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Central Intake Coordinator

Company Description

MGA 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 Description

Reports 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 Communication
    • Handles 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 manner
    • Informs location staff of received referral/s with full details on deductible, coinsurance and copay.
    • Adheres to the rules regarding confidentiality of HIPAA protected health information
    • Assists with the identification and reporting of potential quality management and non-coverage issues
    • Communicates with relevant parties to obtain authorization of home health services, initial and ongoing
    • Interfaces with providers/office staff/clinical staff/caregivers for the purpose of attaining additional information required for authorization approval
    • Provides direct support regarding utilization, authorization, and referral activities
    • Contacts providers and families with authorization, denial, and appeals process information
    • Completes monthly authorization expiry reports and informs location of upcoming renewals
    • Completes any and all changes to health insurance in KanTime
  • Verification
    • Verifies 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 month
    • Reports all discrepancies to the Director of Clinical Services, Director of Therapy, Account Manager, and Director of Central Intake
  • Insurance knowledge experience
    • General knowledge of state Medicaid plans, private insurance plans, Medicare and Veteran Affairs
  • Performs all other duties assigned by Director of Central Intake
  • Supports and executes the mission, ethics, and goals of the company effectively
  •  Represents themselves in a positive and professional manner in the company and community
    • Adheres to dress code with a clean and neat professional appearance
    • Reports on time and as scheduled to complete work within designated time
    • Adhere to all company policies and procedures outlined in Employee Handbook, Employee Agreement, or communicated from executive team

Qualifications

  • High School Education- Associates Degree preferred
  • Must have insurance experience
  • Home health experience preferred but not required 
  • Exceptional Customer Service
  • Must be detailed oriented
  • Familiarity with ICD-10 coding
  • Able to work independently
  • Able to work remotely
  • Ability to perform basic to intermediate applications with Excel
  • Strong verbal and written communication skills (Additional languages preferred)
  • 1+ year experience in a clinical environment preferred
  • Requires in depth knowledge of benefits and authorizations
  • Proficient use of standard computer programs for data entry and data organization

Additional Information

Benefits are available to eligible employees on the first of the month after 30 days of employment and include:

  • Health, Dental & Vision Coverage
  • Health Savings Accounts 
  • Flexible Spending Accounts (FSA & LPFSA)
  • Dependent Care Reimbursement Accounts (DCRA)
  • Employee Assistance Program 
  • 401(k) retirement plan
  • Paid Time Off (PTO)
  • 100% Company Paid Basic Life Insurance (if enrolled in Health plan)
  • Voluntary Life Insurance
  • Short & Long-Term Disability
  • Critical Illness/Accident Insurance
  • Hospital Indemnity Insurance
  • Identity Protection Plan
  • Legal Care Plan
  • Pet Discount Program

All your information will be kept confidential according to EEO guidelines.

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CEO of MGA Homecare
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W. Bradley Bennett
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Average salary estimate

$50000 / YEARLY (est.)
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$40000K
$60000K

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What You Should Know About Central Intake Coordinator, MGA Homecare

As a Central Intake Coordinator at MGA Homecare, located in sunny Phoenix, AZ, you’ll play a vital role in enhancing the lives of our patients and their families. In this position, you’ll be the first point of contact for patients and caregivers, handling daily patient referrals and ensuring that all necessary information is gathered for effective service coordination. You will navigate the complexities of insurance verification and authorization to guarantee that our clients receive the care they need without any hassle. MGA Homecare has built a reputation for delivering compassionate, high-quality clinical care in home settings, and your role will be instrumental in upholding this commitment. You will be working closely with clinical staff, caregivers, and various referral sources to gather essential information, all while adhering to HIPAA regulations and maintaining a high standard of confidentiality. With responsibilities such as verifying eligibility for services and keeping track of authorization processes, you’ll be making a direct impact on the smooth admission and ongoing support of our patients. This role not only requires your keen attention to detail and insurance knowledge but also demands excellent communication skills, allowing you to connect with families and ensure they are informed every step of the way. If you thrive in a dynamic environment and are passionate about making a difference, MGA Homecare offers you the perfect platform to shine as a Central Intake Coordinator.

Frequently Asked Questions (FAQs) for Central Intake Coordinator Role at MGA Homecare
What does a Central Intake Coordinator do at MGA Homecare?

A Central Intake Coordinator at MGA Homecare is responsible for managing the intake process of new patients, verifying insurance eligibility, and handling referrals to ensure that patients receive the necessary services. They gather vital information, coordinate care, and ensure compliance with HIPAA regulations, all while providing exceptional customer service and support to families.

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What qualifications are needed for the Central Intake Coordinator position at MGA Homecare?

