GENERAL SUMMARY:

The Intake Assistant is responsible for referral processing, providing accurate and complete data input for pre-authorization requests while effectively communicating to internal and external customers.

ESSENTIAL DUTIES:

1. Obtains initial and subsequent insurance authorization and pre-certification for in office procedures, treatments and services.

2. Researches additional or alternative resources for non-covered services to prevent payment denials.

3. Maintains a close working relationship with site Patient Financial Counselor.

4. Communicates with clinical staff, PFC, and management regarding restrictions or unique requirements for insurance plans.

5. Maintains a current working knowledge of authorization requirements for all payers, and of state and federal regulatory guidelines.

6. Assists in maintaining manuals, logs and other required documentation.

7. Demonstrates an understanding of patient confidentiality to protect the patient and the clinic/corporation.

8. Follows policies and procedures to contribute to the efficiency of the front office.

9. Covers for and assists with other front office functions as requested.

10. Other duties as may be assigned.

This document represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described.

STANDARD QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties.

A. Education / Training:

• High school diploma or equivalent

B. Work Experience:

• A minimum of (3) years of medical business office experience with insurance procedures and patient interaction. Additional clinical background preferred

C. Certification, Licensure, Registration:

• None required

D. Other Qualifications:

• Knowledge of medical terminology. Excellent communication skills, both written and verbal. Excellent computer skills to include Microsoft Office Suite, EHR/EMR and insurance portals.

• Beaumont Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.