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Administrative
Enrollment / Eligibility Specialist
Brentwood, TN
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Full Time We are looking for an Intake Specialist to join our Home Health team. Come make a difference in the Brentwood/Goodlettsville, TN area and surrounding communities! At Beacon Home Health, our employees enjoy: Opportunities to build trusted relationships and connections while providing care to patients. To be valued and respected by patients and their families. A sense of security, incredible team support, and flexibility for work-life balance. Leadership development opportunities - we value internal advancement in areas of interest to our employees.
POSITION SUMMARY
The Intake Coordinator is responsible for performing all steps of the patient intake and referral process. This role is essential for ensuring that every patient referred to the agency is accurately vetted, documented, and approved for services in a timely manner.
ESSENTIAL RESPONSIBILITIES AND DUTIES INCLUDE BUT ARE NOT LIMITED TO THE FOLLOWING
Serves as the primary contact for referral reception from hospitals, physician offices, and other sources, accurately gathering all necessary demographic and clinical information. Creates the patient shell and initial patient record within the Homecare Homebase (HCHB) EMR system. Performs thorough checking of patient eligibility for home health or hospice services against regulatory and payer criteria, ensuring the patient meets the requirements for home health or hospice. Conducts comprehensive insurance verification and benefit checks for all potential patients to confirm coverage and benefits. Initiates and tracks the requesting of initial insurance authorization for services, communicating with payers until approval is secured. Communicates effectively with clinical teams, referral sources, and physicians to obtain missing documentation and clarify patient needs or service eligibility. Ensures all aspects of the intake process are compliant with federal, state, and payer rules and are completed within required timeframes. Other appropriate services and special projects as assigned. The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.
QUALIFICATIONS & REQUIREMENTS FOR THE POSITION
At least one (1) year of experience in a healthcare office setting, such as admissions, patient access, or intake, with experience in home health or hospice preferred. Demonstrated experience or ability to quickly learn and utilize an Electronic Medical Record (EMR) system; familiarity with Homecare Homebase (HCHB) is a major plus. Basic knowledge of Medicare, Medicaid and commercial insurance plans and terminology related to eligibility and authorization. Strong understanding of medical terminology and documentation requirements.
PREFERRED KNOWLEDGE AND SKILLS
Excellent time management and organization skills. Strong problem-solving skills to resolve insurance and documentation issues. Ability to work effectively in a high-volume, fast-paced environment and prioritize multiple tasks. Exceptional attention to detail. Demonstrated ability to manage multiple complex cases simultaneously. Excellent verbal and written communication skills with a professional telephone demeanor. Compassionate and empathetic approach to patient and family interactions.
PHYSICAL DEMANDS AND WORK ENVIRONMENT
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Job may require heavy use of office equipment, including computer, tablet, and phone. Must have the reasonable ability to stand, walk, sit, use hands to finger, handle, feel, reach, balance, see, talk, hear, and drive. Must be reasonably capable of lifting over twenty (20) pounds. Minimal portion (<30%) of daily assignments may require travel to client/resident/patient locations or other work sites, via car or public transportation. Work schedule may occasionally require evening, night, holiday, or weekend assignments. The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc.