Intake Specialist Resume Samples
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Intake Specialist Resume Samples
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CM
C Macejkovic
Cecilia
Macejkovic
214 Hosea Cliff
San Francisco
CA
+1 (555) 108 2733
214 Hosea Cliff
San Francisco
CA
Phone
p
+1 (555) 108 2733
Experience
Experience
Detroit, MI
Clinical Intake Specialist
Detroit, MI
Denesik LLC
Detroit, MI
Clinical Intake Specialist
- Assist in refinement and implementation of unit workflows to enhance efficiency and support unit/department goals
- Make outbound calls to engage members and/or providers to verify clinical information
- Working knowledge of computers with proficiency in MS Office applications,
- Create and send out written correspondence
- Communication with providers regarding the assigned DRG, and/or any necessary decision data
- Proficiency in all Microsoft Office applications, including Word and Excel
- Documentation of information using department standards of documentation
Houston, TX
LPN Referral Intake Specialist
Houston, TX
Stroman Group
Houston, TX
LPN Referral Intake Specialist
- Processes all daily patient referrals following agency policy
- Follows work methods and procedures to ensure patients are admitted in accordance with policy
- Establishes and maintains positive working relationships with current and potential referral sources
- Ensures seamless transition of patients to home care by introducing patient education and preparation for home care, plan of care initiation, and coordination of care with multiple service providers
- Ensures maximum third party reimbursement through initial insurance verification and authorization processes
- May negotiate, in cooperation with supervisor, service pricing with insurance Case Managers and other payers within established financial and credit parameters for all non-contract referrals
- Assists the State Administrator for Medicare and Supervisor in the preparation of an annual budget for the intake department and monitors allocation of resources according to budgetary limitations
present
Chicago, IL
Customer Service Intake Specialist
Chicago, IL
Heathcote-Oberbrunner
present
Chicago, IL
Customer Service Intake Specialist
present
- Provides patients with accurate and current information concerning their shipments, application, prescription, or patient assistance programs
- Answer inquiries and process incoming requests received and provide callers with accurate, current information
- You answer inquiries and process incoming requests received and provide callers with accurate, current information
- Answer inquiries and process incoming requests received by fax, mail or e-mail to provide callers with accurate, current information
- You document customer requests and inquiries in call history database and ensure timely closure of all open issues
- You maintain all patient confidentiality
- You may take on other duties as assigned; job duties may vary
Education
Education
Bachelor’s Degree in Social Work
Bachelor’s Degree in Social Work
University of Cincinnati
Bachelor’s Degree in Social Work
Skills
Skills
- Strong priority management skills and comfort in ability to work in a high paced environment
- Strong attention to detail
- Ability to think and act quickly
- Ability to juggle multiple tasks simultaneously
- Ability to communicate effectively both orally and in writing
- Strong organizational and time management skills
- Adaptable and flexible to new situations
- Excellent oral and written communication skills
- Ability to work comfortably with all levels of management including senior level leaders
- Strong interpersonal and communication skills
15 Intake Specialist resume templates
Read our complete resume writing guides
1
Bilingual Intake Specialist Resume Examples & Samples
- 2+ years of Managed Long-Term Care experience
- Degree in Nursing
- Previous Field and/or Home Care experience
- Bilingual (English and Chinese / Russian / Spanish)
2
Referral Intake Specialist Resume Examples & Samples
- Document per protocol and communicate pertinent information to designated person and/or persons
- Meet or exceed referral activity goals on a weekly basis
- Work collaboratively with other members of the clinical team
- Respond efficiently to alerts and notifications with initiative to resolve problems
- Address and verify member referrals and channel members to appropriate levels of care management
- Coordinate with other Humana associates and outside vendors involved in the program in handling requests and provide expeditious follow-up
- Associate’s degree or equivalent from two-year College or technical school
3
Clinical Intake Specialist Resume Examples & Samples
- Prior Customer Service experience
- Familiarity with medical terminology and/or ICD-10 codes
- Prior Healthcare experience with knowledge of billing or pre-authorization approval process
4
Intake Specialist / Administrative Assistant Resume Examples & Samples
- High School graduate, some college preferred
- Sensitivity to cultural diversity and to making accommodation available to provide services to a diverse population
- Strong customer services skills
- Enthusiastic and effective communicator, who can handle multiple priorities in a fast paced environment
- Home Health intake coordination experiences a plus
- Experienced with HomeCare HomeBase software
5
Clinical Intake Specialist Resume Examples & Samples
- Working knowledge of computers with proficiency in MS Office applications,
- Ability to work independently in an office or virtual environment under general instructions and with a team
- Associate’s or Bachelor’s Degree in Healthcare, Business, Finance, or a related field
- Prior call center experience
- Familiarity with medical terminology and/or ICD-9/10 codes
6
Registration Intake Specialist Resume Examples & Samples
- Speak with members (inbound / outbound) about the "Quit for Life" stop smoking program
- This is a telephone position with the Registration Department in Ft. Lauderdale, FL
- Ability to handle a high volume of of calls
- Demonstrate ability to sell a service or product effectively
