CyS Capacitacion y Servicios Empresariales, C.A.
Intake Specialist
CyS Capacitacion y Servicios Empresariales, C.A., Baton Rouge, Louisiana, us, 70873
Description
Promptcare is seeking an experienced Intake Specialist to join our team. As an Intake Specialist you are responsible for receiving and managing referrals from various referral sources in our service areas. The ideal candidate will have a strong background in infusion therapy and be able to provide exceptional customer service to our patients. If you are a detail-oriented individual with a passion for providing exceptional patient care, we encourage you to apply for this exciting opportunity.
Reports to: Departmental Lead, Supervisor or Manager
Job Type: Full-Time, 40 hours per week, Monday - Friday
Location: Baton Rouge, LA
Requirements
High school diploma or GED
Previous experience working with insurance companies and healthcare professionals (physicians, nurses, etc.) is required
Previous experience with specialty pharmacy patient admissions and customer service in a similar referral source-based practice setting is strongly preferred
IVIg case management experience preferred
Must have strong PC skills, especially the MS Office suite. Previous experience with the pharmacy order processing system, CPR+ or CareTend, is a major advantage (although training will be provided)
Job Responsibilities, Included But Not Limited To
Obtains initial patient referral admission data and documents
Directly interfaces with external clients and obtains initial authorization
Notifies appropriate staff of all pending referrals and patient admissions
Enters new patient information into the order processing system
Generates and tracks forms (e.g., LMN, AOB, Consent for Treatment) until all pertinent documentation is received
Consistently updates patient and clinical information in the order processing system
Manages patients on the master log every day and forwards to appropriate staff
Responsible for verifying eligibility and benefits through insurance companies including obtaining prior authorizations and/or pre-determinations
Communicates in writing or via phone with clients, family members, agents, physicians and discharge planners on eligibility requirements, policy benefits, eligibility determinations and contract provisions
Proactively researches and resolves issues impacting benefit coverage and revenue optimization
Performs medical /pharmacy benefit verification requiring complex decision skills based on payer and process knowledge resulting in onboarding or case determined a “no go”
Contacts benefit providers to gather policy benefits/limitations
Coordinates and ensures services provided will be reimbursable (e.g., deductible amounts, co-payments, effective date, levels of care, authorization, etc.)
Communicates with patients regarding Welcome and Financial call information
Works closely with the billing department for re-authorizations or billing needs, etc.
Other duties assigned
Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
While performing the duties of this job, the employee is regularly required to talk and listen. The employee is required to occasionally walk, and bend or stand as necessary. This position requires the ability to occasionally open filing cabinets, lift office products and supplies of 25 pounds but no more than 50 pounds.
Benefits & Perks
Comprehensive Medical, Dental, and Vision Package
401(k) Plan with Company Match
Generous PTO: Vacation, Sick Time, Personal Days, and Paid Holidays
Life Insurance: Standard coverage with optional enhancements
Employee Assistance Program: Free counseling and coaching sessions
Emotional Well-being and Work-Life Balance Resources
Short & Long-Term Disability: Company-paid with optional supplements
Accidental Death and Dismemberment Insurance
FSA and HSA: Manage healthcare expenses
Commuter Spending Programs
Volunteer and Engagement Opportunities
Employee Referral Bonuses
Exclusive Discounts on entertainment, travel and various other supplemental and cellphone plans
Equal Employment Opportunity The PromptCare Companies is committed to Equal Employment Opportunity (EEO) and prohibits employment discrimination on the basis of race, color, age, national origin, religion, gender, gender identity, sexual orientation, pregnancy, marital status, genetic disposition, disability, veteran's status or any other characteristic or classification protected by State/Federal/Local laws. We foster a work environment in which diversity and inclusion are embraced, people are hired and advanced on their merits, and employees are treated with mutual respect and dignity.
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Reports to: Departmental Lead, Supervisor or Manager
Job Type: Full-Time, 40 hours per week, Monday - Friday
Location: Baton Rouge, LA
Requirements
High school diploma or GED
Previous experience working with insurance companies and healthcare professionals (physicians, nurses, etc.) is required
Previous experience with specialty pharmacy patient admissions and customer service in a similar referral source-based practice setting is strongly preferred
IVIg case management experience preferred
Must have strong PC skills, especially the MS Office suite. Previous experience with the pharmacy order processing system, CPR+ or CareTend, is a major advantage (although training will be provided)
Job Responsibilities, Included But Not Limited To
Obtains initial patient referral admission data and documents
Directly interfaces with external clients and obtains initial authorization
Notifies appropriate staff of all pending referrals and patient admissions
Enters new patient information into the order processing system
Generates and tracks forms (e.g., LMN, AOB, Consent for Treatment) until all pertinent documentation is received
Consistently updates patient and clinical information in the order processing system
Manages patients on the master log every day and forwards to appropriate staff
Responsible for verifying eligibility and benefits through insurance companies including obtaining prior authorizations and/or pre-determinations
Communicates in writing or via phone with clients, family members, agents, physicians and discharge planners on eligibility requirements, policy benefits, eligibility determinations and contract provisions
Proactively researches and resolves issues impacting benefit coverage and revenue optimization
Performs medical /pharmacy benefit verification requiring complex decision skills based on payer and process knowledge resulting in onboarding or case determined a “no go”
Contacts benefit providers to gather policy benefits/limitations
Coordinates and ensures services provided will be reimbursable (e.g., deductible amounts, co-payments, effective date, levels of care, authorization, etc.)
Communicates with patients regarding Welcome and Financial call information
Works closely with the billing department for re-authorizations or billing needs, etc.
Other duties assigned
Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
While performing the duties of this job, the employee is regularly required to talk and listen. The employee is required to occasionally walk, and bend or stand as necessary. This position requires the ability to occasionally open filing cabinets, lift office products and supplies of 25 pounds but no more than 50 pounds.
Benefits & Perks
Comprehensive Medical, Dental, and Vision Package
401(k) Plan with Company Match
Generous PTO: Vacation, Sick Time, Personal Days, and Paid Holidays
Life Insurance: Standard coverage with optional enhancements
Employee Assistance Program: Free counseling and coaching sessions
Emotional Well-being and Work-Life Balance Resources
Short & Long-Term Disability: Company-paid with optional supplements
Accidental Death and Dismemberment Insurance
FSA and HSA: Manage healthcare expenses
Commuter Spending Programs
Volunteer and Engagement Opportunities
Employee Referral Bonuses
Exclusive Discounts on entertainment, travel and various other supplemental and cellphone plans
Equal Employment Opportunity The PromptCare Companies is committed to Equal Employment Opportunity (EEO) and prohibits employment discrimination on the basis of race, color, age, national origin, religion, gender, gender identity, sexual orientation, pregnancy, marital status, genetic disposition, disability, veteran's status or any other characteristic or classification protected by State/Federal/Local laws. We foster a work environment in which diversity and inclusion are embraced, people are hired and advanced on their merits, and employees are treated with mutual respect and dignity.
#J-18808-Ljbffr