AdaptHealth LLC is hiring an Intake Specialist to manage the accurate entry and processing of patient referrals, ensuring compliance with medical and payer guidelines. This role involves serving as a subject matter expert, training new hires, and mentoring the team while utilizing technology to document patient information and communicate with referral sources and patients.

What You'll Do

Accurately enter referrals within established timeframes, meeting productivity and quality standards.
Communicate with referral sources, physicians, and associated staff to ensure proper documentation routing.
Work with leadership to ensure appropriate inventory and services are provided.
Communicate with patients regarding their financial responsibility, collect payment, and document accordingly.
Review medical records for non-sales assisted referrals to ensure compliance standards are met prior to service.
Follow company procedures to ensure appropriate shipping methods are utilized.
Answer phone calls in a timely manner and assist callers.
Demonstrate expert knowledge of payer guidelines and read clinical documentation to determine qualification status.
Work with community referral sources to obtain compliant documentation in a timely manner.
Contact patients when documentation does not meet payer guidelines, provide updates, and offer additional options.
Work with the sales team to obtain necessary documentation and support referral source relationships.
Navigate multiple online EMR systems to obtain applicable documentation.
Work with the insurance verification team to ensure all needs are met for accurate patient information and payments.
Assume on-call responsibilities during non-business hours per company policy.
Supervise and provide guidance to team members in daily operations and complex case resolution.
Lead team meetings and facilitate training sessions for staff development.
Monitor team performance metrics and productivity standards, providing feedback and coaching.
Serve as the primary escalation point for difficult customer issues and complex regulatory compliance questions.
Develop and implement process improvements and workflow optimization strategies.
Coordinate with management on staffing needs, scheduling, and resource allocation.
Conduct new employee onboarding and ongoing training programs.
Maintain advanced expertise in Medicare guidelines, payer policies, and regulatory changes to guide team decisions.
Prepare reports and analysis on team performance, trends, and operational metrics for management review.
Maintain patient confidentiality and function within HIPAA guidelines.
Complete assigned compliance training and other required education programs.
Maintain compliance with AdaptHealth's Compliance Program.
Perform other related duties as assigned.

What We're Looking For

Ability to appropriately interact with patients, referral sources, and staff.
Strong decision-making skills.
Analytical and problem-solving skills with attention to detail.
Strong verbal and written communication abilities.
Excellent customer service and telephone service skills.
Proficient computer skills and knowledge of Microsoft Office.
Ability to prioritize and manage multiple tasks.
Ability to apply common sense understanding to carry out instructions furnished in various forms.
Ability to work independently as well as follow detailed directives.
Solid ability to learn new technologies and possess the technical aptitude required to understand data flow through systems.