Therapy Intake Coordinator

Job Description
The Therapy Intake Coordinator is responsible for completing referrals using gathered information to provide data necessary to coordinate service eligibility, insurance verification, authorization and care coordination, handles requests for facilitating problem-solving of referral source information specific to coordination of patient admissions, and ensures maximum third-party reimbursement through monitoring insurance verification and authorization process. This position also communicates with provider/clinical staff/caregivers as necessary to obtain pertinent information and acts as the point of contact, aiding providers and organization.
Organization CommunicationHandles all daily patient referrals and intake operations and reviews and processes pending referrals.
Enters all demographic and insurance information for new customers and updates as needed.
Completes registration of clients into the home care management program in an accurate and timely manner
Informs location staff of received referral/s with full details on deductible, coinsurance and copay.
Adheres to the rules regarding confidentiality of HIPAA protected health information
Assists with the identification and reporting of potential quality management and non-coverage issues
Communicates with relevant parties to obtain authorization of home health services, initial and ongoing
Interfaces with providers/office staff/clinical staff/caregivers for the purpose of attaining additional information required for authorization approval
Provides direct support regarding utilization, authorization, and referral activities
Contacts providers and families with authorization, denial, and appeals process information
Completes monthly authorization expiry reports and informs location of upcoming renewals
Completes any and all changes to health insurance in KanTime
VerificationVerifies eligibility of members and member benefit coverage at initial start of care and ongoing eligibility and benefits verification on the 1st and 15th of each month
Reports all discrepancies to the Director of Clinical Services, Director of Therapy, Account Manager, and Director of Central Intake
Insurance knowledge experienceGeneral knowledge of state Medicaid plans, private insurance plans, Medicare and Veteran Affairse
Supports and executes the mission, ethics, and goals of the company effectively
Represents themselves in a positive and professional manner in the company and communityAdheres to dress code with a clean and neat professional appearance
Reports on time and as scheduled to complete work within designated time
Adhere to all company policies and procedures outlined in Employee Handbook, Employee Agreement, or communicated from executive team