Intake Specialist I
On-site · Lafayette, Louisiana, United States or Lake Charles, Louisiana, United States
Job Summary
The Intake Specialist I is responsible for obtaining patient demographic and health insurance information, collecting co-pays, verifying and recording insurance benefits, and obtaining necessary prior authorizations. This role involves professional interaction with physicians, patients, and co-workers, scheduling setups per policy, logging referrals, and reviewing medical records for medical necessity. The candidate must possess a high school diploma, have effective communication skills, and hold knowledge on medical insurance regulations and terminology. Proficiency in Microsoft Office and the ability to establish effective working relationships are essential.
Required Qualifications
- High School Diploma or equivalent
- Skill in establishing and maintaining effective working relationships with other employees, patients, organizations, and the public
- Effectively communicate with physicians, patients, insurers, colleagues, and staff
- Able to read and understand medical documentation effectively
- Knowledge and understanding of same and similar DME equipment
- Knowledge and understanding of In-network vs Out of Network, PPO, HMO
- Thorough understanding and maintaining of medical insurances company’s regulations and requirements to include but not limited to Medicare and Medicaid
- Answers telephone in a polite and professional manner
- Utilizes initiative, strives to maintain steady level of productivity and is self-motivated
Desired Qualifications
- One (1) to two (2) years working for a Durable Medical Equipment company or relevant medical office experience preferred.
- Basic understandings of medical insurance benefits
- Working knowledge of CPT, HCPCS & ICD10 codes
- Proficient in Microsoft Office, including Outlook, Word, and Excel
- Learns and maintains knowledge of current patient database & billing system
- Up to date with health information technologies and applications
Additional Requirements
- Access to Protected Health Information (PHI)
- This position will require the employee to handle Protected Health Information (PHI) for duties related to document and report preparation. Policies and procedures will be strictly adhered to make sure PHI is protected as required by the HIPAA Privacy Rule.
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