Intake Specialist - Outpatient Scheduler - FT | Beaumont

Intake Specialist

Under the direct supervision of the Clinic Director or Admissions Director/Manager, supports the outpatient therapy centers by accepting all referrals for treatment, by verifying insurance benefits, and by facilitating authorization for treatment, and by scheduling the initial visit for evaluation.  May relieve intake specialists in the clinics, when requested.  Performs other related tasks as assigned.  This in a non-exempt position.

RESPONSIBILITIES

Intake Function

• Obtains all necessary patient and insurance information to facilitate the intake process. Verifies and pre-certifies insurance benefits. Requests additional
• clinical documentation as required for insurance approval. Follows up as required to expedite the intake process. Distributes paperwork to appropriate
• facilities.
• Enters each authorization and verified benefits into the system in a timely and accurate manner.
• Demonstrates knowledge of programs offered by the clinic .by answering questions regarding the intake process and clinic offerings.
• Remains current on managed care and other insurance contracts held by Post Acute Medical (PAM).
• Ensures that the patient’s right to privacy is not violated.
• Patient Scheduling:
• Schedules patient’s initial visit within 1working day of approval, for a single discipline. If no therapist’s schedule can accommodate visit within 1 working day, contact Administrator/Manager for other options.
• Logs all referrals/inquiries on the outpatient daily log.
• Works closely with the clinic manager and clinicians to ensure that patients receive their therapy in a timely manner. Works as a team player with other staff to facilitate the smooth operation of the department
• Proper data entry into HMS on all required fields.

Support Duties

• Assures all prescriptions are current on new outpatients.
• Maintains regular contact with and provides documentation to the worker’s compensation commission, physicians, and insurance companies, as
necessary
• Maintains patient charts and files all documentation related to insurance and authorizations
• Prepares/orders departmental supplies and equipment.
• Updates HMS with pertinent outpatient statistical data
• Actively participates in department meetings.
• Identifies problems and presents possible solutions to supervisor as they occur.
• Follows all customer service policies and initiatives as listed below, including asking customers if you may place them on hold.
• When cross trained, provides back up for the Admissions/Business Office department as needed.

QUALIFICATIONS

Education and Training: Must possess a high school diploma or its equivalent, some college (secretarial) is preferred. Strong medical terminology is required.

Experience: At least one year previous healthcare office or registration function preferred.

Knowledge, Skills, and Abilities:

• Ability to input data accurately using various computer software programs.
• Ability to accurately complete financial calculations.
• Excellent proofreading and grammar skills.
• Must have a good command of the English language.
• Working knowledge of appropriate ICD-9 codes.
• Highly organized and detailed oriented.
• Must be able to acquire and demonstrate knowledge of inpatient services and Post Acute Medicals’ system programs and offerings, e.g. types of inpatient and outpatient services and facility locations.
• Must be able to remain calm and level-headed in a fast-paced, multi-faceted environment with frequent interruptions.
• Ability to follow directions accurately and timely, meet deadlines, identify priorities and on occasion, be flexible in his/her work schedule.
• Must have the ability to acquire knowledge of state, federal and other regulatory agencies related in facility and patient care.
• Must have the ability to follow through on issues related to insurance verification/approval of benefits.
• The ability to work well with managers, referral sources, physicians, and staff to promote a positive attitude and environment.

ABOUT US

PAM HEALTH (PAM) based in Enola, Pennsylvania, provides specialty healthcare services through more than 70 long-term acute care hospitals and physical medicine and rehabilitation hospitals, as well as wound clinics and outpatient physical therapy locations, in 17 states. PAM Health is committed to providing high-quality patient care and outstanding customer service, coupled with the loyalty and dedication of highly trained staff, to be the most trusted source for post-acute services in every community it serves. Its missio