Financial Intake Specialist

LHC Group is hiring for a Financial Intake Specialist!

• Efficiency
  • Verifies insurance eligibility and benefits of prospective referrals and determines LHC rate requirements as it relates to in or out of network coverage in an accurate and timely manner.
  • Obtains all authorization as needed from payer for services ordered/requested.
  • Initiates one-time letters of agreement (LOAs) and negotiates rates as dictated by established policies and procedures.

Recognizes changes in a payer that could affect our ability to obtain authorization and escalates to leadership as needed.

• Manages work assignment to ensure all tasks and coordination notes are completed promptly.

Coordinates and communicates with the branch location regarding any changes or updates from the payer.

• Quality
  • Documents and communicates patient deductible, out-of-pocket expense, lifetime maximum, benefit days, patient responsibility and any additional benefits information to agency accurately and promptly.
  • Documents specific details related to the authorization including effective and end dates in associated software application via patient notes, authorizations, tasks, workflow, phone calls and/or email in an accurate and timely manner.
  • Reviews and replies to branch location’s urgent requests in a timely and accurate manner.
  • Meets and strives to exceed the productivity metrics as outlined in policy.

Meets and strives to exceed the quality metrics as outlined in policy.

• People
  • Serves as a liaison between the branch location and the payer on a regular basis.
  • Expediently resolves all customer requests, inquiries, and concerns.
  • Problem solves independently before referring issues to the Supervisor/Manager for resolution.

Ability to work collaboratively in a continuously changing environment with a spirit of cooperation and professionalism.

• Service

Meets work schedule and attendance expectations.

• Completes special projects and other assignments, as deemed necessary.

Performs similar, comparable, or related duties as may be required or assigned.

Formal Education:

High School Diploma or equivalent

Experience:

1 year Insurance verification and/or authorization experience, preferred. Revenue cycle experience desired.

Skill Requirements:

Ability to learn a variety of systems and maneuver through them daily, including electronic medical record systems, clearinghouse systems, and carrier systems.

Excellent problem-solving skills and the ability to handle multiple tasks simultaneously.

Ability to work independently and prioritize responsibilities daily to complete all assignments timely and accurately.

Strong computer skills with Microsoft Office knowledge and experience.

Ability to work in a fast-paced, continuously changing environment.

Superior customer service and written/verbal communication skills.

Must be able to meet work schedule and attendance expectations.