Intake Specialist

Job Summary

The Intake Specialistis responsible formanaging thepatientintake process ensuring all necessary documentation referrals and eligibility requirements are gathered efficiently and accurately. The role involves direct interaction with patients families healthcare providers and insurance companies to ensure that new patients are enrolled into homecare services in a smooth and compliant manner. The Intake Specialist plays a critical role infacilitatingtimelycare transitions for patients and ensuring the overall quality of the homecare experience from the start.

Essential Duties and Responsibilities:

• Handle theinitialintake process for new patients including gathering essential information (e.g. medical history demographics insurance details).

• Ensureaccurateentry of patient information into the companys electronic medical record (EMR) system and other relevant databases.

• Verify clients insurance coverage and eligibility for home care services ensuringaccuratebilling and reimbursement.

• Answer incoming calls from clients caregivers and healthcare professionals addressing inquiries and providing information about available services.

• Conduct comprehensiveinitialassessments to evaluate clients healthcare needs anddeterminetheappropriate levelof carerequired.

• Collaborate with marketing representatives to stay informed of updates and changes providing quick and relevant information to clients and stakeholders.

• Assistclients in accessing Certified Home Health Agency (CHHA) Managed Long-Term Care (MLTC) and Personal Care Aide (PCA) services.

• Educate clients on the eligibility criteria for home care services explaining their options and helping them make informed decisions about their care.

• Serve as the primary point of contact for patients families and referral sources to answer questions and provide updatesregardingthe intake process.

• Maintain confidentiality and ensure compliance with HIPAA and other patient privacy laws.

• Escalate complex cases to the Intake Supervisor or Director of Intake for further resolution.

Qualifications and Skills:

To perform this job successfully an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge skill and/or abilityrequired. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Minimum of 1 year of experience in home care intake or enrollment processes.

• Exceptional communication and interpersonal skills with the ability to effectively interact with clients and stakeholders.

• Highly organized detail-oriented and capable of managing multiple tasks efficiently.

• Proficiencyin Microsoft Office applications and experience with HHA Exchange software.

• Understanding ofhome care services insurance verification processes and enrollment procedures.

Work Environment:

On-site

• 401k
• Medical Vision & Dental Insurance
• PTO Sick Time Floating Holidays

ABOUT CARE AND HELP HOME CARE LLC CARE AND HELP HOME CARE LLC (Company) provides non-skilled services to individuals in their homes or other independent living environments. These services include (but are not limited to) assistance with self-administration of medications personal care such as assistance with personal hygiene dressing and feeding homemaking such as assistance with household tasks housekeeping shopping meal planning and preparation and transportation companionship respite care such as assistance and support provided to the family; and other non-skilled services. We conduct criminal background checks when required on all staff. We also conduct physicals and tuberculosis screenings for all direct care workers and office staff with direct consumer contact upon hiring and on a yearly basis. The direct care workers of the Company are required to complete a minimum of forty (40) hours of experience or practical training and a competency evaluation or a state certification program. This training includes information regarding personal hygiene safe transfer techniques infection control and basic nutrition. All direct care workers of our company also receive supervised practical training before having direct contact with a consumer or verification of prior experience.

CARE AND HELP HOME CARE LLC (Company) does not discriminate on the basis of race color national origin ancestry religious creed non-job related handicap or disability sex (which includes: sex assigned at birth sexual orientation gender identity gender expression gender transition or transgender identity) age use of a guide or support animal because of: blindness deafness or physical handicap or any other characteristic protected by law (each a Protected Characteristic). Further the Company complies with the provisions of the Federal Civil Rights Act of 1964 the Pennsylvania Human Relations Act and all other applicable laws related to discrimination and fair employment practices. Accordingly no person shall on the grounds of any Protected Characteristic be excluded from participation in be denied benefits of or otherwise be subject to discrimination in the provision of any care service provided by our agency.

DISCLAIMERS The company in considering your application for employment may verify the information set forth on this application and obtain additional information related to your background. We offer reasonable accommodations in the hiring and employment process for individuals with disabilities. If you need assistance to accommodate a disability you may request an accommodation at any time.

All caregivers providing Medicaid-funded personal care and home health services are required to enroll in and comply with Electronic Visit Verification (EVV) as mandated by the 21st Century CURES Act.

All employees must be fully compliant with EVV requirements from their date of hire and maintain a minimum 85% compliance rate for all visits.