Central Intake Coordinator - Remote

Job DescriptionJob DescriptionCompany DescriptionCandidate must live in either Colorado or TexasMGA Homecare has been providing Private Duty Nursing, Skilled Nursing Visits, Occupational Therapy, Physical Therapy, and Speech Therapy services within the home and community-based setting for over a decade.In 2022 MGA has opened its doors to MGA Behavior Therapy which offers Applied Behavior Analysis (ABA) and early behavior intervention for pediatric patients with autism spectrum disorder (ASD) and other developmental disabilities.We aim to help our patients and their families by delivering high-quality clinical care in the comfort of their homes.Our goal is to make the lives of our patients and their families easier by demonstrating compassion and integrity at the heart of everything we do.By bringing individualized attention and support throughout every home.MGA Homecare is proudly serving the states of Arizona, Colorado, North Carolina, Tennessee, Texas, and Washington, and are here to be a resource for patients and their families.Job DescriptionMust have CO Medicaid KnowledgeReports directly to the Sr.Director of Central Intake and is responsible for completing referrals using gathered information to provide data necessary to coordinate service eligibility, insurance verification, authorization and care coordination, handles requests for facilitating problem-solving of referral source information specific to coordination of patient admissions, and ensures maximum third-party reimbursement through monitoring insurance verification and authorization process.This position also communicates with provider / clinical staff / caregivers as necessary to obtain pertinent information and acts as the point of contact, aiding providers and organization.Organization CommunicationHandles all daily patient referrals and intake operations and reviews and processes pending referrals.Enters all demographic and insurance information for new customers and updates as needed.Completes registration of clients into the home care management program in an accurate and timely mannerInforms location staff of received referral / s with full details on deductible, coinsurance and copay.Adheres to the rules regarding confidentiality of HIPAA protected health informationAssists with the identification and reporting of potential quality management and non-coverage issuesCommunicates with relevant parties to obtain authorization of home health services, initial and ongoingInterfaces with providers / office staff / clinical staff / caregivers for the purpose of attaining additional information required for authorization approvalProvides direct support regarding utilization, authorization, and referral activitiesContacts providers and families with authorization, denial, and appeals process informationCompletes monthly authorization expiry reports and informs location of upcoming renewalsCompletes any and all changes to health insurance in KanTimeVerificationVerifies eligibility of members and member benefit coverage at initial start of care and ongoing eligibility and benefits verification on the 1st and 15th of each monthReports all discrepancies to the Director of Clinical Services, Director of Therapy, Account Manager, and Director of Central IntakeInsurance knowledge experienceGeneral knowledge of state Medicaid plans, private insurance plans, Medicare and Veteran AffairsPerforms all other duties assigned by Director of Central IntakeSupports and executes the mission, ethics, and goals of the company effectivelyRepresents themselves in a positive and professional manner in the company and communityAdheres to dress code with a clean and neat professional appearanceReports on time and as scheduled to complete work within designated timeAdhere to all company policies and procedures outlined in Employee Handbook, Employee Agreement, or communicated from executive teamQualificationsHigh School Education- Associates Degree preferredMust have insurance experienceHome health experience preferred but not requiredExceptional Customer ServiceMust be detailed orientedFamiliarity with ICD-10 codingAble to work independentlyAble to work remotelyAbility to perform basic to intermediate applications with ExcelStrong verbal and written communication skills (Additional languages preferred)1year experience in a clinical environment preferredRequires in depth knowledge of benefits and authorizationsProficient use of standard computer programs for data entry and data organizationAdditional InformationBenefits are available to eligible employees on the first of the month after 30 days of employment and include :24 - $26 per hourHealth, Dental & Vision CoverageHealth Savings Accounts (HSA-available if enrolled in high deductible plan)Flexible Spending Accounts (FSA & LPFSA)Dependent Care Reimbursement Accounts (DCRA)401(k) retirement planPaid Time Off (PTO)100% Company Paid Basic Life Insurance (if enrolled in Health plan)All your information will be kept confidential according to EEO guidelines.IND123.