An Eligibility Specialist provides assistance and information for people who apply for a government benefits program or health care program. Answers questions, assists with an application process, and reviews applications and relevant background information to determine eligibility. May assist eligible applicants with enrolling in a program.
What's in it for you? Hospice offers a Robust Total Rewards Package Employer 401k contribution regardless of employee participation, and additional contribution given as match with employee participation Health Insurance with vision component copayment plan, or high-deductible plan (FT status) HSA with high-deductible health plan twice annual Employer contribution (FT status) Dental Insurance (FT status) Flexible Spending Account (FT status) Paid Time Off
PTO & NYS
Sick Leave Tuition Assistance Program And Much More! 8:30am-4:30pm or 10am-6pm. Holiday and weekend rotation. An Intake Specialist is responsible for coordinating the intake, scheduling, and care delivery process for patients. Conducts interviews with patients to compile intake information. Makes referrals to service providers based on patient needs and assessment. Works under the general supervision of the Admission Team Manager. Essential Duties and Responsibilities for an
Intake Specialist:
Receives intake and informational calls. Directs department calls to the appropriate party; assists with phone calls to non-admitted patients to facilitate admissions. Assists in the day to day coordination of team clinical functions, facilitates, and schedules assessments. Obtains complete demographic and insurance information from appropriate source. Obtains medical certification and less than six-month prognosis for Hospice patients from the attending physician prior to assessment visit. Obtains and retrieves medical information pertinent to referral, prior to nursing assessment when possible. Notifies Team Manager or Director of scheduling concerns, documentation/ insurance requirements. Ensures nursing staff has current and accurate patient information attached to the patient chart. Understands and applies local coverage Determination Policies in order to assist in the identification of the best system of care for the prospect and assure eligibility for Hospice. Understands and applies Medicare, Medicaid, and third party requirements for eligibility and informs referral sources, as necessary. Participates in verification of insurance benefits. Follows up on third party insurance authorization when necessary. Acts as resource person for insurance information to all staff. Participates in special projects, statistical reporting, and analysis, as necessary. Demonstrates bias for action, acts on what is important, is proactive and creative, possesses a can-do attitude, ability to multi-task, has the ability to work under pressure and keep difficult situations in perspective. Performs necessary clerical tasks to include filing, mailing, record keeping, copying, and other tasks assigned to assure professionally organized medical and statistical records and to facilitate referral processing. Enters all patient information, telephone calls, prospect disposition into EMR System.
Qualifications:
Education/Certification High School Diploma/GED preferred Experience Experience in a healthcare environment preferred. Experience in Hospice & Palliative Care helpful. Specific to
Intake LPN:
1 year of nursing practice as a Licensed Practical Nurse preferred.
