Intake Services Representative - Home Care jobs in Oklahoma

The Nurse Intake Coordinator performs a variety of duties both clinical and clerical in nature. The coordinator is responsible for the admission process for new patients by ensuring availability of reimbursement for services, identifying the clinical team to deliver care, and scheduling all patient visits within prescribed discipline and visit frequency requirements. This position requires skill in planning, organizing, and coordinating the delivery of patient care by all staff personnel as well as the coordination of day-to-day office activities. Acts as a patient advocate and resource person to give guidance on home health or hospice services and options.

RESPONSIBILITIES (ESSENTIAL FUNCTIONS):

• Receives and coordinates all referrals to include verification of insurance payer eligibility or for any pre-existing agency conflicts for billing.
• Obtains authorizations for service requests from non-Medicare pay sources and ensures that such authorizations for service are in place and required documents are sent as requested.
• Ensures and verifies that a Face-to-Face Encounter for the home health admission is in place and the document is scanned in our records.
• Enters new patient records in the system ensuring accuracy of all patient demographic information and scans the referral documents and any other required documents in the EMR system.
• Assures that all SN and HHA frequencies are according to the Plan of Treatment and/or appropriate to the patent needs, coordinates scheduling and staffing by utilizing the schedule.
• Coordinates with the Clinical Supervisor, Billing Manager, and clinical team to ensure required information is obtained for patient records.
• Takes physician/provider orders by phone, documents in EMR, notifies appropriate Case Manager, and adjusts schedules accordingly as indicated.
• Confers with the Clinical Supervisor/Director or Billing Manager when unsure of eligibility, department process, or regulatory requirement.
• Provide direct patient care on an as-needed basis, as assigned by Manager of Patient Care.
• Demonstrates understanding and knowledge of policy and procedure about child abuse, elder abuse, suicide, and substance abuse.
• Using discretion and independent judgment in handling patient or physician/provider complaints received, documents, and forwards to appropriate administrative staff.
• Proficient with computer programs, data entry, and computer skills for generation of daily office tasks and communication.
• Displays knowledge and complies with Home Care and Hospice regulatory requirements, as well as HIPAA Privacy Rules.
• Answers incoming phone calls and triages to appropriate team member or department.
• Acts as a backup for front/back-office duties as assigned
• Acts as a backup for Nurse visit during staffing shortages and as assigned.
• Regular attendance and punctuality for scheduled shifts.
• Appropriately adapts assessment, treatment, and/or care methods to accommodate the physical, cultural, age-specific, and other developmental needs of each person served.
• Maintains professional and technical knowledge through continuing education opportunities including internal and external educational offerings.
• Utilization of assistive devices for lifting is mandatory.
• Must adhere to safety protocols at all times, including (position specific examples).
• Per DRH policy, all required conditions of employment must be met and maintained including required vaccinations.
• This position requires respirator and fit testing. Required testing will be performed on all team members at risk for exposure to airborne infectious diseases, droplet producing procedures, or any caustic chemicals.
• Must adhere to, and promote, safety protocols at all times.
• Implement DRH Standards of Behavior and exhibit behaviors consistent with DRH core values.
• Performs other related duties as assigned.

Minimum Qualifications: Communication skills including fluency in oral and written English. Basic computer skills including the ability to send/receive/email, navigate information technology associated with the position, and use Electronic Health Record information tools. Excellent written, verbal, and interpersonal communication skills; Ability to remain flexible to quickly adapt to urgent situations. Ability to adapt procedures, processes, tools, equipment, and techniques to accomplish the requirements of the position. Advanced, fingerprint background checks are required for this position.

Education and/or Experience: If RN, an associate or baccalaureate degree in nursing from a program accredited by the Commission of Collegiate Nursing Education (CCNE), Accreditation Commission for Education (ACEN) or Commission for Nursing Education Accreditation (CNEA) required. If LPN, graduate of a Licensed Practical Nursing (LPN) program.

Healthcare intake, scheduling, and/or billing experience preferred. Home care or hospice experience preferred. Ability to effectively use multiple computer applications. Knowledge and experience with business applications, (i.e., Microsoft Office) is a plus. Able to effectively organize and prioritize tasks and goals; Ability to handle multiple tasks and maintain quality, accuracy, and efficiency; Demonstrates critical thinking appropriate to scope of service to assure optimal outcome; Approaches teamwork in a cooperative manner to enhance harmony in the working environment; Responds to customers in a compassionate manner by identifying and exceeding customer expectations; Demonstrates conflict management skills to include ability to resolve issues in a stressful situation; Experience in healthcare intake/scheduling/billing. Highly effective in working objectively with a diverse group of people; Must be a team player willing to accept and promote organizational goals.

Certifications, Licenses, Registrations: Current, unencumbered LPN or RN license in the State of Oklahoma or multistate licensure in a party state in compliance with primary residency rules and requirements. American Heart Association BLS required; May have up to 30 days from date of hire or transfer to obtain. NIHSS preferred. For those positions requiring travel, a current valid driver’s license and automobile liability insurance must be maintained.

Safety-Sensitive Position - This is a Safety-Sensitive Position as defined by Oklahoma law. As such, please be advised that applicants for this position cannot test positive in pre-employment drug tests (or any drug tests administered after employment begins) for the presence of Tetrahydrocannabinol (THC), a psychoactive component of cannabis. This is true even if the applicant is in possession of a valid medical marijuana card that otherwise allows the license-holder to legally use and consume medical marijuana. Team Members in Safety-Sensitive positions are not permitted to test positive for the presence of THC in any pre-employment drug test, or any other drug test administered after employment begins. This information is provided to applicants as a resource to the application process. This is not a request for any applicant to disclose personal medical information during the application process. If you have any questions about the information in this disclaimer please direct these questions to a member of Human Resources.

This position requires respirator and fit testing. Required testing will be performed on all team members at risk for exposure to airborne infectious diseases, droplet producing procedures, or any caustic chemicals.

As a condition of employment, vaccinations are required per DRH Policy. Medical and Religious Exemptions are available upon request.