Job description

JOB DESCRIPTION SUMMARY
The Intake/ Referral Specialist is responsible for managing all aspects of the patient intake process. The specialist is responsible for establishing and maintaining Positive relationships with all community referral resources, Patients and families. The specialist is responsible for responding to customer requests, and concerns as they pertain to the Admission process and managing insurance verification and authorizations.

ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES
1. Performs all daily Patient referral and intake operations including assisting with the direct oversight of the Agency Program and implementation of its intake policies & procedures.
2. Remains familiar with all state, federal and special accreditation regulations pertaining to the referral I intake Process.
3. Assists in the evaluation and implementation of improved work methods and practices to ensure patients are admitted in accordance with the agency Policy and Procedures.
4. Establishes and maintains positive working relationships with current and potential referral sources.
5. Ensures the seamless transition of patients to Home care by calling the patient or responsible party prior to Discharge from Hospital to confirm and verify: Demographic information, Insurance information and Primary Ca re Physician or ordering Home Care physician, and Emergency contact information.
6. Ensures reimbursement of home care services through direct oversight of insurance verification and authorization through. E solutions. (Medicare). Managed care; Verify insurance eligibility with referral.
7. Verifies Primary Care Physician upon referral from the referral source (CareCentrix, Molina, MD office).
8. Calls PCP to directly confirm that MD is PCP and will sign all Home Health Orders for the particular Patient.
9. Creates Patient Chart in Kinnser. Responsible for creating patient chart. Providing as much information as possible. Requests H&P, MD orders, Current Medication list from Case Manager or referral source from CareCentrix, Molina, etc. (H&P not available from referral source; contact primary MD for most recent H&P).
10. Upon Referral, Identifies potential staff member to act as Start of Care clinician; Calls clinician to confirm availability & acceptance; then schedules SOC in Kinnser in patients chart with designated staff member.
11. Data entry: Responsible for data entry of all patient information.
12. Responsible for receiving daily labs; Printing,submitting to Clinical Supervisor, Director or Clinical Coordinator for review; then fax to MD once labs a re signed by Supervisor. After Sup sig and faxed to MD; upload to Pt. chart; write Kmail to clinician informing them of labs; if Critical results, phone clinician and MD.
13. Participates in Case Conferences as needed.
14. Responsible for educating clinical staff as it pertains to the intake process, as needed.
15. Responsible for charting pertinent conversations as they pertain to the Intake process in Kinnser as needed.
16. Responsible for participating in coverage of after-hours, On Call/Triage phone Program. Will accept phone calls, record in Triage log, M-F evenings and weekends. Intake Specialist will alternate with other office staff to ensure 24/7 patient coverage. Alternating weeks with other office staff members, and will Provide coverage over weekend. Weekend coverage includes monitoring ECIN/ Other electronic referrals and responding to potential referrals.
17. Assists the Management staff with any other tasks that are necessary to help the operations of the agency.

POSITION QUALIFICATIONS
The intake/ referral position is a key position in the agency and requires someone to demonstrate maturity and continual professionalism and the ability to think and solve problems.
1. High School Education, Prefer Licensed medical personnel.
2. Demonstrated ability to professionally interact with the public and all healthcare referral sources.
3. Demonstrates good communication, negotiation, and public relation skills.
4. Demonstrates Positive demeanor; flexibility, eagerness to work and learn.
5. Demonstrates good organizational skills, autonomy, assertiveness, and general cooperation.
6. Demonstrates problem solving ability and the ability to ask for help when needed.
7. Follows all regulations pertaining to HIPPA privacy and Security ACT to the best of their knowledge.
8. Demonstrates knowledge in computer software and use of computer, printers, facsimiles, shredder, phones, and other electronic office equipment.
9. Should have knowledge of medical terminology.

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