Patient Intake Specialist

Published May 8th, 2024

Patient Intake Specialist Sr.
$23-26 / hour
Hours: 40 HPW

  • Monday – Friday 8:30am – 5:00pm

Location: Fall River, MA

Job Description:

  • Prior Authorization / insurance experience in a healthcare setting required
  • Billing and Coding knowledge strongly preferred
  • Perform wide variety of duties to secure optimal; revenue for all services
  • Determine patient liability prior to service by creating estimate based on individual payer, notifies patient of their potential liability 
  • Initiate contact with patients, clinicians, and third party payers to obtain pre-certification and authorization for evaluations and diagnostic tests
  • Use critical thinking skills to ensure CPT codes are documented and authorized for the appropriate service
  • Navigate multiple payer portals to determine requirements for authorization and submit electronic requests
  • Follow up with payer denials by researching clinical data to support appeal
  • Verify coverage and initiate authorizations for new evaluations and treatments
Education and/or Experience Requirements:
  • Equal to completion of four years of high school plus additional specialized courses or training, secretarial school, diploma, or medical office certification.
  • Duties require knowledge of medical terminology.
  • Proficient keyboarding skills are essential.
  • Must possess strong reasoning and critical thinking skills.
  • Proficient in use of software applications such as e-mail, Word, Excel, EHR.
  • Exceptional customer service skills are required.
  • Associates degree preferred.
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