To qualify for the Central Intake Coordinator role at MGA Homecare, candidates typically need a high school diploma, with an associate degree preferred. Additional requirements include insurance experience, a strong familiarity with Medicare and Medicaid processes, excellent communication skills, and attention to detail. Home health experience is advantageous but not mandatory.

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What is the work environment like for a Central Intake Coordinator at MGA Homecare?

MGA Homecare offers a supportive and collaborative work environment for Central Intake Coordinators. The role may include remote work flexibility and involves regular communication with clinical staff, caregivers, and patients to facilitate quality care. The company promotes a culture of compassion and integrity, making it a great place to grow professionally.

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How does the Central Intake Coordinator contribute to patient care at MGA Homecare?

The Central Intake Coordinator plays a crucial role in patient care by ensuring a seamless transition into home health services. They verify insurance, handle referrals, and communicate relevant information to both patients and providers. By managing these processes efficiently, they help to minimize delays and enhance the overall patient experience.

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What benefits does MGA Homecare offer to Central Intake Coordinators?

MGA Homecare provides a comprehensive benefits package for eligible employees, including health, dental, and vision coverage, a 401(k) retirement plan, paid time off, and various insurance options. Employees are also offered flexible spending accounts, identity protection plans, and opportunities for financial wellness.

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Can a Central Intake Coordinator work remotely at MGA Homecare?

Yes, MGA Homecare supports remote work for the Central Intake Coordinator position, providing flexibility while allowing employees to manage patient referrals and insurance verifications effectively. This adaptability ensures that coordinators can maintain productivity across different working environments.

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What skills are essential for a Central Intake Coordinator at MGA Homecare?

Essential skills for a Central Intake Coordinator at MGA Homecare include excellent verbal and written communication skills, attention to detail, familiarity with insurance processes, and the ability to work independently. Proficiency in data entry and organizational skills are also important for maintaining patient records and ensuring care coordination.

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Common Interview Questions for Central Intake Coordinator
How do you manage multiple patient referrals and ensure timely processing as a Central Intake Coordinator?

To manage multiple referrals efficiently, prioritize tasks based on urgency and deadlines. Implement organized tracking systems, such as spreadsheets or digital tools, to monitor referral statuses. Communicate proactively with staff and caregivers to gather required information quickly, ensuring timely processing and patient satisfaction.

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Can you describe your experience with insurance verification and authorization processes?

My experience with insurance verification is grounded in verifying eligibility and understanding the nuances of various insurance plans. I efficiently gather necessary information, confirm coverage details, and work closely with clinical teams to address any authorization issues, ensuring a seamless admissions process for patients.

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What strategies do you use to ensure patient confidentiality and HIPAA compliance?

To ensure HIPAA compliance, I strictly adhere to confidentiality protocols by sharing sensitive information only with authorized personnel. Regularly training on privacy policies, promptly reporting any potential breaches, and utilizing secure communication methods are also vital strategies I implement to protect patient data.

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How do you handle discrepancies in insurance information or patient data?

Handling discrepancies involves proactive communication with the relevant parties to clarify and resolve issues. I take immediate action to verify and correct any incorrect information while documenting all changes made. Keeping detailed records allows for transparency and traceability of the actions taken.

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Describe a time when you had to resolve a complex issue with a referral source.

I once encountered a situation where there was conflicting information regarding patient eligibility from two different sources. I initiated communication with both parties, carefully reviewing each piece of information. After validating the correct details, I presented a solution, gaining trust from both sides and ensuring the patient’s timely admission.

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What do you see as the key qualities of a successful Central Intake Coordinator?

Key qualities include strong communication skills, attention to detail, and an empathetic approach. A successful coordinator must also be organized and proactive in problem-solving while remaining adaptable to the fast-paced environment inherent in home health care.

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How do you prioritize tasks when handling multiple referrals at the same time?

When managing multiple referrals, I assess the urgency and complexity of each case and prioritize based on deadlines and patient needs. Utilizing task management tools helps me track progress and deadlines, ensuring no tasks are overlooked while maintaining quality customer service.

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What is your experience with home health care systems or software?

I have experience using various home health management software, including KanTime, which streamlines the intake process and documentation requirements. Proficient in data entry, I can quickly input and update patient information, contributing to efficient operations and compliant records.

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Why is customer service important in the role of a Central Intake Coordinator?

Customer service is critical for a Central Intake Coordinator as you are often the first point of contact for patients and families during a stressful time. Providing empathetic support and clear communication reassures families and builds trust, fostering a positive relationship with the healthcare system.

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How do you stay updated on changes in insurance policies and regulations?

Staying informed involves regularly reading industry publications, attending relevant training sessions, and participating in professional groups focused on insurance and healthcare regulations. Networking with colleagues also provides insights into changes that may affect our processes and patient care.

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MGA Homecare provides exceptional services, resources, and support to families navigating in-home care for children with specialized medical needs.

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DATE POSTED
November 29, 2024

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