• Intake Representative - McLaren Careers

    McLaren Health Care (Pontiac, MI)


    Position Summary:

    Ensures that requests for services and procedures are processed in an effective and efficient manner.

     

    Completes the intake process which may include coordination of services, data entry of referral information, general inquiries, and other referral and reimbursement issues.

     

    Provides a positive experience for the customer and maintain defined service standards.

     

    Essential Functions and Responsibilities

     

    :

     

    1.

     

    Coordinates agency referrals and inquiries, document and process all paperwork for patient care services, with accuracy and timeliness.

     

    2.

     

    Provides accurate information regarding agency and community services that may meet client/family needs.

     

    3.

     

    Ensures continuity of care for all clients admitted to the agency by coordinating with appropriate personnel including hospital discharge planners, physicians, client/families, staff and agencies to which clients are referred.

     

    4.

     

    Interprets and educates clients, families, health care providers and staff on the financial aspects of coverage for services.

     

    Communicates with fiscal intermediaries, hospitals, physicians, other agencies, or patients as necessary to obtain and/or provide billing information.

     

    5.

     

    Reviews insurance related reports indicating eligibility status and assists with obtaining and coordinating authorization for services and communicating with staff as needed.

     

    6.

     

    Triages incoming clinical calls and coordinates services with other departments.

     

    7.

     

    Provides excellent customer service skill and continuously work to improve skills and provide recommendations to improve department

     

    8.

     

    Participates in continuous quality improvement activities as directed by department manager.

     

    9.

     

    Performs other related duties as required and directed.

    Qualifications:

    _Required_

    + High school diploma or GED.

    + Experience with MS Office and related computer programs.

    _Preferred:_

    * Associate degree or completion of college courses.

    * Formal customer service skill training.

    * Two years related experience in managed care and home health.