Intake​/Benefits Coordinator

Job Summary

Responsible for managing all aspects of the client intake process including managing the members of the intake team, establishing, and maintaining positive relationships with customers and referral sources, responding to customer requests and concerns, and managing the insurance verification and authorization processes.

• Directs daily referral and intake operations including providing direct oversight of the establishment and implementation of intake
• Ensures compliance with State, Federal, and other referral/intake regulatory
• Directs the implementation of improved work methods and procedures to ensure clients are admitted in accordance with
• Establishes and maintains positive working relationships with current and potential referral
• Ensures maximum third-party reimbursement through insurance verification and authorization
• Assists in negotiations for service pricing with insurance Case Managers and other payers within established financial and credit
• Builds and monitors community and customer perceptions of HOME LIFE HEALTHCARE, CORP. as a high-quality provider of
• Gathers, collates, and reports referral statistics including key customer referral
• Maintains comprehensive working knowledge of HOME LIFE HEALTHCARE, CORP. contractual relationships and ensures that clients are admitted according to contract provisions.
• Maintains comprehensive working knowledge of community resources and assists referral sources in accessing community resources should services not be provided by HOME LIFE HEALTHCARE,
• Handles all telephone calls regarding scheduling and coordination of service delivery personnel to meet client scheduling
• Accepts assignments from the Director of Nursing or Chief Clinical Officer
• Schedules personnel
• Contacts individuals’ assignments and scheduling
• Receives a comprehensive "report" of staffing and service activity from the on-call coordinator
• Coordinates client requests for service
• Accurately schedules clinician in EMR (Kinnser) as needed and notifies clients regarding the status of their services
• Assists in determining client needs and provides general information regarding services
• Coordinates personnel scheduling requests as needed
• Accurately records employee availability and coordinates availability with service requests
• Notifies personnel in a timely fashion if the client cancels a request. Makes every attempt to reschedule agency personnel on another assignment
• Contacts personnel, as needed, to request availability to work
• Maintains an accurate telephone log of all communications with agency personnel and referral sources
• Consults with the case manager or supervisor for any of the following:
  • Clients needing initial or emergency assessments
  • Inability to staff a client
  • Client complaints unable to be resolved
  • Service delivery personnel complaints or issues unable to be resolved
  • Clinical issues or problems needing the attention of a nurse
• Provides "on-call report" to the supervisor each evening
• Reports status of assignments given by the supervisor that day
• Reports service requests received during office hours and the status of the requests
• Reports information received from or about personnel including:
  • Availability received (dates, times, )
  • Changes in personnel status (active, inactive, part-time, )
  • Changes in personnel addresses, phone numbers,
  • Problems in scheduling or actions requiring disciplinary action
  • Any other information which might be useful to the supervisor in providing quality services to clients
• Benefits and Authorization
  • Verifies third party reimbursement coverage
  • Follows up on pending unresolved coverage issues
  • Obtaining initial authorization from payer sources to begin services
  • Obtains authorization from insurance companies and keep tracks of any pending authorizations and overdue
  • Assisting with resolving insurance issues, reauthorization, and eligibility issues.
  • Verifying eligibility on a continues basis with all insurance carriers
  • Communication payer verification or benefits issues
  • Facilitating follow-up with payer staff/case managers regarding ongoing services, eligibility and authorization
• Responsible for completing all mandatory and regulatory training programs
• Perform other duties…