Central Intake Coordinator

Job Description

Job Description

Overview

The Central Intake Coordinator contacts insurance companies, branch operations, and patients to ensure accurate patient demographic and insurance information including insurance verification / benefits / authorizations, and the status of a used / remaining benefits.

Responsibilities

• Verifies eligibility and insurance benefits including but not limited to : Confirming the status of used / remaining benefits using electronic and telephonic resources, communicating, and identified insurance plan to billing manager for system updates.
• Obtains pre-certification, authorizations, and referrals to ensure managed care compliance for necessary services.
• Fulfills notification requirements.
• Partners and maintains working relationship with various departments throughout the organization, including Business HUB, Clinical Coordinators and Branch Operations
• Provides patient education as needed on various topics including patient rights, regulatory requirements, and financial policies.
• Prepares oral / written communications including periodic status updates.
• Maintains documentation and notes in computer system regarding all conversations with patients, insurance company representatives, and pre-certification.
• Supports BrightSpring Health’s Compliance Program by adhering to policies and procedures pertaining to HIPAA, FCRA, and other laws applicable to BrightSpring Health’s business practices.
• Completes all required training, maintains active working knowledge of BrightSpring health’s Code of ethics (LEGACY), and immediately follows reporting procedures related to compliance, incidents, HIPAA, and adheres to confidentiality obligations.
• Maintains effective communication strategies and style with patients, insurance companies both verbally and in writing to ensure a positive overall internal / external customer service experience.

Qualifications