Intake Referral Representative - Full Time - Penn Medicine at Home

Description

Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.

Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?

Job Title: Intake Referral Representative

Department: Penn Home Infusion

Location: King of Prussia

Hours/Shift: M-F, Day shift, one Saturday every 3-4 months

Summary: Join our team at Penn Medicine as a Patient Intake and Authorization Coordinator! In this role, you'll be the first point of contact for patient referrals, ensuring a smooth admission process. You'll handle everything from obtaining prior authorizations to verifying insurance and communicating with patients, families, and healthcare providers. Your work will be crucial in providing top-notch care through Penn Home Infusion Therapy.

Key Responsibilities:

• Coordinate Admissions: Manage intake and admission activities for patient referrals, ensuring all necessary information is communicated to internal and external customers.
• Obtain Authorizations: Secure initial and ongoing prior authorizations for services, ensuring compliance with insurance requirements.
• Patient Registration: Register patients, verify insurance, and check benefits to provide accurate coverage information.
• Documentation: Maintain real-time documentation in Penn's EMR and ensure timely communication among patients, referral sources, and clinicians.
• Insurance Processes: Stay updated on new and changing insurance processes and consistently implement the Authorization Tracking process.

What You'll Do:

• Financial Qualification: Assess each referral for financial eligibility, negotiate pricing with payers, and obtain necessary approvals for charity care.
• CPR+ System Proficiency: Master the CPR+ Admission System, including patient data entry, insurance management, and troubleshooting.
• Insurance Assistance: Help patients understand their co-pays, deductibles, and financial obligations, and resolve issues related to limited financial resources.
• Ongoing Patient Support: Review and interpret payer guidelines, investigate alternative payment sources, and ensure accurate documentation for reimbursement.

Qualifications:

• Education: High School Diploma or GED required. An Associate's degree in Business Administration or a related field is preferred.
• Experience: At least 2 years of experience in billing, accounts receivable, insurance verification, pharmacy technician work, or home infusion.

We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.

Live Your Life's Work

We are an Equal Opportunity and Affirmative Action employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.