Intake Referral Coordinator

FullTime Days

MondayFriday 8a4:30p

Home Health Department

JOB SUMMARY

This job is responsible for ensuring the correct information follows the resident from the hospital through the Village Home Health (VHH) system so that accurate records are maintained. This includes making sure all necessary referral documents are received prior to admitting patients into the electronic medical record system (EMR). This job also enters diagnostic codes in the EMR system to assure correct coding and billing for appropriate services. Collaborate with members for assigned functions related to centralized intake. Provides information about services to referral sources potential VHH patients and/or their family. Supportive of the Village mission values and service/hospitality (PRIDE) expectations. Completes training as required by policy.

ESSENTIAL JOB FUNTIONS

• Verifies Medicare or other insurance coverage information and enters into the EMR system to assure accurate billing.
• Collects all necessary referral documents including signed face to face from physician demographic information insurance and history and physical.
• Contacts referral source to clarify patient information and/or obtain additional clinical information necessary to complete referral and schedule patient for admission in a timely manner.
• Answers inquiries from families hospitals insurance companies case managers and other involved parties.
• Establishes and maintains high level customer service relationships with current and potential referral sources to ensure proper and timely communication.

• Document all communication regarding referrals into the EMR system.
• Determine patients appropriateness for services consistent with facility/agency service policies and admission criteria.
• Plan for admission of patients/residents to in coordination with Intake Scheduling Coordinator.
• Complete daily reports for pending admissions and provide this information to the care team members.

• Inform team members of unusual or potentially problematic patient/family issues.
• Participate in agency and community programs as requested to promote professional growth and understanding of care.
• Demonstrate familiarity with policies of the agency and rules and regulations of state and federal bodies which aid in determining policies and acceptance or denial of referrals.
• Calls patients and families as appropriate.

• Participates in marketing efforts assisting the organization in carrying out the marketing plan; accountable to increase market growth on an ongoing basis.

• Submits all documentation in a timely manner as required by policy regulatory requirements and by acceptable standards of practice.

• Adheres to all safety regulations and requirements.
• Handles stress well and gets along with others within the workplace and with customers outside the department.
• Maintains acceptable standards of workplace conduct.

The responsibilities described above represent the primary responsibilities of the job. Other responsibilities may be assigned by the supervisor as warranted by business needs. The incumbent is expected to perform all assigned responsibilities.

ESSENTIAL QUALIFICATIONS

Education:

• Requires a high school diploma or GED.

Licenses/Certifications:

• Requires a current valid drivers license.
• Certified Medical Administrative Assistant (CMAA) certification preferred.
• Medical Coder and Biller Certification (MCBC) certification preferred.

Knowledge and Skills (required unless noted):

• Basic knowledge of medical administrative procedures.
• Intermediate knowledge of medical terminology and/or Anatomy & Physiology.
• Excellent communication and interpersonal skills.
• Strong organizational and timemanagement skills and ability to quickly identify problems and find solutions required.
• Ability to work independently and as part of a team in a fastpaced environment.
• Intermediate keyboarding skills.
• Intermediate level knowledge of Microsoft Windows and Office applications Word and Excel.
• Ability to read analyze and interpret general business documents technical procedures or governmental regulations.
• Ability to deal with problems involving several concrete variables in routine standard situations.

• Handles stress well and is able to communicate professionally in high stress situations.

• Demonstrated ability to relate effectively with patients staff physicians community agencies and institutions.

Experience:

• Related experience that includes insurance billing for Medicare MCD and private insurance preferred.

A minimum of oneyear previous related experience is required preferably as an intake specialist and/or processing of medical referrals.

SPECIAL WORKING CONDITIONS

• Work is primarily in an environmentally controlled office setting with no exposure to extreme conditions or hazardous materials.
• Works weekend and holiday rotation for home health.
• Office environment. Must be able to handle frequent interruptions.

• All associates may be called upon to assist other departments in a declared emergency situation.

PHYSICAL AND MENTAL DEMANDS

The physical demands described below are representative of those that must be met by an individual to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Requires sitting for the majority of an 8hour shift.
• Extensive use of fingers and hands for using a computer keyboard and writing.
• Occasional reaching with hands and/or arms.
• Occasional kneeling or stooping.
• Must be able to speak and hear clearly.
• Must have close vision distance vision color vision and the ability to adjust focus.
• Occasional lifting of materials weighing less than 10 pounds.

SUPERVISION RECEIVED

Receives supervision from Intake Supervisor; Director of Nursing; Administrator. No direct supervision given.

EOE/D/V

NicotineFree Workplace

Postoffer background check and health screening required

Questions can be directed to

Required Experience:

IC