- Demonstrate ability to effectively communicate
- Must be abstinent from tobacco or nicotine use for two or more years
- Values and practices the basic elements of a healthy lifestyle
- Demonstrated dependability and professional demeanor
- Comfortable working an 8 hour shift between 4:00am-9:30pm in candidate time zone with at least 1 weekend day (schedule will be set) with holidays possible
- Experience using a computer and Microsoft Office (Word, Excel, and Outlook)
- 6+ months Customer Service experience
- 2+ years Tobacco and Nicotine free
- Experience working in a Call Center environment
- Experience in a Clerical or Administrative support related role
- Bilingual with English and Spanish
7
Registration Intake Specialist Resume Examples & Samples
- Speak with members (inbound/outbound) about the "Quit for Life" stop smoking program
- This is a telephone position with the Registration Department
- Must have a personal Windows computer at home with high speed internet
- Bachelor’s Degree or Higher
- Experience in a Clerical or Administrative Support related role
8
Registration Intake Specialist Resume Examples & Samples
- Speak with members (inbound /outbound) about the "Quit for Life" stop smoking program
- This is a telephone position with the Registration Department in Atlanta, GA
- Comfortable working an 8 hour shift between 4am-9:30pm in candidate time zone with at least 1 weekend day (schedule will be set) with holidays possible
9
Intake Specialist Resume Examples & Samples
- Educates patients on the proper use of equipment and/or services offered
- Verifies primary payers for coverage criteria and communicates any financial obligation to the customer
- Obtains initial pre-certification or authorization for prescribed equipment and/or services as dictated by patient's insurance
- Researches qualifying reimbursement data in effort to create initial clean claims for third party payers
- Confirms all deliveries of equipment and/or services in the billing system monthly
10
Intake Specialist Behavioral Health Evening Shift Resume Examples & Samples
- Licensed by the State of Illinois as a Licensed Social Worker (LSW) or Licensed Professional Counselor (LPC); however, will require supervision of by a Licensed Clinical Social Worker (LCSW) and/or Licensed Clinical Professional Counselor (LCPC). State of Illinois LCSW and LCPC highly desirable
- Three (3) years of previous experience in a Behavioral Health setting required. Experience with Behavioral Health Intake/Admissions highly preferred
- Level of knowledge normally acquired through the completion of a Masters Degree in Social Work or other related Behavioral Science
- Interpersonal skills necessary to maintain a professional demeanor in emotionally challenging and stressful situations that may include physically volatile occurrences
11
RN, Intake Specialist Resume Examples & Samples
- Work with client services team to answer potential clients medical questions
- Perform medical intake for all clients and research participants
- Provide education to clients about the clinical exams they will under go as a Health Nucleus client
- Works collaboratively with other members of the clinical team to ensure clients have their questions answered appropriately
- Must be able to prepare and update health records with detail and accuracy
- Excellent interpersonal skills to communicate clearly and with empathetically with clients
- Enjoys working with a diverse group of clients
- Maintains patient confidentiality and protects operations by keeping patient care information confidential and following HIPAA practices
- Bachelors of Science Degree in Nursing (BSN) from an accredited school of nursing
- Current BLS for Healthcare Providers certificate by start date
- Three to five (3-5) years RN work experience in an ambulatory care setting or sub-specialty
- Knowledge of basic triage skills
- Must have an interest in research
- Proficient with MS Office
- Excellent communication and customer service oriented; focused to provide a high level of care and a positive experience
- Collaborate with colleagues to assist clients in their care and testing
- Identifies client service requirements by establishing personal rapport with clients and customers
- Ability to work well with teams in an open environment
- Demonstrate sound judgment to effectively solve problems and think critically
- Customer focused to provide a high level of care and a positive experience
- Dynamic individual with the ability to communicate and engage others
- Open to learning new things for cross-training potential
- Interest in taking on new challenges
12
Patient Intake Specialist Resume Examples & Samples
- Verifies all applicable insurances including patient eligibility and all associated benefits related to outpatient kidney dialysis laboratory testing
- Updates all Billing systems and associated systems accurately and as required with the information received during the review process
- Determines Coordination of Benefits as required maintaining current patient account information at all times
- Follows up to ensure all insurance changes are verified and updates to coverage completed as required
- Completes all ancillary reports and assigned projects within established timeframes
- Works with ROPS and the facilities to obtain required patient information to accurately document patients’ insurance
- Provides support to Patient Accounting teams as necessary
- Participates in meetings with other departmental teams and committees as necessary to facilitate solutions on payer issues
- Participates in team activities that promote DaVita culture and core values
- Understands and follows DaVita and department teammate safety and security policies
- Other duties and responsibilities as assigned
- Minimum of one (1) year healthcare reimbursement experience, working specifically with admissions, billing and collections preferred
- Basic proficiency in MS Office: Excel, Word and Outlook
13
Assessment & Referral Intake Specialist Resume Examples & Samples
- Ability to determine suitability of admission to the hospital based on clinical and financial criteria
