Intake Coordinator I - Home Health FT Days

  • Torrance Memorial Medical Center
  • Torrance, CA, USA
  • Nov 24, 2021
Home Health

Job Description

Responsible for the intake of new routine referrals to home health and hospice and coordinating services for referred patients. Core Competencies Pre-screens clients referred by physicians for hospice needs, eligibility, and homebound status, if appropriate. Evaluates patients referred to the Organization; identifies insurance coverage, negotiates payment or per diem rates; plans and coordinates referrals for hospice services. Collaborates with the case manager to expedite discharges and screen admission requests. Triages the needs of referred patients to assist scheduling for same day or within 48 hours of referral Elevates issues as appropriate to the Director, Revenue Cycle. Responds to voicemail and emails within 24 hours of receipt. Forwards patient complaints to the Lead Patient Account Representative or Director, Revenue Cycle, when appropriate. Stays informed of updated insurance requirements and reimbursement practices. Maintains an advanced knowledge of insurance payor contracting as well as authorization requirements by payor. Maintains knowledge of the methods of payment, pricing and insurance billing. Maintains comprehensive working knowledge of managed care contractual relationships and ensures that patients are admitted and services are delivered in accordance with contract provisions. Develops and maintains cooperative relationships with hospital personnel, physicians, suppliers and insurance case managers. Arranges for alternate hospice providers utilizing Letter of Agreement for captiated patients out of the service area. Sets realistic expectations with patients/families regarding hospice services. Ensures compliance with all state, federal, and Joint Commission referral/intake regulatory requirements Ensures Face to Face Encounter documentation is obtained and scanned into the Electronic Medical Record as appropriate for Medicare referrals. Gathers, collates, and reports referral statistics including key customer referral trends Department Specific Competencies Education Degree Program N/A N/A Additional Information Diploma from vocational nursing program Experience Number of Years Experience Type of Experience N/A Additional Information At least three years experience in health care managed care coordination, home health agency or case management. License / Certification Requirements California Licensed Vocational Nurse