Admissions Intake Clerk

Job Description

REQUIREMENTS

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  High school diploma or equivalent, required.
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  Knowledge of Medicare Part D, Medicaid, and Commercial insurances, required.
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  Intermediate knowledge of Microsoft Outlook, and Teams, required.
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  Intermediate experience with Framework LTC and DocuTrack preferred.
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  Ability to maintain confidentiality including but not limited to HIPPA.

RESPONSIBILITIES

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  Collect accurate patient information, including demographics, payor information and insurance providers from a variety of sources including electronic client database, eligibility websites, and our own customer database.
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  Ensure timely input of information into our pharmacy fulfillment software based on information to assure on-time fulfillment of prescription to the patient.
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  Communicate efficiently and effectively with team members, pharmacists, nursing facility staff and insurance companies.
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  Triage accounts by patient demographic and insurance information.
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  Coordinate discharge processes within pharmacy software system when appropriate.
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  Accurately update profiles upon discharge, including the handling of billing medications filled on or after day of discharge.

• Research system for member eligibility. Create and record patient and insurance information.
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  Adhere to the departmental processes associated with the documentation and review of insurance information.
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  Escalate issues pertaining to workflow to Intake Manager.
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  Call provider or facility for any additional information necessary to the creation of an account to update regarding member eligibility, and to provide them with the information as indicated.
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  Actively contributes to the evaluation and continuous improvement of client services, policies, and procedures.
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  All other responsibilities as assigned by the manager to support these and other responsibilities in the department.

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