- Ability to make independent and responsible decisions
- Good knowledge of admitting and insurance verification
- Effective verbal and written communication skills are required to communicate with patients, families, referral sources, community agencies, and staff. Knowledge of telephone etiquette is required
- Skill sets to interact with patients, physicians, families and hospital personnel
- Work is of medium demand, requiring heavy telephone and personal contact with patients, referral sources, community agencies, and insurance companies
- Physical demands include but not limited to: walking, standing, and sitting
14
Intake Specialist Resume Examples & Samples
- Facilitate the response to requests for services, including the initial response, the assessment and referral process, the designation of appropriate level of care, admission into services and appropriate follow up activity
- Provide initial evaluation, and initiate the integrated assessment, documenting patient symptomology/functioning/needs
- Staff each assessment with appropriate physician, documenting recommendations, and AXIS I-V diagnoses, when appropriate
- Advocate for the lowest level of care consistent with patient needs
- Facilitate daily morning meeting, as needed: provide information on previous day’s intake calls, current day’s scheduled evaluations, and pertinent referral data
- Demonstrate flexibility with work schedule to help meet the needs and demands of the patient population/census and subsequent adjustments
- Consult with supervisor in the planning, development, implementation, and evaluation of departmental activities
15
Quote Intake Specialist Resume Examples & Samples
- Identification and triage of all mid-market, large and national case quote activity to appropriate group/system based on pre-determined qualifiers
- Support LMB mid-market sales quote activity through intake and review of prospect submissions providing timely and accurate documentation within the Serview system and BSS
- Review plan documents and census demographic data for required information necessary for risk/rating analysis
- Perform background, license and OFAC checks for qualified brokers
- Look-up and confirm industry classification and financial status for each prospect
- Provide customer service to all internal and external partners. Includes direct interface with broker to secure required and/or missing information throughout the process
- Submit the final proposal and/or declination letter electronically to broker and/or sales rep
- Process final decision in Serview and initiate/submit electronic applications to broker/customer
- Support maintenance and content within BSS and Serview
- Bachelor's degree or one to three years related work experience
- Knowledge of LMB products (short-term and long-term disability, life, FMLA and accident & health) preferred
- Able to adapt to competing priorities, detail-oriented, execution-focused
- Excellent organizational and time management skills
- Excellent analytical skills to ensure accuracy and integrity of data presented
- Excellent interpersonal and communication skills to interact with sales, service and external brokers
- Strong problem solving skills, with ability to exercise independent judgment
- Proficient with Microsoft Office applications, to include Word, Excel (data manipulation, pivot tables and formulas), and PowerPoint
16
Intake Specialist Resume Examples & Samples
- Experience in providing healthcare support to disadvantaged populations
- Experience with MediCal highly preferred
- Experience with Case Watch and/or NextGen preferred
- Bilingual (English/Spanish) highly preferred
- High School Diploma. Associate's Degree preferred
- MS Office expertise required
17
Customer Service / Intake Specialist Resume Examples & Samples
- Process documents based on department guidelines in accordance with standards and performance indicators as defined by contractual requirements
- Demonstrate ability to communicate clearly in both written and oral communication
- Maintains all patient confidentiality
18
LPN Intake Specialist Resume Examples & Samples
- Graduation from an accredited school of nursing
- LPN /LVN licensure in the state(s) of desired practice
- Strong knowledge of governmental home health agency regulations and Medicare policies
- Excellent negotiation, organization, decision-making and communications skills
19
Personnel / Intake Specialist Resume Examples & Samples
- High School graduate, some college preferred
- Strong computer skills
- Strong organizational skills
- Excellent verbal communication skills
- Sensitivity to cultural diversity and to making accommodation available to provide services to a diverse population
- Ability to work well under pressure
- Strong customer services skills
- Enthusiastic and effective communicator, who can handle multiple priorities in a fast paced environment
- Bilingual a plus
- Home Health experience a plus
- Experienced with HomeCare HomeBase software
20
Pharmacy Ops-intake Specialist Resume Examples & Samples
- High School diploma or equivalent, Bachelor’s degree preferred
- Microsoft Word, Excel, Outlook software and database management systems
- Minimum 3 to 5 years of direct experience in managed care or medical management
- Minimum 2 to 3 years of direct experience in a health plan environment
- Must be able to work under pressure, handle stressful situations effectively, and deal politely with subscribers and providers on the telephone, in person, and e-mail/correspondence
- Ability to speak well on the telephone and maintain a positive telephone personality
- Organizational and time management skills and build effective working relationships
- Analytical and problem resolution skills
- Good knowledge of medical terminology
- Staggered shifts when necessary
- Occasional on call evening and weekend shifts as necessary
21
Customer Service Intake Specialist Resume Examples & Samples
- You will process documents based on department guidelines in accordance with standards and performance indicators as defined by contractual requirements
