Role Description
The Intake Specialist will be part of the groundbreaking team making the future of complex chronic care delivery the way it should be - human-centered and personalized.
• Work with our team, vendors, patients, and providers on a daily basis; serving as an expert, fielding various questions related to authorization status and patient billing inquiries.
• Conduct benefits investigation and prior authorization processes; ensuring incoming referrals are processed timely and accurately.
• Work with referral sources to obtain all required documentation leading to successful authorization attainment, all with AI enabled tools and aids.
• Track, report, and escalate service issues impacting Intake flow - ensure referral completion prior to service, thus preventing any delays in therapy.
• Aiding in the patient payment process, including setting up payment plans, collecting balances, and addressing billing questions.
Qualifications
• 2 years’ infusion Intake (authorization) experience is highly preferred.
• Experience in Intake, Medical Billing, and/or Collections is required.
• Keen attention to detail and strong experience working with payers is required.
• Emotional intelligence, strong relational skills, and the ability to effectively communicate with referral sources, team members, and vendors in methods appropriate for the audience.
• Strong knowledge of health insurance plans, the authorization process, and requirements to convert a referral into an authorization are required.
• Experience in the infusion setting (preferred).
Requirements
• Ability to be a hands-on player who lives in the details of our referrals.
• Ability to collaborate with your operations and sales counterparts, team members (all levels of the org), internal stakeholders, external stakeholders, and referring physicians to seek mutually beneficial solutions and remedy issues.
• Keen interest in joining a fast-growing startup where you have an opportunity to grow and influence Intake in a very direct manner.
Who You Are
• Communicate Effectively: You are able to communicate effectively with anyone, from referral sources to payers in an accurate and tailored way to meet the audience.
• Action Oriented: You readily take action on challenges, without unnecessary planning. Identifies and seizes new opportunities. You display a can-do attitude in good and bad times. Steps up to handle tough issues.
• Manages Complexity: You ask the right questions to accurately analyze situations and uncover root causes to difficult issues.
Compensation
• Market competitive compensation package including hourly pay, flexible PTO, medical, dental, vision.
Conditions of your Employment
• You must be authorized to work in the United States of America.
• Applicants are required to pass a comprehensive background check as a condition of employment.
• This role is fully remote, however, preference for those in the Detroit metropolitan area.
Equal Employment Opportunity Policy
Uptiv Health, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
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