information and payment processes.
Assumes on‑call responsibilities during non‑business hours per company policy.
Lead Responsibilities
Supervise and provide guidance to team members on daily operations and complex case resolution.
Lead team meetings and facilitate training sessions for staff development.
Monitor performance metrics and productivity standards, offering feedback and coaching.
Serve as primary escalation point for difficult customer issues and complex regulatory compliance questions.
Develop and implement process improvements and workflow optimizations.
Coordinate with management on staffing, scheduling, and resource allocation.
Conduct new employee onboarding and ongoing training programs.
Mantain advanced expertise in Medicare guidelines, payer policies, and regulatory changes.
Prepare reports and analysis on team performance for management review.
Maintain patient confidentiality in accordance with HIPAA.
Complete required compliance training and other education programs.
Adhere to AdaptHealth’s Compliance Program.
Perform other related duties as assigned.
Competencies, Skills & Abilities
Ability to interact appropriately with patients, referral sources, and staff.
Decision‑making and analytical/problem‑solving skills.
Strong verbal and written communication.
Excellent customer service and telephone service skills.
Proficient computer skills; knowledge of Microsoft Office.
Prioritization and multitasking ability.
Independent work while following detailed directives.
Quick learning of new technologies and data flow through systems.
Requirements
High school diploma or equivalent required; Associate’s degree in healthcare administration, business administration, or related field preferred.
Experience in healthcare administrative, financial, or insurance customer service, claims, billing, call center, or management (healthcare organization, pharmacy, insurance or HME services). One year of work‑related experience required for entry level. Senior level requires at least two years of exact job experience.
Lead level requires at least four years of exact job experience.
Physical Demands & Work Environment
Extended sitting at computer workstations with repetitive keyboard use; occasional standing, bending, and lifting up to 10 lbs.
Professional office setting with variable stress levels during authorization deadlines, appeals, and urgent patient authorization needs.
Use of computers, office equipment, payer portal systems, and healthcare software applications.
Concentration, diligence, and discretion with confidential patient/insurance information.
Clear verbal and written communication for payer interactions and provider coordination.
Ability to work independently with minimal supervision; availability for extended hours when required.
Mental alertness to perform essential functions.
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Responsibilities
Accurately enters referrals within allotted timeframe to meet productivity and quality standards.
Communicates with referral sources, physicians, and staff to ensure documentation is routed for signature/completion.
Works with leadership to ensure appropriate inventory/services are provided.
Communicates with patients regarding financial responsibility, collects payment, and documents it in the patient record.
Reviews medical records for non‑sales assisted referrals to ensure compliance prior to service provision.
Follows company philosophies and procedures to ensure appropriate shipping methods for delivery.
Answers phone calls promptly and assists callers.
Determines payer qualification status by reading clinical documentation and applying payer guidelines.
Obtains compliant documentation from community referral sources to accelerate the referral process.
Contacts patients when documentation fails payer guidelines, provides updates, and offers alternative options.
Collaborates with sales team to gather necessary documentation and maintain referral source relationships.
Navigates multiple online EMR systems to retrieve required documentation.
Works with insurance verification team to ensure accurate information and payment processes.
Assumes on‑call responsibilities during non‑business hours per company policy.
Lead Responsibilities
Supervise and provide guidance to team members on daily operations and complex case resolution.
Lead team meetings and facilitate training sessions for staff development.
Monitor performance metrics and productivity standards, offering feedback and coaching.
Serve as primary escalation point for difficult customer issues and complex regulatory compliance questions.
Develop and implement process improvements and workflow optimizations.
Coordinate with management on staffing, scheduling, and resource allocation.
Conduct new employee onboarding and ongoing training programs.
Mantain advanced expertise in Medicare guidelines, payer policies, and regulatory changes.
Prepare reports and analysis on team performance for management review.
Maintain patient confidentiality in accordance with HIPAA.
Complete required compliance training and other education programs.
Adhere to AdaptHealth’s Compliance Program.
Perform other related duties as assigned.
Competencies, Skills & Abilities
Ability to interact appropriately with patients, referral sources, and staff.
Decision‑making and analytical/problem‑solving skills.
Strong verbal and written communication.
Excellent customer service and telephone service skills.
Proficient computer skills; knowledge of Microsoft Office.
Prioritization and multitasking ability.
Independent work while following detailed directives.
Quick learning of new technologies and data flow through systems.
Requirements
High school diploma or equivalent required; Associate’s degree in healthcare administration, business administration, or related field preferred.
Experience in healthcare administrative, financial, or insurance customer service, claims, billing, call center, or management (healthcare organization, pharmacy, insurance or HME services). One year of work‑related experience required for entry level. Senior level requires at least two years of exact job experience.
Lead level requires at least four years of exact job experience.
Physical Demands & Work Environment
Extended sitting at computer workstations with repetitive keyboard use; occasional standing, bending, and lifting up to 10 lbs.
Professional office setting with variable stress levels during authorization deadlines, appeals, and urgent patient authorization needs.
Use of computers, office equipment, payer portal systems, and healthcare software applications.
Concentration, diligence, and discretion with confidential patient/insurance information.
Clear verbal and written communication for payer interactions and provider coordination.
Ability to work independently with minimal supervision; availability for extended hours when required.
Mental alertness to perform essential functions.
#J-18808-Ljbffr