- You will receive incoming calls from multiple customers such as physicians and patients, and process requests by providing resolution or triage to the appropriate areas
- Demonstrate ability to communicate clearly in both written and oral communication Maintains all patient confidentiality
22
Audit Intake Specialist Resume Examples & Samples
- Review and manage all correspondence from the auditing bodies
- Responsible for working directly with sites to respond and resolve any audit response issues
- Maintains database integrity. Escalates concerns to Audit Intake Supervisor and provides feedback to the Audit Tracking Coordinator follow up activity
- Collaborate with Clinical Educators on new information regarding all audit activity
- Collaborate with the Audit Intake Supervisor to discuss any education needs for users
- Understanding of the Audit Response process and audit intake requirements preferred
- Knowledge and familiarity of government and commercial audits/ methodologies preferred
- Medicare and Medicaid experience preferred
- Detail oriented and ability to effectively handle multiple priorities and deadlines
- Should be able to collaborate with others
- Demonstrates professionalism, and organization
- Able to work independently in a fast pace environment
- Self-motivator
23
Bilingual Intake Specialist Resume Examples & Samples
- Experience in providing healthcare support to disadvantaged populations
- Experience with MediCal highly preferred
- Experience with Case Watch and/or NextGen preferred
- Bilingual (English/Spanish) Required
- High School Diploma. Associate's Degree preferred
- MS Office expertise required
24
LVN Intake Specialist Resume Examples & Samples
- Minimum of three years clinical experience in area of specialty
- Acute/homecare experience within the past two years
- Office or equivalent software skills
25
Intake Specialist Behavioral Health Registry Rotating Shifts Resume Examples & Samples
- Minimum of one (1) year of previous experience in completing Behavioral Health level of care assessments for adolescents and adults required
- Minimum of two (2) years of progressive Utilization Review/Management experience in a Behavioral Health setting
- Current CPR Certification required
- Analytical skills required to prioritize and intervene in an environment that has a rapidly fluctuating work volume
- Marketing and business skills that enhance ability to work external contractors and customers
- Empathic approach to providing crisis intervention with an ability to establish appropriate limits while providing quality care
26
LPN Referral Intake Specialist Resume Examples & Samples
- Processes all daily patient referrals following agency policy
- Ensures compliance with all state, federal, and CHAP referral/intake regulatory / standard requirements
- Follows work methods and procedures to ensure patients are admitted in accordance with policy
- Completes all required documentation to process referral including obtaining confirmation of physician in community to follow patient and sign orders
- Establishes and maintains positive working relationships with current and potential referral sources
- Ensures seamless transition of patients to home care by introducing patient education and preparation for home care, plan of care initiation, and coordination of care with multiple service providers
- Ensures maximum third party reimbursement through initial insurance verification and authorization processes
- May negotiate, in cooperation with supervisor, service pricing with insurance Case Managers and other payers within established financial and credit parameters for all non-contract referrals
- Assists the State Administrator for Medicare and Supervisor in the preparation of an annual budget for the intake department and monitors allocation of resources according to budgetary limitations
- Participates in recruitment, selection and orientation of new intake specialists; directly manages members of the referral/intake team, if indicated
- Builds and monitors community and customer perceptions of company as a high quality provider of services
- Gathers, collates, and reports referral statistics including key customer referral trends; participates and shares information during staff meetings
- Provides leadership in strategic planning including identifying opportunities for additional or improved services to meet customer needs
- Maintains comprehensive working knowledge of company contractual relationships and ensures that patients are admitted according to contract provisions
- Maintains comprehensive working knowledge of community resources and assists referral sources in accessing community resources should services not be provided by agency
- Verifies physician credentials and maintains current file in shared drive; updates as required
- Recent clinical experience in home health care preferred
- Graduate of an accredited school of nursing. Graduate of an accredited practical nurse or vocational nursing program
- Current licensed in good standing as a licensed practical nurse or vocational nurse in the state of Florida
- Solid community and professional reputation
- Enthusiastic, positive thinking
- Knowledge of community based long term care services and methods of delivery
- Knowledge of home health regulations and understanding of meeting state and federal requirements for respective services
- Excellent verbal and written communication skills, comfort with speaking publicly
- Ability to work well under pressure; critical thinker; solutions oriented
27
Behavioral Health Intake Specialist Resume Examples & Samples
- Conducts patient-centered intake screenings utilizing appropriate medical necessity criteria. Determines whether patients meet admission criteria or referral to community resource is required. Works with Physician to ensure appropriate disposition
- Develops and maintains relationships with outside agencies which provide funding sources. Assesses potential funding sources for patients and coordinates insurance and private pay billings as needed
- Works collaboratively with other community medical facilities/agencies to obtain appropriate authorizations for patient care
