Intake Coordinator, Pediatric Rehabilitation Medicine
Children's National HospitalAbout the role
Description
The Intake Coordinator supports timely access to Pediatric Rehabilitation Medicine (PM&R) and Physical Therapy (PT) services for pediatric brain tumor patients at Children’s National Hospital (CNH). This role manages referrals, insurance verification, and prior authorizations for CNH-based services, and collaborates closely with Sibley Hospital teams to help coordinate PM&R/PT services across sites.
The Intake Coordinator serves as a key liaison among families, providers, therapists, schedulers, and payers to support scheduling readiness, communication, and continuity of care, helping ensure patients receive needed rehabilitation services without delays.
Qualifications
Minimum Work Experience4 years Related experience (Required)
Required Skills/Knowledge
Excellent customer service skills.
Experience in healthcare setting preferred and computer knowledge necessary.
Excellent verbal, interpersonal, and telephone skills required.
Knowledge of medical terminology and CPT-4/ICD-9 coding preferred.
Detail oriented, organized individual with demonstrated ability to prioritize, problem-solve and follow through.
Working knowledge of mental health third party payers, eligibility requirements and ability to discuss medical and mental health benefits.
Ability to make appropriate new patient assignments to clinician based on specialty clinic and/or refer to other medical health services both at Children’s Hospital and other community mental health resources.
Should have knowledge of computer database entry .
Knowledge of charge entry and/or front desk operations.
Functional Accountabilities
Insurance Authorization
- Verify insurance eligibility for anticipated services using any verification system (EVS, Envoy, MAMSI On-line, DIV A, ACEDS) and/or call insurance companies as appropriate.
- Coordinate patients, physicians and insurance companies to fulfill authorization requirements, facilitate document submission and communicate outcomes.
- Obtain authorization from insurance companies as appropriate; document authorization in Account Notes and appropriate fields.
- Obtain required clinical and financial information by conducting telephone intake; mail packet of information to families after initial phone intake; enter intake information into database.
- Greet patient, parent and staff in courteous and consumer-oriented manner; complete computer aided, on-line registration screen with parent/guardian via telephone or in person; schedule patient for appointment with physician, nurse or technical personnel using the on-line scheduling system.
- Discuss co-payment or payment-in-full requirements.
- Appropriately triage treatment needs based on department guidelines.
- Refer requests to other medical, mental health services both at Children’s National Medical Center and other community mental health resources when appropriate based on departmental guidelines.
- Assign cases to intake staff by clinical specialty after receipt of packets.
- Monitor wait list and assignment of cases to clinicians.
- Provide expertise to peers throughout the institution regarding protocols governing their specific department.
- Train COR staff on insurance, registration and scheduling requirements for the patients in their department.
- Provide input to manager about the registration errors for ongoing training purposes.
- Speak up when team members appear to exhibit unsafe behavior or performance
- Continuously validate and verify information needed for decision m
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