Regional Intake Manager

Amerita•San Antonio, TX

14d

About The Position

The Regional Intake Manager monitors all activities and information related to the processing of new referrals and ongoing coordination of patient customer service for the Region. This position completes all personnel related tasks for Intake employees and works closely with all branch personnel, referral sources and Revenue Cycle Management department personnel. Schedule:Monday - Friday 8:30am - 5:30pm

Requirements

High School Diploma/GED or equivalent required; Associate’s degree or some college preferred
A minimum of 5 years’ experience in of collection referral information in the healthcare market
A minimum of 2 years of Health Care Management experience with a focus on large management groups or multiple site management
Experience working with all payer types to include Medicare, Medicaid and commercial insurance companies
Working knowledge of medical terminology
Knowledge of insurance verification and pre-certification procedures
Solid Microsoft Office Suite skills
Strong verbal and written communication skills
Ability to independently obtain and interpret information
Percentage of Travel: 0-25%
To perform this role will require frequently sitting, and typing on a keyboard with fingers, and occasionally standing, walking and climbing (stairs/ladders). The physical requirements will be the ability to push/pull and lift/carry 1-10 lbs

Nice To Haves

Revenue Cycle Management experience a plus
Home infusion experience a plus
Knowledge of CPR+ software a plus

Responsibilities

Supervises the process of taking Infusion Therapy referrals from referral sources
Ensures that all intake forms are complete, clear and within Amerita’s scope of service
Understands which insurance companies Amerita has active contracts with
Ensures that all day-to-day branch operations work towards branch goals for revenue growth, timely revenue recognition and provision of outstanding patient customer service
Ensures intake personnel are properly performing all functions related to verifying insurance, obtaining authorizations and re-authorizations, registering patients, communicating with other departments regarding referrals, participating in patient care coordination and communicating with patients regarding coverage and financial obligations
Ensures that insurance verification is completed, and authorization is in place prior to giving the referral to a Pharmacist
Responsible for keeping staff current with payer requirements and Amerita policy and procedures related to the intake process, CPR+ functions and managing unbilled revenue
Understands and adheres to all applicable company policies and state and federal regulations and ensures Intake staff adherence
Identifies inefficient processes and monitors workload of staff, making recommendations
Participates in and coordinates training for all new intake staff
Works in partnership with the Pharmacy Directors to assure that Amerita’s Intake policies are followed and processes in place onboarding of patients
Works with Amerita’s Commercial Team to drive onboarding processes such as conversion rates and revenue growth