- Measures and tracks intake screening data to measure performance and assist in identifying opportunities
- Discusses medical treatment with third party payers, and utilization review department to qualify patients for current or continued care needs. Obtains pre-admission authorization prior to admission
- Provides written documentation of denials or reduction in days to physicians and hospital personnel as appropriate
- Identifies delays that may lead to medically unnecessary hospital stays, taking appropriate action, and notifying Administrative Director in a timely manner
- Provides crisis intervention to establish appropriate limits with the patient while continuing to provide quality care
- Recognizes and reports signs and symptoms of abuse to physician(s) and department director and/or appropriate agency
28
Legal Department Pledge Intake Specialist Resume Examples & Samples
- Manage the Pledge Group email box and Sharepoint site where branch requests are submitted
- Maintain Sharepoint site, including working with IT to resolve any issues
- Distribute and assign matters and questions which come through the email box and Sharepoint to Pledge Group analysts and Senior Paralegal
- Work with MSWM branches on various matters and questions regarding Pledge requests
- Process changes to account control agreements based on feedback from Pledge Group analysts and Senior Paralegal
- Maintain and update procedures for the Pledge Group
- Record and archive Pledge records from Sharepoint
- Other miscellaneous administrative tasks for the Pledge Group
- Prior experience in a law firm or legal department is preferred
- Bachelor or Associate’s degree preferred
- Computer proficiency including, but not limited to: Windows Microsoft Office, Internet and Website Knowledge and navigation skills
- Comfortable interacting with senior branch management personnel and financial advisors
- Possess a strong work ethic and high level of maturity
- Exhibit excellent judgment, initiative and adherence to deadlines
- Must be able to maintain a positive and professional attitude in a fast-paced environment
29
Pool Intake Specialist Resume Examples & Samples
- A Bachelor’s degree in behavioral sciences is required
- Experience with electronic health record software, such as Cerner, is preferred
- Knowledge of medical terminology is preferred
- Knowledge of psychiatric clinical criteria is preferred
30
Pool Intake Specialist Resume Examples & Samples
- Bachelor''s degree in Behavioral Sciences is required
- Knowledge of medical terminology preferred
- Experience with computers and demonstrated proficiency with software programs
- Working knowledge of managed care environment, procedures and criteria
- Knowledge of psychiatric clinical criteria
- Knowledge of medical/psychiatric/chemical dependency diagnosis, treatment process, and JCAHO medical record standards
- Formal self-defense training is required within sixty (60) days of the date of hire. Annual re-certification is required
31
Claims Intake Specialist Resume Examples & Samples
- Respond to incoming phone calls, driver messages and owner-operators inquiries related to accidents and claims; create initial claim in designated system and monitor until internal claims adjuster is assigned. Review and handle highly complex incoming claims calls and escalated issues; determine appropriate resolution and follow-up to ensure initiation of claims processes are appropriately carried out
- Initiate claims investigation by assessing each situation independently and taking action accordingly, including but not limited to, making effective and appropriate economic decisions by gathering sufficient data, documenting clearly, making calls and asking questions when/where necessary. Act as fiduciary agent of the company authorizing various insurance, towing and salvage expenses within designated authority per occurrence
- Instruct and coordinate post-accident drug and alcohol tests to be completed as required by Department of Transportation (DOT). Monitor drug and alcohol test through completion to ensure compliance
- Represent Swift and its agents as the initial contact from various third party vendors and claimants exhibiting Best in Class customer service. Act as liaison for internal communications between designated department personnel and leadership representatives, as well as field investigators, attorneys and other assigned vendors in serious accidents, injuries, cargo losses and breakdowns
- Research and identify, when possible, alleged instances when Swift equipment is reportedly involved in a crash with limited identification available
- Learn key functions and terms of multi-line insurance coverages and have the ability to apply general knowledge of state regulations within each line of coverage
- Maintain all key performance metrics and perform additional duties as assigned by leadership
32
Data Intake Specialist Resume Examples & Samples
- Analyze and solve problems quickly and implement short term and long term solutions to problems
- Provide accurate estimates for when problems can be solved and communicate the problems clearly to system users
- Identify issues and help find solutions for web-based feeds
- Monitor morning processes
- Must be available to work 1:00am – 9:00am
- Understanding of FTP, SFTP, FTPS
- Understanding of web technologies including HTTP, HTML and AJAX
- Ability to think and act quickly
33
Legal Billing Intake Specialist Resume Examples & Samples
- Verifies that appropriate authorization from Claims exists for non-electronic invoices. Screens invoices for potential duplicates. Verifies invoice accuracy and notes claims instructions and any exception/special processing instructions
- Determine appropriate UTBMS coding in accordance with the coding requirements of each system
- Determine appropriate workflow routing, based on type of invoice and/or special processing instructions
- Acts as technical resource for internal and external contacts, providing feedback, instructions and informational guides when necessary. Educates Stakeholders in areas that facilitate the successful transfer of invoices through our complex-billing environment
