Intake Specialist
Location: Frederick MD
Shift: Monday- Friday 8am- 5pm
Description
◦ Verifies insurance eligibility and benefits of prospective referrals and determines 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.
◦ Documents and communicates patient deductible, out-of-pocket expense, lifetime maximum, benefit days, patient responsibility and any additional benefits information to ag...