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Intake Specialist – Insurance Verification
AdaptHealth. Review medical records, clinical documentation, and payer guidelines to determine patient eligibility, qualification status, and compliance .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in reviewing medical records and clinical documentation to ensure patient eligibility and compliance, while effectively communicating with patients and collaborating with healthcare teams. Proficient in navigating electronic medical records and maintaining accurate documentation in a fast-paced environment.
Highest-signal resume keywords
Medical Record ReviewPatient Eligibility DeterminationElectronic Medical Record NavigationVerbal And Written CommunicationAttention To Detail
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Clinical Documentation ReviewPayer Guidelines KnowledgePayment CollectionReferral CoordinationDocumentation AccuracyInsurance VerificationBilling And Claims ProcessingMulti-TaskingProblem-SolvingDecision-Making
Soft Skills
Excellent Communication SkillsAnalytical SkillsAbility To Work IndependentlyAttention To DetailCustomer Service Orientation
Tools & Technologies
Microsoft OfficeHealthcare SystemsElectronic Documentation SystemsEMR Systems
Industry Keywords
Healthcare AdministrationMedical SupplyHMEMedicare-Certified EnvironmentCall Center Experience
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, providing updates and alternative options
- Work with referral sources, physicians, and clinical teams to obtain complete and compliant documentation
- Apply knowledge of payer requirements to ensure compliant service delivery
- Maintain accurate, timely documentation using electronic systems
- Enter referrals within established timeframes while meeting productivity and quality standards
- Coordinate with leadership to ensure appropriate inventory and services are selected and scheduled
- 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 and assist patients and referral sources
- Participate in 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 including analytical, problem-solving and decision-making abilities with 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 is required for all roles
Benefits
Comp & perks- Support, Development, and Advancement Opportunities
- Competitive Compensation and Incentives
- Comprehensive Total Rewards & Benefits
- Industry-Leading Care & Innovation
- Comprehensive medical, dental and vision coverage
- 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