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Intake Specialist
AdaptHealth. Review medical records, clinical documentation, and payer guidelines to determine patient eligibility, qualification status, and compliance .
About the role
Key responsibilities & impact- Review medical records, clinical documentation, and payer guidelines to determine patient eligibility, qualification status, and compliance
- Communicate with patients regarding financial responsibility, collect payments when applicable, and document interactions accurately
- Contact patients when documentation does not meet payer requirements and provide updates and alternative options
- Work with referral sources, physicians, and clinical teams to obtain complete and compliant documentation
- Apply expert knowledge of payer requirements to ensure compliant service delivery
- Maintain accurate and timely patient information and communications in electronic systems
- Enter referrals within established timeframes while meeting productivity and quality standards
- Coordinate with leadership to select and schedule appropriate inventory and services
- Collaborate with sales, insurance verification, and internal support teams
- Navigate multiple EMR and online systems to obtain and manage documentation
- Select appropriate shipping and delivery methods according to company procedures
- Answer incoming calls promptly and assist patients and referral sources professionally
- Participate in an on-call rotation during non-business hours
- Follow company policies and procedures and perform other related duties as assigned
Requirements
What you’ll need- One (1) year of relatable work experience required
- High School Diploma, Associate’s degree in relatable field, Healthcare Administration, Business Administration or equivalent work experience required
- Experience in management, administrative, clerical, insurance, billing, claims, call center, or customer service preferred but not required
- Experience within a healthcare organization, pharmacy, HME, medical supply, or Medicare-certified environment is a plus but not required
- Excellent verbal and written communication skills
- Analytical, problem-solving, and decision-making abilities
- Attention to detail
- Ability to multi-task in a fast-paced environment
- Proficient computer skills; Microsoft Office and healthcare systems are a plus
- Comfort learning new technologies and navigating multiple systems
- Ability to work independently while following established procedures and directives
- Company-conducted background check required for all roles
- Motor Vehicle Record Check required for all driving roles
- Clinical roles require valid licensure/certification, where applicable
Benefits
Comp & perks- Competitive compensation and incentives
- Comprehensive medical, dental and vision coverage (eligible first of the month following hire)
- 401(k) with company match
- Paid Time Off Plans including 6 paid holidays
- Employee Stock Purchase Plan
- Paid Parental Bonding Leave
- Short and Long-term Disability Insurance
- Life and AD&D Insurance
- Flexible Spending Accounts (FSA) and Health Savings Accounts (HSA)
- CVS Minute Clinic and Teledoc access
- Spousal Advantage Reimbursement Plan
- Identity Theft Protection and Legal Plan
- Support, development, and advancement opportunities
- Responsible environmental stewardship