Intake Specialist I Position Available In Lee, Alabama

Intake Specialist I at Sleep Management, LLC dba Viemed
Intake Specialist I at Sleep Management, LLC dba Viemed in Opelika, Alabama
Posted in Other 3 days ago.

Job Description:

Sleep Management, LLC dba Viemed
Intake Specialist I

Job Category:

Home Medical Products, Inc

Requisition Number:

INTAK002530

Full-Time
Essential Duties and Responsibilities
Reasonable amodations may be made to enable individuals with disabilities to perform the essential functions of this position.
Obtains patient demographic and health insurance information; collects co-pay(s) when appropriate.
Verifies and records insurance benefits, with the ability to understand and provide insurance breakdowns.
Obtains prior authorization if required by payer(s)
Interacts professionally with physicians, patients, patient’s family, and co-workers.
Schedules set ups, as called into HomeMed, by physicians or physician’s office staff, per policy and procedure.
Retrieves iing referral(s) and logs demographic information into current patient database & billing system.
Reviews medical records from referral(s) to determine if medical necessity has been met.
Communicates to sales team &/or referral source(s), if referral is acceptable or what is missing toplete referral(s)
Documents inputer system the status of referral
Reports all concerns or issues directly to Intake Manager or Intake Supervisor
Other responsibilities and projects as assigned.
Qualifications
High School Diploma or equivalent preferred
One (1) to two (2) years working for a Durable Medical Equipmentpany or relevant medical office experience preferred.
Knowledge, Skills, and Abilities
Basic understandings of medical insurance benefits
Skill in establishing and maintaining effective working relationships with other employees, patients, organizations, and the public
Effectivelymunicate with physicians, patients, insurers, colleagues, and staff
Able to read and understand medical documentation effectively.
Knowledge and understanding of same and similar DME equipment.
Knowledge and understanding of In-network vs Out of Network, PPO, HMO
Thorough understanding and maintaining of medical insurancepany’s regulations and requirements to include but not limited to Medicare and Medicaid.
Working knowledge of

CPT, HCPCS & ICD10

codes, HCFA 1500, UB04 claim forms, HIPAA, billing and insurance regulations, medical terminology, insurance benefits.
Learns and maintains knowledge of current patient database & billing system.
Up to date with health information technologies and applications
Answers telephone in a polite and professional manner. Communicates information to appropriate personnel and management in a timely manner.
Establishes and maintains effectivemunication and good working relationships with co-workers, patients, organizations and the public
Proficient in Microsoft Office, including Outlook, Word, and Excel
Utilizes initiative, strives to maintain steady level of productivity and is self-motivated.
Work week is Monday through Friday and candidates will work an agreed upon shift (current shifts include 7am-4pm, 8am-5pm, 9am-6pm or 10am-7pm)
Possible weekend work or overtime.
Access to Protected Health Information (PHI)
This position will require the employee to handle Protected Health Information (PHI) for duties related to document and report preparation. Policies and procedures will be strictly adhered to make sure PHI is protected as required by the HIPAA Privacy Rule.
Working Conditions
This position will work in an office environment.
You will be expected to work during shift designation upon hire, which is Monday through Friday, 8:00 a.m. – 5:00 p.m. with some weekend rotations. Please note this job description is not designed to cover and/or contain aprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties and responsibilities may change at any time with or without notice.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to thepensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access topensation information, unless the disclosure is (a) in response to a formalplaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)
Equal employment opportunity, including veterans and individuals with disabilities.
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