Healthcare Intake Specialist
TEKsystems
Description
The Healthcare Intake Specialist position qualifies orders for placement based on payer’s requirements. Acts as the liaison between customer and third-party payer to ensure the order meets regulatory and payer requirements. Obtain and analyze required documentation for shipping of product and billing of claims.
• Analyze and prioritize orders based on initial assessment of documentation and customer outreach
• Verify third party payer benefits and eligibility (online or telephonically).
• Review and analyze payer specific requirements and coverage criteria to determine required documentation and accurate billing criteria.
• Conduct in depth review of clinical documentation (medical records, prescriptions, operative reports, history and physicals) based on billing criteria.
• Call customer or field personnel to obtain missing documentation required for placement and/or billing. Could include home health agencies, patients, hospital/facilities, physicians.
• Contact patient to coordinate delivery of product. Communicate patient’s financial responsibility and any special instructions.
• Follow-up post-delivery to obtain any additional documentation to support billing criteria.
• Prioritizes and executes based on customer and/or business urgency.
• Provides a high level of customer service in a competitive market.
• Acts as a resource for Sales and other cross functional departments to provide order status and any other information.
• Participates in all reasonable work activities as may be deemed suitable and assigned by management.
• Conforms to, supports and enforces all Company policies and procedures.
• Build support and maintain patient, physician, and third-party payer loyalty and to increase the number of orders through enhanced customer services, customer relationship management, and technology utilization.
• Requires repetitive keyboarding over 95% of the time and phone usage 60% of the time
Skills
Health care, customer service, medical
Top Skills Details
Health care,customer service,medical
Additional Skills & Qualifications
• High School Diploma or equivalent.
• Demonstrated customer service skills.
• Experience with Microsoft Office applications including Word, Excel and email.
• Demonstrated ability to deal with all employees and external business contacts while conveying a positive, service-oriented attitude.
• Demonstrated problem-solving skills.
• Demonstrated ability to work in a team environment, as well as, independently.
• Ability to multi-task and adapt in a fast paced and changing environment
• Demonstrated ability to maintain confidentiality and discretion in business relationships and exercise sound business judgment.
• Ability to communicate effectively both verbally and in writing.
• Satisfactory completion of all training programs.
Preferred Qualifications:
• Two or more years of related healthcare experience.
• Call Center experience
• Some college course work completed (preferred)
Experience Level
Intermediate Level
Pay and Benefits
The pay range for this position is $19.00 - $19.00
• Medical, dental & vision• Critical Illness, Accident, and Hospital• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available• Life Insurance (Voluntary Life & AD&D for the employee and dependents)• Short and long-term disability• Health Spending Account (HSA)• Transportation benefits• Employee Assistance Program• Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type
This is a hybrid position in San Antonio,TX.
Application Deadline
This position will be accepting applications until Jan 24, 2025.
About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
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