Job Details

Intake Specialist

At AdaptHealth, we offer full-service home medical equipment products and services to empower patients to live their best lives out of the hospital and in their homes. We are actively recruiting in your area. If you are passionate about making a profound impact on the quality of patients' lives, please apply.

The Intake Specialist has a broad range of responsibilities including accurate and timely data entry, understanding and selecting inventory and services in key databases, communicating with referral sources, and appropriately utilizing technology to note patient information/communication. The lead specialist serves as a subject matter expert, conducts new hire training, and mentors the team.

Essential functions and job responsibilities include:

• Accurately enters referrals within allotted timeframe.
• Communicates with referral sources, physician, or associated staff.
• Works with leadership to ensure appropriate inventory/services are provided.
• Communicates with patients regarding their financial responsibility, collects payment, and documents accordingly.
• For non-Medicaid patients communicate with patients.
• Reviews medical records for non-sales assisted referrals to ensure compliance standards are met.
• Follows company philosophies and procedures to ensure appropriate shipping method.
• Answers phone calls in a timely manner and assists caller.
• Demonstrates expert knowledge of payer guidelines and reads clinical documentation.
• Works with community referral sources to obtain compliant documentation.
• Contacts patients when documentation received does not meet payer guidelines.
• Works with sales team to obtain necessary documentation.
• Navigates through multiple online EMR systems.
• Works with insurance verification team.
• Assumes on-call responsibilities during non-business hours.

Lead responsibilities include:

• Supervise and provide guidance to team members.
• Lead team meetings and facilitate training sessions.
• Monitor team performance metrics.
• Serve as primary escalation point.
• Develop and implement process improvements.
• Coordinate with management on staffing needs.
• Conduct new employee onboarding and ongoing training.
• Maintain advanced expertise in Medicare guidelines.
• Prepare reports and analysis on team performance.
• Maintain patient confidentiality.
• Completes assigned compliance training.
• Performs other related duties.

Competency, skills and abilities:

• Ability to appropriately interact with patients, referral sources, and staff.
• Decision making.
• Analytical and problem-solving skills with attention to detail.
• Strong verbal and written communication.
• Excellent customer service and telephone service skills.
• Proficient computer skills and knowledge of Microsoft Office.
• Ability to prioritize and manage multiple tasks.
• Ability to work independently as well as follow detailed directives.
• Solid ability to learn new technologies and possess the technical aptitude required to understand flow of data through systems.

Requirements:

• High school diploma or equivalent required; Associate's degree in healthcare administration, Business Administration, or related field preferred.
• Related experience in health care administrative, financial, or insurance customer services, claims, billing, call center, or management.
• Exact job experience is health care organization, pharmacy that routinely bills insurance or provides Diabetics, Medical Supplies, HME, Pharmacy, or healthcare (Medicare certified) services.
• Specialist Level: (Entry Level): One (1) year of work-related experience.
• Senior Level: One (1) year of work-related experience plus two (2) years exact job experience.
• Lead Level: One (1) year of work-related experience plus four (4) years exact job experience.

Physical Demands and Work Environment:

• Extended sitting at computer workstations with repetitive keyboard use; occasional standing, bending, and lifting to 10 pounds.
• Professional office setting with variable stress levels.
• Proficiency with computers, office equipment, payer portal systems, and healthcare software applications.
• Sustained concentration, diligence, and ability to manage confidential patient and insurance information with discretion.
• Professional verbal and written communication skills.
• Ability to work independently with minimal supervision and availability for extended hours when required.
• Mental alertness to perform the essential functions of position.