- Routinely contacts external providers and internal and external customers to gather necessary information in order to process invoices timely and accurately. Manage all aspects of follow up communication with the appropriate parties
- Prepares incoming paper legal invoices for data entry and payment
- May assist in other areas of the department as needed judgment in resolving discrepancies and/or missing information. Prepares invoices for processing
- Good oral and written communication skills to effectively maintain customer service relations. Strong attention to detail and ability to work with numbers. Requires broad working knowledge of all aspects of department operations. General computer skills and working knowledge of Microsoft Office suite of applications, with strong working knowledge of Microsoft Access and Excel. Strong organizational and time-management skills and the ability to work well in a fast-paced team environment. High school diploma or equivalent, plus a minimum of 3 years of relevant operational experience. May have less years of experience if it is CLBU operational experience (direct experience). Accounts payable or customer service experience preferred
34
Customer Service Intake Specialist Resume Examples & Samples
- Receives incoming phone calls from customers and satisfies requests. Enters patient and case information into software system, answers inquiries, processes patient assistance requests, and provides callers with accurate, current information
- Provides patients with accurate and current information concerning their shipments, application, prescription, or patient assistance programs
- Documents customer requests, inquiries, and complaints in call history database and ensures timely closure of all open issues. Forwards issues to other departments and follows-up to ensure timely resolution
- Documents certain procedures and trains those who are required to perform such procedures
- Schedules shipments of medication and tracks deliveries
35
Customer Service Intake Specialist Resume Examples & Samples
- Must be bilingual (English/Spanish), both verbal and written
- Answer inquiries and process incoming requests received and provide callers with accurate, current information
- Demonstrate ability to communicate clearly in both written and oral format
- Maintain all patient confidentiality
- You may take on other duties as assigned; job duties may vary
36
Legal Intake Specialist Resume Examples & Samples
- Taking 10 t 25 Calls Per Day
- Follow up with the clients for additional information needed and schedule appointments
- Work with Excel and other legal software
- Other Administrative Tasks
37
EMT / Paramedic Intake Specialist Resume Examples & Samples
- Performs transfer call center functions in a responsive manner responding to all callers with the aid of a computer database consisting of facility service profiles, approved clinical protocols, established patient care protocols, and healthcare information
- Facilitates patient throughput to a final destination facility with an ongoing focus on quality and efficiency
- Works directly with Bed Capacity Coordinators to ensure timely transfer, appropriate bed assignment, and provides accurate patient information to assist with the development of an initial plan of care
- Ensures accurate and concurrent data collection and maintenance in both Meditech and Teletracking systems
- Demonstrates the ability to process patient acuity utilizing critical thinking skills, clinical decision making, and acquired knowledge to assist in assessing situations and facilitate patient flow through the continuum of care
- Demonstrates the ability to prioritize patient information and communicate an accurate clinical presentation of the patient for accepting physicians and nurses
- Demonstrates knowledge of human growth and development, assessment, range of treatment, and care of patients of all ages of patients served
- Completes all training and is competent in the Teletracking application of Bed Management, EMTALA and medical necessity criteria
- Uses problem-solving skills to determine the course of action to generate the best patient clinical outcome, the physicians’ preferences, and the transferring and receiving hospitals. Critical thinking skills will be utilized to ensure every patient transfer promotes the well being and safety of the patient
- Demonstrates knowledge of regulatory requirements such as EMTALA, HCA Ethics and Compliance policies, and quality initiatives; monitors self-compliance
- Demonstrates a clear understanding of program requirements and call receiving protocols, and appropriately routes calls to the transport team or Administrator for discussion/action
- Activates transport teams and relays information concerning the location and condition of the patient. Initiates appropriate protocols regarding notification and determination of patient destination
- Minimum one year dispatch experience (preferably Emergency Medical Dispatch) and understanding of medical terminology
- Must be able to type a minimum of 45 words per minute
- 1-2 yr transfer center experience preferred
38
RN Intake Specialist Resume Examples & Samples
- Conducts in-person and hands-on assessments and re-assessments of applicants and enrollees
- Communicate with patients, family, and medical personnel to facilitate a desired outcome
- Collaborate with providers to ensure appropriate outcomes
- Practice and adhere to departmental and State guidelines and clinical standards of care
- Manage electronic patient files to document patient records, treatments, and progress
39
Clinical Intake Specialist Resume Examples & Samples
- Verify member eligibility, collect demographic and pertinent clinical information, and document results in the computer system
- Build cases in the computerized member record using information gathered from faxes and/or phone calls
- Documentation of information using department standards of documentation
- Communication with providers regarding the assigned DRG, and/or any necessary decision data
