Intake Specialist SP SG WG at Wellstar Health Systems in LaGrange, Georgia

Posted in Other 10 days ago.





Job Description:

Overview

The Intake Specialist SP SG WG is a proactive member of an interdisciplinary team of licensed and unlicensed care givers who ensure that patients, families and significant others receive individualized high quality, safe patient care. It is expected that all RN Clinical Nurses - are licensed, knowledgeable and uphold the practice of nursing as outlined by the Georgia Professional Nurse Practice Act and implements the Scope of Practice and Code of Ethics Standards put forth by the American Nurses Association.

  • Schedule:Full Time
  • Shift: Day Shift
  • Level: 6+ years of experience



Success Profile
Find out what it takes to succeed as a Intake Specialist SP SG WG:



  • Collaborative
  • Time Efficient
  • Organized
  • Critical Thinker
  • Attention to Detail
  • Compassionate



Benefits that Reflect Your Contributions
  • Your Pay
    A compensation program designed for fair and equitable pay.
  • Your Future
    Secure your future with plans that also include an employer match. Plans and guidance for the future.
  • Your Wellness
    Traditional healthcare benefits combined with progressive wellness programs to help you be your best self!.
  • Your Joy
    Special and unique benefits and programs ensuring a balanced life and a workplace culture built on trust.



Job Details


Facility: Wellstar West Georgia Medical Center




****This position is located at: ****




120 Glenn Bass Road




Lagrange, GA. 30240




Job Summary:



The Intake Specialist is responsible for intake functions including reviewing and processing home health referrals, insurance verification, data entry into business line appropriate software, and monitoring/copying faxes, as appropriate. This position provides critical support to the billing function by negotiating and clarifying customer payment responsibility, before services are rendered. This position provides critical support for keeping the customer record current and communicating ongoing customer needs to Home Health field clinical staff. The goal for the Intake department is to process referrals with efficiency and ease of entry. Other duties as assigned.



Core Responsibilities and Essential Functions:



Patient Experience


• Answer incoming calls and provide each caller, referral source with ease of entry into Wellstar Homecare • Process each request with accuracy • Ensure positive working relationships between WellStar Homecare departments, Post-Acute Navigation and all other referral sources • Communicate with patient and explain insurance benefits as appropriate Referral Processing


• Process orders in a timely and efficient manner • Check orders for completeness and qualifying criteria • Obtain missing or incomplete information from referral source or PAN coordinators • MD office orders - Verify SOC with schedulers • Data entry processing of referral into EPIC • Verify insurance, obtain authorization, explain benefits to patient Other Duties


• Work with clinicians, as needed • Work with QA to obtain timely documentation • Complete other documentation, as necessary



Required Minimum Education:



High school diploma Required or
GED Required and
Health care clinical degree Preferred



Required Minimum License(s) and Certification(s):




Additional Licenses and Certifications:



Health care certificate Upon Hire Preferred



Required Minimum Experience:



Minimum 3 years health care related experience preferably in Homecare. Required



Required Minimum Skills:



Professional, independent and self-directed.


Strong organizational and communication skills.


Ability to multitask in a fast paced environment.


Excellent communicate skills, both verbal and written.


Possess knowledge of community resources and managed care contracts for post-acute care.


Computer proficiency a must.


Exceptional customer service and phone communication skills.



Share the opportunity



Mission, Vision & Values
At a time when the healthcare industry is changing rapidly, Wellstar remains committed to exceeding patients' and team members' expectations, while transforming healthcare delivery.



Our Mission
To enhance the health and well-being of every person we serve.



Our Vision
Deliver worldclass health care to every person, every time.



Our Values


  • We serve with compassion




  • We pursue excellence




  • We honor every voice



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