Newport News, Virginia Hiring Range $18.20 - $23.68/Hourly Actual pay is determined based on job-related factors such as relevant experience, education, credentials, skills, internal equity, and business needs. Overview Performs intake, insurance verification and preauthorization, and processing of all referrals for service lines within the Home Care Division. Elements required for above include data collection and review of all referrals, determination of referral acceptance based on established criteria, attaining and remaining knowledgeable and current related to Medicare/Insurance reimbursement information and regulations, knowledge of service lines and products, and coordination of services. Provides exceptional customer service to all contacts by telephone, in person and via electronic media. Assists team to complete the workload for the department daily. What you will do Performs clinical review of data collected, accurately determines appropriateness and acceptance of referrals based on established criteria, coordinates services and dissemination of information. facilitates transfer of referral to another agency for declined referrals. performs any follow up and continues communication with all parties until referral is complete and/or services are provided or cancelled Uses clinical knowledge to collect complete and appropriate data for referrals, and fields phone calls utilizing the care difference principles. serves as an information resource for all applicable services including contact information, coverage criteria, availability of services and alternatives to applicable services when appropriate. Responsible for data maintenance and integrity, entering and retrieving data from various computer systems and recording on specified forms. Builds comprehensive knowledge base, and continuously works toward remaining knowledgeable and current of Medicare/insurance information and regulations, RHCD products and services and community resources. Performs intake, insurance verifications, preauthorization's (when required), and processing of all referrals for services lines within the home care division Qualifications Education High School Diploma or GED, (Required) Experience 2 years Healthcare (Required) 1 year Homecare (Preferred) To learn more about being a team member with Riverside Health System visit us at https://www.riversideonline.com/careers. If loving your work is important to you, consider a career at Riverside. By joining our team, you can make a difference in people's lives. Our mission is to care for others as we would care for those we love. We extend that sense of caring to every patient, resident and customer, as well as to each member of our team. We offer care at all stages of life, in hundreds of locations, giving you room to grow your career, along with great benefits and perks. At Riverside Health, your trust and safety are our top priorities. Unfortunately, job scams are on the rise across the country, and we want to help you feel confident in knowing what is — and is not — part of our hiring process. Learn more about how to recognize a legitimate Riverside job opportunity and what to do if you suspect a scam by visiting this site.

Central Intake Referral Coordinator (Non-Clinical).

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