Job Title: Intake/ Benefits Coordinator
Location: El Paso, Texas
Duration: Contact
Description:
Essential Duties and Responsibilities :
• Responsible for processing referrals received from referral sources.
• Ensures that all required documentation has been received to process the referral timely
• Ensures Intake referral checklists are complete
• Enters patient demographic, insurance and authorization information into the computer system
• Obtains authorizations and re-authorizations as required by payers and documents this in the computer system
• Ensures that insurance verification is completed, and authorization is in place or requested prior to giving the referral to a pharmacist.
• Understands which insurance companies have contracts with Amerita
• Communicates with other departments including Sales and pharmacy staff regarding the status of the referrals and any authorization requirements and out of pocket cost required to be collected before delivery
• Completes documentation of progress notes in computer system
• Notifies patients/caregivers regarding insurance coverage and payment responsibilities
• Maintains confidentiality of patient and proprietary information.
Required Education and Experience:
• High School Diploma/GED or equivalent required; Associate’s Degree or some college preferred
• Minimum two (2) years of experience collecting referral information in the healthcare market
• Experience working with all payer types, including Medicare, Medicaid and commercial insurance companies
• Knowledge of insurance verification and pre-certification procedures
• Understands the scope of services that Amerita can provide
• Strong verbal and written communication skills
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