Recurring Intake Specialist

Responsibilities: 

1. Ensure that patient’s file is always up to date in terms of records and documents.

2. Recurring List – must be fully in charge of the list.

• Enter New Patient Updates
• Comments
• Prior Auths with Date Spans
• Status etc.

3. Check Eligibility every month – before delivery and ALWAYS on 1st of the month for each patient
being delivered that day

• Save a dated copy of insurance eligibility in patient file (eligibility folder)
• Review RX, MR, LMN – make sure all is updated every 6 months

4. Check Auth status – those that are on their final month are PRIORITY to get new auth

5. Request Prior Auth when expired

6. Check Delivery Schedule daily and cross reference recurring patients

7. Create Order in Cortex – once eligibility and prior auth are confirmed

8. Once all approved, put Delivery Ticket into folder called ‘To Be Delivered’

9. Confirm with Scheduler that delivery is complete – notate in Recurring List

10. If patient changes insurance – add to QUE when necessary

11. Listen to voice mails and respond to all calls
12. Forward calls appropriately if call is related to a different case.

13. Scan and put all documents appropriately to the patient file.

14. Report all problems encountered.

15. Point out solutions to the problem to help improve certain aspects of the process.

16. Process orders from referral sources and patients, responding to phone and fax inquiries, and
resolving patient complaints.

17. Provide information pertaining to equipment, supplies and services.

18. Manage and respond all incoming referrals and maintain track of all inquiries.

19. Review the weekly eligibility report and ensure that all corrections are made to patient demographic
information.

20. Provide follow-up calls if required and participate in all quality assessment activities and assist to
collect and analyze all information and recommend required improvements to all processes.

21. Monitoring active authorization, if authorization is about to expire, it will request Rx refill and MR
for continuous authorization. Requesting Rx refill and MR for patients without authorization for
billing and other purposes.

22. Calling patients particularly for those who recently changed their insurances

23. Checking recurring orders/authorization in Prism Checking Eligibility and Benefits to Insurances
24. Creating refill orders in DME if necessary. (e.g. when authorization is approved and if documentation
was received).

25. Working hand on hand with Delivery and Billing Supervisors in terms of delivery questions and if
tasks were given accordingly.

Qualifications:

Strong health care management background. Expertise in operations preferred.
Knowledge of healthcare fraud and compliance. Computer Literate. Must have
excellent verbal communication skills and active listening skills. Must have
Customer Service Skills and excellent time management.

Job Types: Full Time

If you’re interested or know someone looking for opportunity. Feel free to send your resume at [email protected].