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As an Intake Specialist for our Respiratory Health business unit, you will have a critical role in inter-facing with our new and existing patients, while continuing to exceed customer expectations. These include establishing initial contact with patients/caregivers, verifying insurance benefits, and (as needed) securing a payment plan when a new order is received for Respiratory Health equipment. This role utilizes online payer portals, and calls insurance companies to obtain all necessary information on benefits to determine coverage and payer requirements. The Intake Specialist secures information from the patients/caregivers to support medical necessity for reimbursement; reviews the prescribed therapy and its benefits, the in-home training process, the outcomes monitoring program, and the reimbursement process including financial assistance and payment plan options with the patient/caregivers while providing superior customer service.
Job Responsibility:
Perform verification of benefits to determine coverage and payer requirements
Load all benefit information correctly to allow for clean claims and streamlined revenue
Interview patient/caregiver to gather, confirm, and input medical, insurance and demographic information
Assess Face to Face documentation to determine if payor requirements are met
Assess or evaluate the risk of shipping device based on information received in the patient interview, place of service, insurance validation and Government and Commercial Insurance requirements
Discuss patient financial liability, set-up payment plans, discuss patient financial assistance when needed and follow up on applications
Educate the patient/caregiver on the benefits of therapy and to promote therapy adherence
Accurately document events and communications in a timely manner
Initiate the process for obtaining any necessary forms such as the TCR (Terms, Condition & Responsibility), ABN (Authorization of Benefits Notification) and other forms required during the training process, and Waivers
Provide timely follow-up with patient/caregiver when needed
Works collaboratively with multiple teams to optimize outcomes for our patients
Facilitate return of device when patient no longer demonstrates benefit from therapy
Perform with the highest level of integrity, while by complying with the Global Code of Conduct, applicable work instructions, and applicable laws and regulations to enhance outcomes for our patients and their caregivers
Work collaboratively with Sales Enablement and Account Executives to ensure healthcare team and patient needs are met and coordinate contact and in-hospital training as needed
Requirements:
3+ years relevant experience, preferably in health insurance and/or durable medical equipment
High level of reasoning ability to successfully resolve a variety of patient and business issues
Strong critical thinking and problem-solving skills
Exceptional written, verbal, and interpersonal communications and presentation skills
Detail oriented
Proficient in Microsoft Office Software
Nice to have:
Associates degree or higher
Third Party payer experience
Experience with TIMS
What we offer:
medical and dental coverage that start on day one
insurance coverage for basic life, accident, short-term and long-term disability, and business travel accident insurance
Employee Stock Purchase Plan (ESPP)
401(k) Retirement Savings Plan (RSP)
Flexible Spending Accounts
educational assistance programs
paid holidays
paid time off ranging from 20 to 35 days based on length of service