Our Company
BrightSpring Health Services
Overview
The Central Intake Coordinator contacts insurance companies, branch operations, and patients to ensure accurate patient demographic and insurance information including insurance verification/benefits/authorizations, and the status of a used/remaining benefits.
Responsibilities
Verifies eligibility and insurance benefits including but not limited to: Confirming the status of used/remaining benefits using electronic and telephonic resources, communicating, and identified insurance plan to billing manager for system updates.
Obtains pre-certification, authorizations, and referrals to ensure managed care compliance for necessary services.
Fulfills notification requirements.
Partners and maintains working relationship with various departments throughout the organization, including Business HUB, Clinical Coordinators and Branch Operations
Provides patient education as needed on various topics including patient rights, regulatory requirements, and financial policies.
Prepares oral/written communications including periodic status updates.
Maintains documentation and notes in computer system regarding all conversations with patients, insurance company representatives, and pre-certification.
Supports BrightSpring Health’s Compliance Program by adhering to policies and procedures pertaining to HIPAA, FCRA, and other laws applicable to BrightSpring Health’s business practices.
Completes all required training, maintains active working knowledge of BrightSpring health’s Code of ethics (LEGACY), and immediately follows reporting procedures related to compliance, incidents, HIPAA, and adheres to confidentiality obligations.
Maintains effective communication strategies and style with patients, insurance companies both verbally and in writing to ensure a positive overall internal/external customer service experience.
Qualifications
HR Diploma/GED required; Preferred Associates Degree or BS/BA from accredited college.
2+ years of experience in a role that interfaces with commercial or government insurance payers to verify medical coverage or to perform billing, collections or follow up activities on covered charges for patients
Medical billing certificate/ medical insurance specialty certificate preferred
Strong analytical skills to process admissions and accurately and timely
Demonstrated ability to navigate Web Based programs and Microsoft Office/including Excel
Demonstrated ability to communicate effectively and to simplify complex information to all stakeholders in verbal and written form
Ability and willingness to work cohesively in a team environment locally and across other departments and locations
Demonstrate patience with a strong attention to detail
Demonstrated ability to apply critical thinking skills, creativity, and a commitment to ensure that we meet the needs of stakeholders and patients.
Minimal travel, rarely or as needed
About our Line of Business
BrightSpring Health Services provides complementary home- and community-based health solutions for complex populations in need of specialized and/or chronic care. Through the Company’s service lines, including pharmacy, home health care, and rehabilitation, we provide comprehensive and more integrated care and clinical solutions in all 50 states to over 475,000 customers, clients and patients daily. BrightSpring has consistently demonstrated strong and industry-leading quality metrics across its services lines, while improving the health and quality of life for high-need individuals and reducing overall healthcare system costs. For more information, please visit www.brightspringhealth.com. Follow us on Facebook, LinkedIn, and X.Salary Range
USD $21.00 - $24.00 / Hour
BrightSpring Health Services is a healthcare services company that operates PharMerica, a long-term care pharmacy services provider supplying medications, clinical support, and pharmacy management to healthcare organizations across the United States. PharMerica serves skilled nursing facilities, senior living communities, hospitals, and specialized care centers through dedicated local teams. The company delivers personalized pharmacy care including long-term care pharmacy, home infusion, and specialty pharmacy services to patients with various healthcare needs including behavioral health, infusion therapy, senior in-home care, and cancer patients. BrightSpring combines the personal touch of neighborhood pharmacies with the resources of a national healthcare organization.
