Description

Occupational summary:

The Central Intake Coordinator manages incoming referrals for all lines of service including Home Care, Home Health, and Hospice. This role involves receiving incoming referrals, obtaining necessary documentation, verifying insurance eligibility and obtaining any needed authorizations, entering referral data into EMR system, ensuring that all information is accurate and complete, and maintaining accurate records of referrals received and associated outcomes. The coordinator serves as the first point of contact for potential clients, facilities, and physicians. Reports to the Community Relations Director. 

Requirements

Duties and Responsibilities:

Maintain accurate record of referral source information including credentials, PECOS, NPI, OIG checks, license expiration dates, and contact details

Answer phones, monitor online referral portals, and provide excellent customer service to internal and external contacts regarding referrals and general inquiries; document all interactions appropriately

Verify insurance coverage and eligibility; obtain initial insurance authorizations as required and document appropriately

Request orders, face-to-face documents, provider notes, and any other required documentation from providers, and follow up to ensure timely admission for incoming patients

Assist incoming patients and families in coordinating necessary items to ensure a successful admission including ordering DME for hospice patients and providing PCP resources for home health patients 

Input initial referral demographics and insurance information into EMR system for Home Health and Hospice referral lines; maintain accurate clinical records through data entry and editing within EMR system

Run system reports to verify data accuracy and compliance

Maintain an accurate referral log for all lines of service

Accurately document referral outcomes including declined or incomplete referrals and track referral sources 

Represent intake information in morning admissions meetings and weekly office staff meetings; collaborate with clinical team members to ensure timely and accurate starts of care 

Collaborate with Community Relations Director to support referral and data analysis for ongoing quality improvement

Perform general office duties and clerical duties as needed

Complete all required annual in-services and education

Complete other duties as assigned

Qualifications:

Minimum one year of office experience in a healthcare setting

Knowledge of Medicare regulatory requirements and senior industry standards preferred

Experience in customer service and interpersonal relationships preferred

Proficient in all Microsoft Office software

Strong verbal and written communication skills

Ability to work in a fast-paced environment, meet deadlines, and work independently with minimal supervision

Exceptional attention to detail and accuracy in documentation

Valid state driver's license and satisfactory motor vehicle driving record per agency and insurance provider standards; proof of auto insurance

Ability to lift 25 lbs