Home Health/Hospice Intake Specialist
Location:
Troy , Michigan
Posted:
November 21, 2017
Reference:
652183
Home Health/Hospice Intake Specialist
U.S. Medical Management (USMM), an affiliate of a leading Fortune 250 company, manages a nationwide continuum of premier providers of medical services delivered primarily to the homes of elderly and homebound patients. Providing primary home care is the future of medicine, and at USMM, the future is now. With the knowledge and experience to address the evolution of healthcare, USMM is poised for a phenomenal future.
POSITION DESCRIPTION
The Home Health/Hospice Intake Specialist is required to work in conjunction with the Director of Intake/HHHC's to ensure current knowledge in regard to all FISS, basic commercial, and Medicaid State Hospice Regulations for Hospice Admissions. The Home Health/Hospice Intake Specialist is to support all home health/hospice branches with inquiries relating to admissions. The Intake Specialist is also responsible for processing all referrals, ensuring that orders are processed in a timely, efficient, and accurate manner. The Home Health/Hospice Intake Specialist (non-clinical) will be working under the direct supervision of the Director of Intake/HHHC's to maintain the day to day functions of the Home Health/Hospice Intake department.
ESSENTIAL DUTIES AND RESPONSIBILITIES
  • Responsible for working with the Director of Intake to maintain all current Medicare and Medicaid regulations designated by FISS and State guidelines as related to Admissions.
  • Responsible for creation and transfer of all client accounts to appropriate HHC/Hospice Agency
  • Responsible for initial insurance verification and accurate determination of placement
  • Has and maintains a working knowledge of all applicable Federal, State, and local laws and regulations, the organizational Code of Ethics, as well as other policies and procedures to ensure adherence to USMM mission.
  • Has working knowledge of CMS/HIQH/HIQA/FISS/ELGA/ELGH
  • Has working knowledge of Commercial/Medicare Advantage/WC/Liability Insurance
  • Remains updated with third party payer, including but not limited to accrediting regulations
  • Required to learn and comply with all CHAP/Survey requirements along with special projects and regular weekly/monthly reporting
  • Assists VPA/PSC/Grace Hospice to maintain clear and timely communication
  • Data Entry/Self QA
  • The ability to perform continuous detailed tasks with frequent interruptions and re-prioritizations
REQUIRED KNOWLEDGE, SKILLS, AND EXPERIENCE
  • High School diploma
  • Minimum 1 year experience in healthcare related field
  • Computer skills: Microsoft Excel, Word, Outlook
  • Strong customer service, organizational, and interpersonal skills with excellent multi-tasking and prioritization
  • Professional demeanor, self-motivation, and dependability
  • Ability to communicate effectively with all personnel levels within the organization
PREFERRED KNOWLEDGE, SKILLS, AND EXPERIENCE
  • Experience with EMR
  • Knowledge of home health and hospice regulation as it relates to Medicare, Medicaid, and Commercial insurance preferred

A little about us:
Our mission is to provide high quality, compassionate and cost-effective care to our patients through clinical leadership, outcomes management and maintaining an ethical workplace.

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