- Assignment of accurate codes to all diagnoses and procedures and the DRG, recoding, and updating cases when applicable
- Communication with the Clinical Review team to ensure continuity of the notification, coding, and review processes
- Management of workload within regulatory turnaround time requirements and mandated timeframes for processing cases
- Handling protected health information consistent with department and company policies and regulatory requirements
- Assist in refinement and implementation of unit workflows to enhance efficiency and support unit/department goals
- Assist implementation of all new utilization management processes and programs in accordance with business plans to provide quality customer service to all customers
- Ability to cross-train to develop the variable skills necessary to support all team responsibilities
- Dealing w/ambiguity (Demonstration of insight, self-direction and self-discipline)
- Flexibility/ Adaptability (Coping) (a calm demeanor, ability to understand changing situations, ability to accomplish job tasks under shifting conditions, ability to meet new expectations or quickly learn new job tasks)
- Critical thinking / problem solving skills (ability to analyze information to construct effective solutions)
- Communication (ability to articulate complex concepts, verbally and in writing, in decisive and focused manner, with professional and engaging tone)
- Building effective relationships (ability to establish and maintain productive partnerships, internally and externally, in person and virtually, in order to facilitate professional and business goals)
- Cultural competence (demonstration of awareness, attitude, knowledge, and skills to work effectively with a culturally and demographically diverse population)
- Managed Care and health care landscape insight (nuanced understanding of products, benefits, healthcare delivery system, accreditation and regulatory requirements, and community resources)
- Comfort and proficiency with the use of computers and technology (ability to work within multiple computer and telephone applications and systems; ability to key in data proficiently and in real time during a phone call; comfort quickly learning and effectively working within a variety of media)
40
Intake Specialist Resume Examples & Samples
- Collects and records initial client information to include type of referral, type of insurance, and patient demographics
- Requests the referral source fax orders on all patients. Verifies client benefits
- Notifies pharmacy, nursing, RT, and HME when verification complete
- Coordinates with HME to insure availability of requested supplies or equipment
- Obtains authorization for skilled nursing visits, DME, medications, and shift care If authorization is denied, communicates with clinician to obtain additional information so authorization will be approved
- Notifies nursing, CTM, pharmacy, RT and HME when authorization is approved
- Processes Tl 9's for Medicaid patients by obtaining Tl 9 from physicians, faxing Tl 9 to Medicaid within 72 hours, and tracking Tl 9 to ensure authorization is complete
- If care is not authorized upon initial submission of T19, contacts Medicaid to clarify information necessary for authorization
- Enters information in Brightree and Kinser Systems
- Completes assignment of benefits
- Authorizes all new orders as soon as they are received
- Notifies clinician if initial justification is necessary for reauthorization
- Expresses verbal and written communication in a clear, positive and cooperative manner
- Highly developed customer service and organizational skills
- Accredited high school diploma or GED
- Excellent computer skills including the ability to type a minimum of 25 WPM
- 1+ years in an office setting
- 1+ years customer service
- Bilingual (Spanish)
- Medicare local coverage criteria (LCD)
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Intake Specialist Resume Examples & Samples
- High school diploma or equivalent
- 2 years of customer service experience
- Medical terminology course or completion within 6 months
- Working knowledge of Microsoft Office Suite and electronic communication systems
- Typing speed of 45 Words Per Minute (WPM)
- Customer service experience in a healthcare environment, either general medical and/or behavioral health setting
- Certification/licensure in a healthcare related field
- 2 years of post high school education
- Call center experience
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Home Health Intake Specialist Resume Examples & Samples
- Organized and able to prioritize various responsibilities
- Clinical background and strong knowledge of home health & hospice
- Ability to work independently with a high degree of integrity
- Professional communication
- Comfortable using a variety of forms of technology
- Desire to learn and continually improve
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Program Intake Specialist Resume Examples & Samples
- Develops a comprehensive understanding of the guidelines for each program and the application intake procedures
- Provides application intake on the agency database for qualified program participants
- Talks with clients and collects data to determine program eligibility based on application and documentation; managing difficult or emotional customer situations; responding promptly to customer needs
- Listens and gets clarification; presents numerical data effectively and correctly as well as reviews program applications for completeness, accuracy, and necessary documentation
- Prioritizes and plans work activities; uses time efficiently; enters completed applications into the agency database in a timely manner
- Maintains a good working relationships with co-workers, vendors and other organizations relevant to the programs
- Maintains confidential records and information pertaining to program participants
- Administers the Test for Adult Basic Education (TABE) Test to potential Dream Catchers for Life program participants
- Must be work study eligible
- High School Diploma or GED equivalent
