Manager, Intake

KabaFusion•Charlotte, NC

About The Position

This position oversees the Intake Department to ensure all information needed to acquire reimbursement for services is obtained at the start of care. The position also confirms that all referrals and authorizations for both acute and chronic therapies are processed appropriately, accurately and timely. The Intake Manager oversees staffing and ensures the department works within the operating budget, upholds revenue responsibility, and purchasing responsibility.

Requirements

Knowledge of intake and authorization guidelines, regulations and standards for home infusion and home health.
Knowledge and experience of insurance verification, authorization and eligibility process.
Strong communication skills to work on patient specific financial arrangements.
Possess and exhibit advanced leadership skills, consulting skills and communication skills (oral, written and presentation) with ability to communicate with staff, executives, and customer base.
Proficient in Microsoft Office including Word, Excel, PowerPoint, Outlook; and experience with CPR+ software systems or similar systems preferred.
Ability to make strategic, operational, and administrative decisions in response to emerging conditions and environmental circumstances; innovative and flexible; ability to exercise good, professional judgment and accept responsibility.
Ability to work independently with strong organizational and analytical skills to complete reports/projects having strict timelines.
Able to delegate work to staff and provide follow up as needed.
Ability to maintain a high level of confidentiality concerning materials and conversations with staff, management, patients and third party payer administrators.
Bachelor’s degree in business/related field; education and experience to equal bachelor’s degree; or technical equivalent of five (5) years similar experience.
Minimum of five (5) years’ experience in billing and/or intake preferred.
Three (3) years of supervisory or management experience preferred
Ability to interact with co-workers, staff members and clients with courteousness, respect, professionalism, and diplomacy in a fast-paced environment in both group settings and one- to-one interactions.
Excellent interpersonal skills and ability to provide and promote internal and external customer service.
Exhibits a positive attitude toward the organization, his/her job and others.
Shows concern and respect for others by dealing with people in a compassionate, sensitive and responsive manner.
Promotes change and is proactive in suggesting change and innovative ways of doing things.
Respects the confidentiality of others.
Complies with company policies and procedures including employee handbook, Federal and state regulations, HIPAA, quality improvement and safety guidelines.
Consistently communicates and converses verbally and in writing with leadership, employees, patients, and clients to exchange accurate information.
Ability to listen to and understand information and ideas presented through spoken words and sentences.
Constantly operates a computer and other office productivity machinery, such as a calculator, copy machine, and computer printer to enter, transcribe, record, store or maintain information in written or electronic forms to manage patient care, referrals and orders.
Occasionally required to travel by various methods including air, rail, or to operate a motor vehicle to attend business meetings.

Nice To Haves

Five (5) years of experience in home infusion industry is preferred
Proficient in Microsoft Office including Word, Excel, PowerPoint, Outlook; and experience with CPR+ software systems or similar systems preferred.

Responsibilities

Directs the intake process by managing eligibility, authorization, negotiated rates, financial obligation documents, and all necessary payor information for all services rendered by the company.
Manages Intake Supervisors and Intake Representatives, for acute and chronic therapy patients. Conducts interviews, hiring and onboarding, and orientation of new employees. Conducts performance management and evaluations and ensures that proper training and customer service levels are met.
Ensures operational workflow of department is optimal.
Monitors customer service to improve patient, stakeholder, and referral source services and outcomes.
Collaborates with third party payer administrators, Contract Management Group, and Business Development staff on contract issues.
Manages and ensures intake processes, for acute and chronic therapies, are compliant with ACHC and government regulations.
Collaborates with Sales partners on referrals and marketing reporting.
Manages various reimbursement and collections reports.
Effectively manages the Intake Department fiscal budget.
Participates in overall management of location by meeting with operations leadership and other department managers to review operations, discuss and formulate resolutions to outstanding issues while maintaining and fostering an atmosphere of cooperation and collaboration between departments.
Other related duties as assigned.