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U.S. Renal Care, Inc.

Intake Representative

Posted 2 days ago
0-2 years experience
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AI Summary

The Intake Representative verifies patient insurance benefits and authorization requirements while maintaining accurate patient records. They coordinate with admissions and clinical teams to resolve information discrepancies and ensure timely billing processes.


Responsibilities

The Intake Representative is responsible for verifying detailed benefits and authorizations requirements for a high volume of patients. The position requires attention to detail, the ability to multitask, and a sense of urgency.

Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned.

  • Verifying correct patient information, including insurance benefits and authorization requirements for permanent and transient patients.
  • Submitting required authorizations timely and following up on determinations when needed.
  • Update patient information in a timely manner to avoid delays in billing cycles.
  • Contacting the admissions team and/or clinical personnel to obtain missing or incorrect information during initial verification.
  • Verifying accuracy of data and updating accounts based off weekly audits.
  • Update patient accounts with newly acquired information and notify appropriate personnel if claims require rebilling or require voiding and regenerating.
  • Keep up to date on COB rules according to insurance guidelines and requirements.
  • Maintaining a professional work relationship with all facility and office staff; develop effective relationships at all levels of the organization.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.

Requirements include:

  • High school diploma or equivalent.
  • Knowledge of various health insurance programs and the medical insurance industry preferred.
  • Previous experience verifying detailed insurance benefits and authorization requirements preferred.
  • Knowledge of medical terminology and government/private insurer rules and regulations.
  • Must have intermediate computer skills, including Microsoft Office (Word, Excel, Outlook); Working knowledge of Internet for business use.
  • Requires research and exceptional organization skills to manage a large patient load.
  • Ability to work in a fast-paced environment, deadline driven environment

 

Benefit Details 

All Full-Time employees are eligible for the following benefits: 
* Medical / Pharmacy 
* Dental 
* Vision 
* Voluntary benefits 
* 401k with employer match 
* Virtual Care 
* Life Insurance 
* Voluntary Benefits 
* PTO 
 

All Part Time employees are eligible for the following benefits: 
* 401k with employer match 
* PTO 

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