Intake Services Representative - Home Care jobs in Rock Springs, WY

Red Rock Medical Supply is seeking positive, dependable, and detail-oriented employees to join our team. We are looking for a full-time Intake Specialist at our Salt Lake City location!

About Us

We are a rapidly growing and fast-paced health care organization with a casual, yet professional environment that is patient and customer-focused. Our employees are not only our greatest asset, but they are also our best characteristic. Being a part of a small business means being a part of an employee-centered community that strives to offer work-life balance and an enjoyable atmosphere. If you are ready to be more than a number and for your work to make a difference, Red Rock Medical Supply may be right for you.

Job Description

The Intake Specialist is responsible for the verification and authorization of insurance benefits. Serves as the initial client contact to obtain patient demographics, type of referral, and type of insurance and insures information is communicated to the pharmacy, clinical team managers, respiratory, and home medical equipment.

Responsibilities

• Collects and records initial client information to include the type of referral, type of insurance, and patient demographics.
• Requests the referral source fax orders on all patients. Verifies client benefits.
• Notifies pharmacy, nursing, RT, and HME when verification is complete.
• Coordinates with HME to ensure the availability of requested supplies or equipment.
• Obtains authorization for skilled nursing visits, DME, medications, and shift care If authorization is denied, communicates with a clinician to obtain additional information so authorization will be approved.
• Notifies nursing, CTM, pharmacy, RT, and HME when authorization is approved.
• Processes Tl 9’s for Medicaid patients by obtaining Tl 9 from physicians, faxing Tl 9 to Medicaid within 72 hours, and tracking Tl 9 to ensure authorization is complete.
• If care is not authorized upon initial submission of T19, contacts Medicaid to clarify the information necessary for authorization.
• Enters information in Brightree Systems.
• Completes assignment of benefits.
• Authorizes all new orders as soon as they are received.
• Notifies clinician if initial justification is necessary for reauthorization.
• Expresses verbal and written communication in a clear, positive, and cooperative manner.

Job Requirements

• High school diploma or GED
• 1 years in an office setting
• 1 years customer service
• Highly developed customer service and organizational skills
• Excellent computer skills including the ability to type a minimum of 25 WPM 

Preferred

• Medicare local coverage criteria (LCD)

Our Benefits

• Generous Paid Time-Off plan 
• Highly competitive compensation rates. 
• Health, Dental & Vision insurance as well as Life, AD&D, and Short-term Disability options
   

Equal Employment Opportunity

Red Rock Medical Supply is an equal opportunity employer. Red Rock Medical Supply prohibits discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.