- Must be enrolled in a minimum of 6 credit hours as an undergraduate student or 3 credit hours as a graduate student while meeting the standards of academic progress
- At least one year of relevant job experience
- Ability to effectively send and receive verbal and written communication (including narrative report writing) using English language
- Basic math skills and basic computer skills
- Ability to work as an effective team member
- Ability to keep accurate documentation
- Ability to make sound decisions in the absence of an immediate supervisor
- Be of good moral character
- Flexibility with respect to hours of work and changing conditions
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Customer Service Intake Specialist Resume Examples & Samples
- Ensure accurate determinations for program eligibility based on program guidelines
- Be responsible for documenting required data elements into required fields in a prompt accurate manner based upon program design and requirements
- Take on other duties as assigned; job duties may vary
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Senior Compliance Intake Specialist Resume Examples & Samples
- Basic understanding of Revenue Cycle processes; Federal Program Claims submission; hospital and health plan rules and regulations; State and Federal privacy and security laws including the Health Insurance Portability and Accountability Act (HIPAA); and state and federal consumer protection laws, including, but not limited to, the Fair Debt Collection Practices Act (FDCPA) and Fair Credit Reporting Act (FCRA) preferred
- Proficient in Microsoft Office software (Word, Excel, PowerPoint, Visio)
- Knowledge of healthcare and revenue cycle industries
- Strong business intelligence and analytical skills
- Required: Associate or Bachelor’s Degree in related field from an accredited college or university
- 3-5 Years experience
- Preferred: Concentration in health care administration, compliance, or other related field
- Preferred: Certified in Healthcare Compliance, Paralegal certificate
- Hospital Work Environment
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Customer Service Intake Specialist Resume Examples & Samples
- You process documents based on department guidelines in accordance with standards and performance indicators as defined by contractual requirements
- You receive incoming calls from multiple customers such as physicians and patients, and process requests by providing resolution or triage to the appropriate areas
- You report Adverse Events and Product Complaints when needed
- You answer inquiries and process incoming requests received and provide callers with accurate, current information
- You document customer requests and inquiries in call history database and ensure timely closure of all open issues
- You demonstrate ability to communicate clearly in both written and oral format
- You maintain all patient confidentiality
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Data Intake Specialist Resume Examples & Samples
- Daily monitoring and management of file delivery, including responsibility for resolution of data quality issues through communication with vendor / client and internal teams
- Heavy interaction with customer, client and vendors on a daily basis
- Identify and take ownership of issues with the ability to engage appropriate partners in order to drive to resolution
- Represent a point of contact servicing internal user in support of external client issues related to vendor deficiencies
- Respond accordingly to Application/Report Issue requests related to Data Exchange and Client requirements
- Development and delivery of data quality reporting to support Client requests
- Manage, prioritize and act on HPSM (Help Desk) tickets opened to support client issues
- Enforce SLA’s (Service Level Agreements) related to internal and MAexternal partner requirements
- Manage and monitor all report publishing both internal and external as much of the data/reporting can contain sensitive information
- Effective partnering with upstream data sources to ensure timely and accurate reporting for internal uses and customer delivery
- Ability to work comfortably with all levels of management including senior level leaders
- Hands on experience using data mining tools such as TOAD, TOAD for Data Analysts (TDA), Teradata Studio, MS Access or SAS a plus
- Understanding of healthcare terminology, business processes, data and systems a plus e.g. medical claims and data fields used in claims coding
- Experience with Access, Excel, PowerPoint, SQL, SAS PC/EG
- Strong priority management skills and comfort in ability to work in a high paced environment
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Home Health LPN / LVN Intake Specialist Resume Examples & Samples
- LPN/LVN licensure in the state(s) of desired practice
- Office or equivalent software skills
- Excellent negotiation, organization, decision-making and communications skills
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LVN Clinical Intake Specialist Resume Examples & Samples
- Collects and records initial client information to include type of referral, type of insurance and patient demographics
- Requests the referral source fax orders on all patients
- Verifies client benefits
- Notifies pharmacy, nursing, RT and HME when verification complete
- Coordinates with HME to insure availability of requested supplies or equipment
- Obtains authorization for skilled nursing visits, DME, medications, and shift care
- If authorization is denied, communicates with clinician to obtain additional information so authorization will be approved
- Notifies nursing, CTM, pharmacy, RT, and HME when authorization is approved
- Processes T19's
- Enters information in Kinnser, Kantime, Brightree
- Completes assignment of benefits and authorizes all new orders
- Performs reauthorizations for nursing teams, peds high-tech and pharmacy
- Current LVN license in the state of Texas
- High School diploma / GED
- 2+ years LVN experience
- Highly developed written and communication skills
- Excellent computer skills including Microsoft Office
- Home healthcare experience
- Experience in call center customer service
