Position Title: LPN/Intake Specialist

Department: Operations

Reports To: Intake Supervisor

Category: Non-Exempt

Supervisory Responsibilities: None

Last Revised: February 2020

Position Summary:

The Intake Specialist is responsible for distributing admission information, prioritizing phone call, and interpreting insurance policy benefits to accurately reflect coverage amounts and Client co-pay (prior approval of insurance authorization). The Intake Specialist must be able to discuss and relay appropriate clinical information to obtain authorization for Home Care Service.

Essential Duties & Responsibilities:

• Accurately enters all demographic, financial and referral data in the computer systems to facilitate billing and scheduling in a timely manner.
• Answer phones and appropriately routes referral calls. Routes calls based on clinical needs.
• Back up to Intake Supervisor by preparing the client referral for clinical services, and loading new referral sources, in accordance with company policy, state and federal guidelines and private insurance contracts.
• Assist with accepting physician orders and monitors web based referral systems
• Completes all necessary documentation for initial authorization in accordance with the insurance company contracts.
• Completes all request for all follow up authorization as needed, notifies staff of all authorizations received and visit limits as well as need to discharge client due to denial for further authorization.
• Follow up with AE/Liaisons via text or email to assure notification of referrals received and documentation needed.

Skills:

• Self-Starter – Takes initiative identifies needs of co-workers and customers and solves problems.
• Reading Comprehension – Understanding written sentences and paragraphs in work related documents.
• Time Management – Managing one’s own time.
• Speaking – Talking to others to convey information effectively.
• Writing – Communicating effectively in writing as appropriate for the needs of the audience.
• Critical Thinking – using logic and reasoning to identify the strengths ands weaknesses of alternative solutions, conclusions, or approaches to problems.
• Able to perform the essential functions of the job with or without accommodation.

Licenses, Certifications and/or Registrations:

• Current Florida LPN license required.
• Dependable transportation with valid driver’s license and auto insurance

Education/Experience:

Graduate of an accredited LPN program. Minimum one (1) years of prior experience in a medical field or medical office setting is preferred. Knowledge of billing, insurance reimbursement, medical terminology, diagnosis coding preferred.

Working Conditions:

Office Environment. May be exposed to biological hazards.