Home Health Intake Coordinator

AdvisaCare Home Health is currently accepting resumes for a full-time Intake Specialist to join our team at our Kalamazoo/Portage location!

Utilization of Wellsky/Kinnser Agency Manager as EMR platform.

• Responsible for obtaining detailed and accurate benefit information using websites or phone for all insurance companies.
• Validate and document all payor information such as patient name, DOB etc., in the Wellsky/Kinnser system.
• Clearly document benefit information such as deductibles, co-pay, co-insurance and out of pocket maximums in the patient’s chart.
• Obtain start of care authorization for managed care cases not requiring clinical documentation.
• Verification of all pre-operative patients prior to scheduled surgery.
• Daily/continuous monitoring of task flow screen related to all insurance issues including, but not limited to the following: verify Medicare eligibility, complete insurance verification, review eligibility alerts, obtain initial authorization, re-verify insurance at recertification and resumption of care.
• Daily/ continuous monitoring of orders needing to be sent to physicians and follow-up with physician offices as necessary.
• Assist intake department, discharge planners and referral sources with contracted insurance issues and patient placement, including obtaining necessary documentation for patient initiation of services.
• Responsible for contacting physician offices or patients for information or to clarify benefit.
• Scheduling clinical staff once insurance has been verified/ authorization obtained.
• Assist billing department with various billing duties.
• Ability to think critically and act independently
• Candidate will be required to work Referral On Call a weekend in rotation with other Intake Staff!

Requirements

• To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
• Knowledge of Medicare
• Knowledge of insurance websites such as CareCentrix, Availity, Priority, etc.
• Knowledge of Wellsky/Kinnser Agency Manager is preferred
• Conscientious with attention to detail
• Demonstrates patience, flexibility and cooperative attitude
• Effective verbal and written communication skills with others both internally and externally

• High school diploma or GED
• Minimum of one (1) year insurance verification, insurance authorization or medical billing experience.

Benefits

We offer medical/dental/vision benefits, 401K Plan, as well as vacation/sick time and paid holidays.

Join the AdvisaCare family and let's make a difference together!