Job SummaryThe Intake Assistant is responsible for referral processing, providing accurate and complete data input for pre-authorization requests while effectively communicating to internal and external customers.Essential Functions
Obtains initial and subsequent insurance authorization and pre-certification for in office procedures, treatments, and services.
Research additional or alternative resources for non-covered services to prevent payment denials.
Maintains a close working relationship with site Patient Financial Counselor.
Communicates with clinical staff, PFC, and management regarding restrictions or unique requirements for insurance plans.
Maintains a current working knowledge of authorization requirements for all payers, and of state and federal regulatory guidelines.
Assists in maintaining manuals, logs and other required documentation.
Demonstrates an understanding of patient confidentiality to protect the patient and the clinic/corporation.
Follows policies and procedures to contribute to the efficiency of the front office.
Covers for and assists with other front office functions as requested.
Qualifications
Required High School Diploma or equivalent.
3 years of relevant experience A minimum of (3) years of medical business office experience with insurance procedures and patient interaction. Preferred
Additional clinical background Preferred.
Physical Demands
Pallet to Waist (6" from floor) > 5 lbs: Occasionally up to 20 lbs
Waist to Overhead > 5 lbs: Seldom up to 20 lbs
Bilateral Carry > 5 lbs: Seldom up to 20 lbs
Unilateral Carry > 5 lbs: Seldom up to 10 lbs
Pushing Force > 5 lbs: Seldom up to 10 lbs
Pulling Force > 5 lbs: Seldom up to 10 lbs
Sitting: Frequently
Standing: Seldom
Walking: Seldom
Forward Bend - Standing: Seldom
Forward Bend - Sitting: Seldom
Trunk Rotation - Standing: Seldom
Trunk Rotation - Sitting: Seldom
Squat: Seldom
Stair Climbing: Seldom
Crawling / Kneeling: Seldom
Reach - Above Shoulder: Seldom
Reach - at Shoulder or Below: Seldom
Handling: Seldom
Finger/Hand Dexterity: Seldom
Primary LocationSITE - Royal Oak Hospital - 3601 W 13 Mile Road - Royal OakDepartment NameTed Lindsay Foundation HOPE Center - CHMG East - TroyEmployment TypeFull timeShiftDay (United States of America)Weekly Scheduled Hours40Hours of WorkVariableDays WorkedMonday to FridayWeekend FrequencyVariable weekendsCURRENT COREWELL HEALTH TEAM MEMBERS – Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only. Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.You may request assistance in completing the application process by calling 616.486.7447.People are at the heart of everything we do, and the inspiration for our legacy of outstanding outcomes, innovation, strong community partnerships, philanthropy and transparency. Corewell Health is a not-for-profit health system that provides health care and coverage with an exceptional team of 60,000+ dedicated people—including more than 11,500 physicians and advanced practice providers and more than 15,000 nurses providing care and services in 22 hospitals, 300+ outpatient locations and several post-acute facilities—and Priority Health, a provider-sponsored health plan serving more than 1.2 million members. Through experience and collaboration, we are reimagining a better, more equitable model of health and wellness.