Intake Specialist – Insurance Verification

Job not on LinkedIn

November 28

🐎 Kentucky – Remote

Although this job is listed in Kentucky, this company may be open to hiring remote in other states.

💵 $16 - $18 / hour

⏰ Full Time

🟢 Junior

🔒 Insurance

🚫👨‍🎓 No degree required

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AdaptHealth

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Healthcare Insurance • Wellness

AdaptHealth is a company that provides healthcare solutions with a focus on respiratory health, sleep health, diabetes health, and wellness at home. With a network of 671 locations in 47 states, AdaptHealth delivers 38,225 home medical supplies each day and holds 2,825 insurance contracts. The company is dedicated to empowering patients to live their best lives, offering products and services such as CPAP machines, oxygen supplies, diabetes supplies, and a variety of medical equipment. AdaptHealth is highly rated by its customers for fast, reliable, and courteous service. They emphasize patient care solutions that integrate seamlessly into daily life, supported by online support and fast shipping services. Their mission is to change lives by providing the necessary healthcare tools to patients nationwide.

10,000+ employees

Founded 2019

⚕️ Healthcare Insurance

🧘 Wellness

📋 Description

• Accurately enters referrals within allotted timeframe as established; meeting productivity and quality standards as established. • Communicates with referral sources, physician, or associated staff to ensure documentation is routed to appropriate physician for signature/completion. • Works with leadership to ensure appropriate inventory/services are provided. • Communicates with patients regarding their financial responsibility, collects payment and documents in patient record accordingly. • Responsible for reviewing medical records for non-sales assisted referrals to ensure compliance standards are met prior to a service being rendered. • Follows company philosophies and procedures to ensure appropriate shipping method utilized for delivery of service. • Answers phone calls in a timely manner and assists caller. • Reviews medical records for non-sales assisted referrals to ensure compliance standards are met prior to a service being rendered. • Demonstrates expert knowledge of payer guidelines and reads clinical documentation to determine qualification status and compliance for all equipment and services. • Works with community referral sources to obtain compliant documentation in a timely manner to facilitate the referral process. • Contacts patients when documentation received does not meet payer guidelines, provide updates, and offer additional options to facilitate the referral process. • Works with sales team to obtain necessary documentation to facilitate referral process, as well as support referral source relationships. • Must be able to navigate through multiple online EMR systems to obtain applicable documentation. • Works with insurance verification team to ensure all needs are met for both teams to provide accurate information to the patient and ensure payments. • Assume on-call responsibilities during non-business hours in accordance with company policy. • Supervise and provide guidance to team members in daily operations and complex case resolution. • Lead team meetings and facilitate training sessions for staff development. • Monitor team performance metrics and productivity standards, providing feedback and coaching as needed. • Serve as primary escalation point for difficult customer issues and complex regulatory compliance questions. • Develop and implement process improvements and workflow optimization strategies. • Coordinate with management on staffing needs, scheduling, and resource allocation. • Conduct new employee onboarding and ongoing training programs. • Maintain advanced expertise in Medicare guidelines, payer policies, and regulatory changes to guide team decisions. • Prepare reports and analysis on team performance, trends, and operational metrics for management review. • Maintains patient confidentiality and functions within the guidelines of HIPAA.

🎯 Requirements

• High school diploma or equivalent required; Associate’s degree in healthcare administration, Business Administration, or related field preferred • Related experience in health care administrative, financial, or insurance customer services, claims, billing, call center or management regardless of industry. • Exact job experience is health care organization, pharmacy that routinely bills insurance or provides Diabetics, Medical Supplies, HME, Pharmacy or healthcare (Medicare certified) services • Ability to appropriately interact with patients, referral sources and staff. • Decision Making • Analytical and problem-solving skills with attention to detail. • Strong verbal and written communication. • Excellent customer service and telephone service skills. • Proficient computer skills and knowledge of Microsoft Office. • Ability to prioritize and manage multiple tasks. • Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. • Ability to work independently as well as follow detailed directives. • Solid ability to learn new technologies and possess the technical aptitude required to understand flow of data through systems as well as system interaction.