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Intake Coordinator

Job Title
Intake Coordinator
Job ID
784924
Begin Date
3/19/14
Duration
Location
Miramar,  FL
Other Location
Description
JOB SUMMARY: 
The Durable Medical Equipment Intake Coordinator is responsible for processing referrals within the Univita organization.  This process consists of verifying patient and order information, insurance coverage and authorizations; and placing orders through our electronic system.
ESSENTIAL FUNCTIONS

Title: Level I

 FLSA: Non-exempt
Essential key duties/responsibilities/ accountabilities
 
 
  1. Performs initial setup for general DME orders.
  2. Reviews patient demographics, verify eligibility, benefits and authorization.
  3. Comprehends insurance coverage and Medicare/ Medicaid Guidelines
  4. Provides telephonic support to patient inquires/services calls.
  5. Processes Subcontract/LOA orders when require with our contracted vendors.
  6. Assigned duties as necessary within DME Departments.
  7. Maintains appropriate organizational confidentiality
  8. Follows up on pending orders on a daily basis.
 
Non-essential duties
 
 
  1. Other duties as assigned.
  2. Maintains compliance with HIPAA standards of patient and confidentiality.
  3. Implements the company mission statement.
  4. Follows company policy on accepting, assignment, documentation requirements, returns/refunds, repairs, and inventory procedures.
 
 

Title:  Level II

 FLSA:  Non-exempt
Above requirements and the following
 
 
  1. Performs initial setup of complex orders which inquires Cpap/Bipap, Phototherapy, Apnea Monitor Trach/Suction setup, Oximetery, Apnea, Cpap Download, Ostomy and Motorized/Customized Wheelchairs Orders
  2. Ability to process straight Medicare and Medicaid orders.
  3. Clinical Nature to make judgment on complex orders.
  4. Provides Telephonic support to Health Plan inquires.
  5. Performs requests to plan when order are required for Medical Review.
  6. On Call Representative for afterhours services.
  7. Tracks referrals and performs follow up as necessary. Process daily logs and submits to the Health Plan Referral Supervisor.
  8. Handles and follows through on Discharge and Stats orders/referrals.
  9. Facilitates complaint resolution.
 
 

Title:  Level III/Lead

 FLSA:  Non-exempt
Above requirements and the following
 
 
  1. Performs training in services / materials for staff.
  2. Overrides and Cancels high-ticket orders.
  3. Supports supervisor on floor duties when supervisor is not available.
  4. Provides support to the staff, co-worker on inquires.
  5. Acts as liaison between Univita and Health Plans
  6. Forwards all patient documentation to appropriate Health Plan, health plan staff member and Unvita staff members.
  7. Communicates, interacts with Univita, medical directors, and health plans as deemed appropriate. Attends health plan meetings on behalf of Univita if needed.
  8. Covers on call when needed.
  9. Ensures that Intake Coordinators handle orders appropriately.
 

 
Openings
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Univita Health is an Equal Opportunity Employer (EOE/AA) and participates in E-Verify. Univita Health will not discriminate in its employment and employment-related decisions against any applicant or employee based on age, race, gender, creed, religion, national origin, disability, marital status, covered veteran status, sexual orientation, status with respect to public assistance, membership or activity on a local commission, or any other characteristic protected under state, federal, or local law.

 
 
 
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