Intake Specialist (In-Office if Local / Remote if Non-Local)

Job Description

Job Description

Intake Specialist

( In-Office if Local / Remote if Non-Local )

Our mission to change wound care and improve the lives of others isn’t easy, but it’s worth it! One in ten residents in a skilled nursing facility will develop a skin condition requiring expert medical care.  We believe that every person deserves the very best wound care. Building and leading wound care teams is how we do it! Our wound care providers bring education and encouragement to the people who take care of our patients 24/7. When they get better at their jobs, our patient’s wounds heal faster and that is our goal!

***We are accepting applications for potential future opportunities and do not currently have an open position.***

Main Responsibilities (may include but are not limited to): 

This role is onsite for candidates within commuting distance of our Puyallup office and remote for those outside the local area

• Audit patient intake packet and identify a new patient versus a readmitted patient
• Create patient profile and ensure correct data entry of demographics 
• Accurately verify eligibility for each insurance payer identified, and update patient profile with correct COB
  • Navigate multiple insurance payer sites to verify patient eligibility
  • Make outbound calls to insurance eligibility departments
  • Collaborate with facility’s business office regarding insurance verification 
  • Verify possible Medicaid coverage for every registration
• Identify payers where prior authorization is needed and submit authorization requests accordingly
• Create detailed documentation surrounding work performed on each individual account
• Prioritize registration completion based on urgency and day of wound rounds
• Respond to intake inquiries via email and/or phone
• Complete accurate and timely data entry of the patient’s past medical history and allergies 
• Ensure all patient visits are added on the providers daily census within EMR 
• Prep new patient electronic chart for providers
• Answer incoming business office phone line
• Other duties as assigned

Skills required to succeed: 

• 1-2 years medical billing experience and working with insurance companies is required
• Must live in one of the following states: WA, OR, ID, UT, AZ, TX, VA, FL, GA, PA, IA
• Demonstrated experience working with Medicare and Medicaid, including understanding how government coverage coordinates with other insurance plans.
• Strong knowledge of Coordination of Benefits (COB) and the ability to independently determine and accurately sequence primary, secondary, and additional payers.
• Experience researching payer information and independently determining the appropriate insurance order, rather than relying solely on a pre-established payer sequence.
• Acute attention to detail with a strong, self-sufficient work ethic
• Excellent organization and use of time management skills
• Ability to prioritize workload and have a strong sense of urgency when time sensitive situations arise
• Proficient with computers and navigating within multiple applications
• Proficient in MS Office (specifically Teams, Outlook, Excel, and Word)
• Strong verbal and written communication, as well as customer service skills; must be able to listen and communicate effectively with leadership, providers, and co-workers
• Knowledge of applicable federal, state and local laws and regulations including the requirements of the HIPAA and OSHA regulations pertinent to medical practices
• Ability to collaborate with other UWH team members electronically via email, messaging, and telephone conferences
• Goal-oriented and a consistent performer
• Must be self-motivated, punctual, dependable, and able to work independently
• Must be trustworthy, honest and have a positive and professional attitude

Location: 

* Remote: Must be located in one of the following States: WA, OR, ID, UT, AZ, TX, VA, FL, GA, PA 

* In-Office: Required to work in the office if you live within 20 miles of the corporate headquarters

Compensation: $19.00 - $23.00 -  DOE and location; with monthly bonus potential

This position is classified as:  Hourly, Non-Exempt ;  Full-Time employment

Hours: Typical hours are Monday through Friday; 10:00 am - 6:00 pm PST (occasional overtime depending on claim volume)

Benefits:

• Associates working 20+hrs per week: 
• Medical/Dental/Orthodontic/Vision/RX - 80% towards employee monthly premiums covered, HSA, dependent coverage available at employee’s expense
• Employer Sponsored Life, AD&D, and Disability Insurance 
• Voluntary Supplemental Insurance: Accident, Cancer, Critical Illness, STD, Life
• Paid Time Off: accrue up to 132 hours (16.5 days) in your first year of employment based on FTE status
• 8 paid Holidays for full-time employees
• 401(k) match on first 4%
• Core Values that promote work-life harmony
• Work with amazing people who have created a culture where we recognize each other’s wins and don’t tolerate gossip or drama

Website:  

*Do you want to grow personally and professionally by working with the best?   We’d love to hear from you!  Apply now:

We are a drug-free workplace. All offers of employment are contingent upon a successful drug screen and criminal background check. EEO.