Deskripsi Pekerjaan
AdminEdge is actively searching for a highly motivated and meticulous Intake Scheduling & Authorization Specialist to enhance our dynamic remote team. This is an exceptional opportunity to significantly impact the operations of a leading US-based home health client, all while working from the comfort and convenience of your home in Metro Manila. We are looking for a professional who thrives in a fast-paced environment and is dedicated to ensuring seamless patient care coordination.
In this pivotal role, you will be the cornerstone of our intake process, managing the end-to-end journey from initial patient referral and scheduling of critical appointments to the meticulous handling of insurance authorizations. Your expertise will be instrumental in navigating industry-standard platforms like CarePort and WellSky, ensuring that every detail is accurately captured and processed to facilitate timely and compliant home health services.
Your day-to-day responsibilities will include verifying patient demographics, confirming insurance eligibility and benefits, securing essential pre-authorizations, and scheduling a wide array of home health services. This demands an individual with unparalleled organizational skills, a profound understanding of home health administrative procedures, and an unwavering commitment to delivering patient-centric support. You will act as a crucial link between patients, healthcare providers, and insurance companies, ensuring that all parties are aligned for optimal service delivery.
If you are a driven healthcare administration professional with a keen eye for detail, excellent communication skills, and a proven ability to manage complex tasks independently in a remote setting, this role is for you. Join AdminEdge and become a vital part of a team that is dedicated to supporting essential home health services. This role offers the chance to collaborate directly with a US client, expand your professional horizons, and contribute to a mission-driven organization from a flexible remote setup. We offer a competitive salary and a supportive work environment where your contributions are valued.
In this pivotal role, you will be the cornerstone of our intake process, managing the end-to-end journey from initial patient referral and scheduling of critical appointments to the meticulous handling of insurance authorizations. Your expertise will be instrumental in navigating industry-standard platforms like CarePort and WellSky, ensuring that every detail is accurately captured and processed to facilitate timely and compliant home health services.
Your day-to-day responsibilities will include verifying patient demographics, confirming insurance eligibility and benefits, securing essential pre-authorizations, and scheduling a wide array of home health services. This demands an individual with unparalleled organizational skills, a profound understanding of home health administrative procedures, and an unwavering commitment to delivering patient-centric support. You will act as a crucial link between patients, healthcare providers, and insurance companies, ensuring that all parties are aligned for optimal service delivery.
If you are a driven healthcare administration professional with a keen eye for detail, excellent communication skills, and a proven ability to manage complex tasks independently in a remote setting, this role is for you. Join AdminEdge and become a vital part of a team that is dedicated to supporting essential home health services. This role offers the chance to collaborate directly with a US client, expand your professional horizons, and contribute to a mission-driven organization from a flexible remote setup. We offer a competitive salary and a supportive work environment where your contributions are valued.
Tanggung Jawab
- Process incoming home health referrals, including demographic and clinical information, ensuring accuracy and completeness.
- Verify patient insurance eligibility, benefits, and coverage for requested home health services.
- Obtain pre-authorizations and re-authorizations from insurance companies for all services in a timely manner, proactively addressing any denials or issues.
- Coordinate and schedule patient appointments with clinicians (e.g., nurses, therapists) while adhering to patient preferences, clinical needs, and geographical considerations.
- Utilize and maintain accurate records within home health software systems, including CarePort and WellSky, for all intake, scheduling, and authorization activities.
- Communicate effectively with patients, families, referral sources, clinicians, and insurance providers to ensure seamless service delivery and address inquiries.
- Maintain strict confidentiality of patient information and adhere to all HIPAA regulations and company policies.
Kualifikasi
- Minimum of 2-3 years of experience in an Intake, Scheduling, or Authorization Specialist role within a home health setting.
- Proficiency in using home health Electronic Health Record (EHR) systems, specifically CarePort and WellSky.
- Strong understanding of medical terminology, CPT codes, ICD-10 codes, and insurance authorization processes for home health services.
- Exceptional organizational skills and a meticulous attention to detail, capable of managing multiple tasks simultaneously.
- Excellent verbal and written communication skills with a professional and empathetic demeanor.
- Ability to work independently and efficiently in a remote work environment, demonstrating strong self-discipline and time management.
- Reliable internet connection, a quiet home office setup, and the ability to maintain confidentiality.
- Bachelor's degree in Healthcare Administration, Business, or a related field preferred, or equivalent practical experience.