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Role Description

The Intake Representative is responsible for verifying detailed benefits and authorizations requirements for a high volume of patients. The position requires attention to detail, the ability to multitask, and a sense of urgency.

Essential Duties and Responsibilities

• Verifying correct patient information, including insurance benefits and authorization requirements for permanent and transient patients.
• Submitting required authorizations timely and following up on determinations when needed.
• Updating patient information in a timely manner to avoid delays in billing cycles.
• Contacting the admissions team and/or clinical personnel to obtain missing or incorrect information during initial verification.
• Verifying accuracy of data and updating accounts based off weekly audits.
• Updating patient accounts with newly acquired information and notifying appropriate personnel if claims require rebilling or require voiding and regenerating.
• Keeping up to date on COB rules according to insurance guidelines and requirements.
• Maintaining a professional work relationship with all facility and office staff; developing effective relationships at all levels of the organization.

Qualifications

• High school diploma or equivalent.
• Knowledge of various health insurance programs and the medical insurance industry preferred.
• Previous experience verifying detailed insurance benefits and authorization requirements preferred.
• Knowledge of medical terminology and government/private insurer rules and regulations.
• Must have intermediate computer skills, including Microsoft Office (Word, Excel, Outlook); working knowledge of Internet for business use.
• Requires research and exceptional organization skills to manage a large patient load.
• Ability to work in a fast-paced, deadline-driven environment.