Overview

Functions as subject matter expert in all areas of intake, with the ability to cross cover all intake or intake support teams as dictated by operational needs. Responds to inbound phone calls and determines customer needs while providing accurate and responsive intake. Provides general VNS Health information to the referrer, patient and community ensuring excellent customer service. Processes and transcribes patient information for referral entry and responds to electronic platforms, faxed or phone referrals. Follows VNS Health admission criteria and processes referrals accordingly. Facilitates the safe and timely transfer of patients from a hospital, skilled nursing facility, physician office, or other home care site to the care of VNS Health. Works under moderate supervision.

Compensation Range:$20.98 - $26.23 Hourly

What We Provide

• Referral bonus opportunities     
• Generous paid time off (PTO), starting at 20 days of paid time off and 9 company holidays   
• Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability    
• Employer-matched retirement saving funds   
• Personal and financial wellness programs    
• Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care   
• Generous tuition reimbursement for qualifying degrees   
• Opportunities for professional growth and career advancement    
• Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities  

What You Will Do

• Responds to inbound phone calls and determines customer needs while providing accurate and responsive intake and ensuring customer satisfaction.
• Responds to and resolves non clinical issues and complaints in an accurate, effective and timely manner. May collaborate with other VNS Health staff or external departments to troubleshoot Intake issues, or escalate clinical issues to assigned clinical support
• Handles and routes inbound faxes to designated referral channels and workforce systems across VNS Health.
• Responds to all electronic platform, phone and faxed referrals. Updates electronic platform with final referral disposition.
• Reviews patient medical records received from referrer and transcribes required information, including demographic, insurance and clinical information into VNS Health referral system. Attaches clinical documents into VNS Health Electronic Medical Record System (EMR).
• Obtains patient insurance and payment information from various sources and submits requested information to Patient Revenue Cycle Department for home care authorization. Verifies information and coordinates acceptance of cases with the department.
• Compiles patient demographic information using medical records, databases, and paper forms and enters into VNS Health referral system. Works with VNS Health team members to ensure a safe discharge home.
• Follows up to ensure that all necessary referral information is received and documented; contacts referrers to request specific missing information or documentation, as directed.
• Works within the Intake system to reconcile and mitigate risk inherent in referral processing.
• May collaborate with home Visiting MD services on providing home medical services for referred patients without PECOS/OPRA primary physicians.
• May train new Physician’s on the MD Portal and/or provide on-going support to portal customers.
• Coordinates and obtains outstanding face-to-face encounter form on referrals.
• Establishes and promotes an ongoing collaborative relationship between VNS Health and/or other facilities, direct care givers, physicians, nurses, discharge planners, case managers, social workers, etc. to facilitate adequate patient care transition.
• Places orders for supplies, durable medical equipment, laboratory work and other appropriate items needed for the patient.
• Utilizes intake knowledge to participate in the implementation of new pilots or to develop and improve workflows.
• May shift into different intake or intake support teams as dictated by operational needs.
• Provides intake support, training, and regulatory compliance oversight to staff responsible for referral processing, consents review and Certification of Terminal Illness (CTIs).
• Collaborates with leadership to implement and manage workflow procedures and systems for efficient and timely operations. Recommends revised procedures as necessary to maximize operational efficiency and effectiveness.
• Assists supervisor with intake quality assurance reviews. Provides ongoing education to support regulatory updates and changes.
• Coaches and mentors Intake staff on referral cycle processes and procedures; provides guidance regarding interpreting VNSNY Hospice admission criteria, reimbursement policy and medical relationship policies.
• Participates in special projects and performs other duties as assigned.

Qualifications

Education:

• High School Diploma or equivalency required
• Associate's Degree in Business or related field preferred

Work Experience:

• Minimum two years of customer service experience, preferably in the healthcare industry (i.e. hospital, long-term care, home care setting, or medical office).
• Ability to quickly learn and understand medical terminology required
• Experience entering data, navigating and retrieving information through a mainframe or similar computer system required
• Ability to adapt to change and work in a team based environment required
• Ability to be persuasive, negotiate to win-win outcomes and demonstrate exceptional customer service skills required
• Demonstrated capability to gain commitment, build rapport with others (patients, families, physicians, clinicians, institutions etc.) required
• Strong follow up skills required, as well as the ability to manage multiple priorities.
• Knowledge of managed care, Medicare/Medicaid and insurance authorization/billing helpful but not required.
• Bilingual skills may be required, as determined by operational needs.