Intake Coordinator

Visiting Nurse Services Westchester•City of White Plains, NY

13d•$27 - $30

About The Position

VNS Westchester, founded in 1901, is Westchester's premier and only certified home health care agency is seeking an Intake Coordinator to review and process referrals. The Intake Coordinator will screen referrals and organize the referral for skilled home care visits, capturing correct patient demographics and clinical admission information for entry into the electronic medical record. Review insurance coverage for the referral and set up accurate financial coverage through insurance eligibility investigation. Connect with professionals, caregivers or patients via electronic platforms, phone, fax or email to obtain all information needed to produce a start of care visit. As a "destination employer" VNS Westchester is widely considered a highly desirable place to work, where people actively seek out employment opportunities due to its reputation for career growth, positive work culture, competitive benefits, and strong brand image, essentially making it a "dream company" within the industry for potential employees to aspire to join and stay at long-term. We are well known in the community as a desirable place to work. A place current employees consider their home away from home.

Requirements

Proficient in data entry and navigating an EMR.
Strong Experience with Insurance Referrals and Eligibility and Authorization process.
Understanding of medical terminology and treatment plans.
Excellent customer service & follow-up skills.
Strong organizational skills/ case management experience a plus.

Responsibilities

Process patient referrals in the electronic medical record. Review and enter demographics, clinical information and financial reimbursement information.
Review clinical documentation to ensure patient meets criteria for Certified Home Health Agency services.
Schedule Start of Care date with patient, add date to the electronic medical record and on the intake board.
Verify eligibility and benefits of all Medicare, Medicaid, Commercial and Managed Care Insurances utilizing websites.
Verify enrollment of all new Physicians in the PECOS (provider, enrollment, chain, and ownership system) enrolled under Medicare) and OPRA (Medicaid Ordering/Prescribing/Referring/Attending) databases. Contact doctors as needed to help facilitate obtaining documents and orders for new referrals. .
Screen incoming referrals and accept or decline request based on Home Care appropriateness.
Contact patients, caregivers or referral sources to obtain information on referrals so that they can be admitted.
Collaborate with other intake staff to gather all information for each referral.
Work within the weekend rotation schedule to support the department on weekends and holidays.
Cultivate relationships with medical practices who refer patients.
Performs other duties as assigned.