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Job description
Intake SpecialistThe intake specialist manages various aspects of the in-take process, ensuring the efficient financial clearance of emergency and non-emergency Ambulance transports. They review patient care reports, verify insurance, and assist patients with billing inquiries. They work closely with Communications/Dispatch, patients, and insurance providers to facilitate proper documentation, insurance authorizations, and payments, ultimately ensuring the seamless provision of our life-saving servicesKey ResponsibilitiesWill Call Management: Handle incoming calls from patients and medical facilities to schedule non-emergency ambulance services, ensuring accurate and efficient scheduling of trips.Insurance Verification: Confirm patient eligibility and benefits with private insurance carriers, Medicare, and MedicaidInsurance Documentation: Verify and collect necessary insurance information from patients and facilities, including but not limited to insurance cards, policy numbers, and patient demographics.Insurance Prior Authorizations: Communicate with insurance providers to secure prior authorizations for ambulance services, following up as needed to ensure timely approval.Billing Information: Enter complete and accurate patient and trip information into the company's billing system and maintain detailed records of all transactions and communications.Patient Support: Address customer service inquiries, explain the ambulance billing and collections process, and establish payment plansCompliance & Privacy: Ensure all activities and documentation adhere to company policies, healthcare regulations, and insurance requirements. Strictly adhering to HIPAA regulations, maintaining the confidentiality of sensitive medical and financial data.Team Collaboration: Collaborate closely with Dispatch to ensure trips are financially cleared in a timely and organized manner, allowing for the efficient dispatch of ambulance units.Customer Service: Provide exceptional customer service by addressing facility/patient inquiries, resolving issues, and maintaining a professional and empathetic demeanor during all interactions.Consistently meets and maintains productivity goals and defined benchmarks on a weekly basis.Additional projects and responsibilities as assigned and requested.Maintains knowledge of and complies with all company policies, procedures, and guidelines at all times.Education & Experience:High school diploma or GED equivalent is required. Post-secondary certification in medical billing or coding (CPB from AAPC or other) highly preferred.1-3 years of Medical Billing experiencePrior experience in EMS, Ambulance, transportation Medical billing preferredKnowledge, Skills and Abilities:Knowledge of HIPPA and Healthcare standardsDeep understanding of Medicaid and Medicare Ambulance Guidelines, as well as private insurance reimbursement protocols.Proficiency with medical billing software, electronic health records (HER) systemsWorking knowledge of Web based applications and Microsoft Office, including Excel and Word requiredCommunicate effectively, both verbally and in writing; ability to understand and carry out verbal and written instructions.Analytical skills to gather and interpret dataAbility to exercise sound judgment and discretion at all timesStrong interpersonal skillsExcellent organization skills: attention to detail and follow-throughResolve issues quickly and efficientlyAble to multitask, take charge and ownership of tasksAbility to work independently and in a team settingHandle highly confidential information with complete discretionAbility to work in a Fast paced, high demand environmentRequirements:Must be minimum of 18 years of ageAbility to meet the essential duties and physical, mental and sensory requirements of the position at all times.Comply with UDS drug screening at any and all timesCompletion and receipt of satisfactory background check and MA CORI (Criminal Offender Record Information), verification may be required annually.Physical Requirements:Stationary Position: Frequently required to sit for long periods at a desk.Manual Dexterity: High level of finger dexterity to operate computers, calculators, and office machinery.Handling/Reaching: Frequent need to reach with hands/arms, handle files, and feel objects.Lifting/Moving: Ability to lift, carry, or move documents, files, or office equipment (typically up to 10-25 pounds).Movement: Intermittent walking, standing, bending, or stooping to access filesMental/Cognitive Requirements:Organization: Exceptional organizational and time-management skills to handle daily tasks.Attention to Detail: Ability to input data accurately and read fine statistical reports.Communication: High-level verbal and written communication skills, including professional telephone etiquette.Problem-Solving: Ability to manage deadlines and resolve issuesSensory Requirements:Vision: Close vision, peripheral vision, depth perception, and ability to adjust focus to read computer screens and printed documents.Hearing: Ability to hear and understand speech in person and on the telephone.Speech: Ability to communicate clearly in person and via phone.
Worksite address
somerville, MA, 02143, US
Who can apply
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