FREE ACCESS
5,000–10,000 jobs/day
See all jobs on Scoutfield
Search thousands of fresh jobs every day.
Discover
- Fresh listings
- Fast filters
- No subscription required
Create a free account and start exploring right away.
Intake and Precertification Specialist, Home Health and Hospice
WVU Medicine. Coordinate intake for new patient referrals, including receiving referral information, insurance verification, and scheduling initial assessments .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in patient referral coordination, insurance verification, and authorization processes, with a strong understanding of CPT and HCPCS coding. Proven ability to maintain accurate documentation and provide exceptional customer service in a high-volume healthcare environment.
Highest-signal resume keywords
Insurance VerificationAuthorization ManagementCPT Coding KnowledgeEPIC Platform ExperienceCustomer Service Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Insurance VerificationAuthorization ManagementCPT CodingICD 10 KnowledgeHCPCS CodingDocumentation ManagementReferral CoordinationDenial ManagementBilling PracticesMedical Terminology
Soft Skills
Effective CommunicationTask PrioritizationMultitaskingProfessionalismCustomer Service
Tools & Technologies
EPICElectronic Systems
Certifications & Qualifications
High School Diploma or Equivalent
Industry Keywords
Healthcare IntakeThird-Party Payer RequirementsPrecertificationAuthorization ProcessesReferral Sources
About the role
Key responsibilities & impact- Coordinate intake for new patient referrals, including receiving referral information, insurance verification, and scheduling initial assessments
- Serve as the primary contact for patients, families, referral sources, and healthcare professionals regarding referral and authorization status
- Obtain and document initial and ongoing authorization numbers using EPIC or other electronic systems
- Maintain accurate precertification, authorization, referral, and communication documentation
- Communicate with insurance companies to obtain prior authorization and resolve related issues
- Monitor authorization status, certifications, recertifications, and payer sequencing for billing
- Enter and maintain patient referral and insurance information in appropriate systems
- Coordinate initial assessment scheduling with clinical staff
- Maintain current knowledge of CPT and HCPCS coding to precertify/authorize home health and hospice referrals
- Assist with denial management, audits, and documentation requests
- Track referral activity and ensure timely processing to support admission and billing
- Communicate authorization status and referral progress to internal departments
- Meet productivity, throughput, turnaround-time, and deadline expectations in a high-volume referral environment
- Provide exceptional customer service to patients, families, referral sources, and care teams
Requirements
What you’ll need- High School Diploma or equivalent
- Two (2) years’ experience in insurance verification, authorization or healthcare intake
- Knowledge of CPT, ICD 10, HCPC, LMRPs, and similar coding/guidelines
- Knowledge of third-party payor requirements, contracts, authorization and payment practices
- Knowledge of EPIC platform preferred; experience with other appropriate systems considered
- Medical terminology experience
- Able to complete tasks consistently
- Able to effectively communicate with the public and health care team in a courteous and professional manner
- Able to prioritize tasks and multitask
- Scheduled weekly hours: 40