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Intake Coordinator in Tamarac, FL at TeamHealth

Date Posted: 6/26/2019

Job Snapshot

Job Description

  • Call Agent must respond to incoming calls in less than 1 minute and adhere to hold times policies.
  • Review and comprehend Medical Department Physician Schedule.
  • Admission notification from acute and post- acute facilities and physicians. Advise the physician of the new admission in 2 minutes.
  • Document admissions in the database from face sheets or facility calls.
  • Reconcile Payer’s census vs IPC Admission census. Verify patients demographics, update SubID, Insurance, Product Type, PCP, MSO, Diagnosis and enter the discharge dates.
  • Humana Daily Tasks: Upload Humana Availity Census. HEPAS census reconciliation to be emailed before 10:30am. Census to be emailed to Humana and Metcare by 3pm. Hospital Discharge Summaries to be faxed to Metcate PCP’s. Cancelled Patient survey report to Humana Case Managers. SNF reconciliation report to Medical Dept.
  • Update the encounters which have "Unknown PCP’s/ No PCP's/ Open Access/ None" assigned as a PCP. once saved ‘RE-FAX’ the notification to the correct PCP.
  • Acquire authorizations for ALF cases.
  • Contact SNF’s to verify admit status and LOS.
  • Access the Network Application Exception Reports and work your assigned Healthplan updating, Missing Insurance, Missing Encounter, Encounters in Conflict, Product Type/POS mismatch, Insurance Termed.
  • Leakage : Inform BD or MLIC of missed admission when reconciling Payor Census (24 hour window of opportunity to capture admission) Daily census' to Humana and Metcare by 3pm
  • Manage in-coming faxes face sheet. Be cognizant of the Time Sensitive documents eg; Death Certificates, diagnostic reports for FTE; Nursing Home POC's etc.
  • ADT uploads: verify if the case was admitted by an IPC Provider, if so, text the provider to enter the case. If not entered after 72 hours, contact MLIC or BD for FT/PT/ML and provide admission details for IPC Link entry. If not entered, defer to Medical Department and the PGL. Duplicate encounter to be voided should be sent to NoHo.
  • Health Prof Clean-up: Each morning: run "Providers with undelivered notes" in Health Prof Clean-up and update PCP contact information.
  • Weekly generate "Admission by date range (Including IPC Link)" report for the prior 30 days and update facility/POS relationship, Sub Id /FC /PCP /discharge dates.
  • MSO Admission report to be sent the 10th of each month,
  • Medical Dept. Assist with validating admissions, retrieving hospital discharge summaries, MSO reporting.
  • Missing Face Sheet reports, Eligibility, Voids, Billing inquiry reports must be worked timely.
  • Adhere to HIPAA guidelines by sending ‘SECURE’ emails and utilizing ‘Tiger Text Pro’.
  • Attend mandatory training sessions to improve product knowledge, quality of service and efficiency.
  • Crossed train in other Intake Dept duties, to serve as back up.

 

Job Requirements

Customer service oriented, self-motivated with strong verbal and writing skills. Highly organized, with the ability to multi-task and make quick decisions, in a fast-paced environment. Candidates must be computer literate and possess a basic understanding of Microsoft office – Word and Excel. Experience in the Healthcare field is a bonus. English as a primary language. Training will be provided.