Home Health Referral/Intake Specialist

The Referral/Intake Specialist is responsible for managing all aspects of the patient intake process for home health services. This role includes receiving and reviewing referrals, ensuring PDGM-appropriate coding, verifying insurance benefits, securing initial authorizations, and coordinating patient scheduling with clinical staff to initiate the admission process.

The Referral/Intake Specialist serves as a key point of contact for referral sources, patients, and internal teams, ensuring timely communication and a seamless transition of patients into home health services.

Essential Job Functions and Responsibilities

1. Manage daily patient referral and intake operations in compliance with established intake policies and procedures.

2. Review and process incoming referrals, ensuring documentation accuracy and appropriate PDGM coding requirements.

3. Verify patient insurance eligibility and benefits, and obtain required prior authorizations to support service delivery.

4. Ensure compliance with all applicable state, federal, and ACHC referral and intake regulatory requirements.

5. Coordinate scheduling with clinical staff to ensure timely initiation of patient admissions and continuity of care.

6. Facilitate a seamless transition of patients into home health services by supporting patient education, initiating the plan of care, and coordinating services among interdisciplinary providers.

7. Maintain strong relationships with current and prospective referral sources through professional communication and responsive service.

8. Monitor insurance verification and authorization processes to support maximum third-party reimbursement.

9. Maintain a thorough understanding of Dependable Health Services’ contractual relationships and ensure patient admissions align with contract provisions.

10. Maintain knowledge of available community resources and assist referral sources in identifying alternative services when care cannot be provided by Dependable Health Services.

The responsibilities listed above represent the primary duties of this role but are not intended to be an exhaustive list. Additional job-related duties may be assigned as needed.

Position Qualifications

1. Healthcare experience required in home health operations or intake coordination.

2. Strong communication, interpersonal, and public relations skills.

3. Demonstrated ability to work independently while maintaining organization, flexibility, and attention to detail.

4. Ability to prioritize tasks and manage multiple responsibilities in a fast-paced environment.

5. Bilingual candidates are preferred.

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