Full employer posting
The Intake Specialist serves as a patient advocate and allows access to life changing care for members of the community. Intake Specialists work within a collaborative team including physicians, providers, other intake specialists and many other members of a multidisciplinary team. The Intake Specialist gains career experience to develop and progress with a nationally recognized behavioral health leader.
Job Duties and
Evaluate incoming telephone inquiries to determine needs and offer a screening. Contact referents and/or family members to determine their perspectives of the patient’s needs. Understand how to use Rogers Behavioral Health (RBH)contracted insurance provider listing when making decisions regarding admissions of potential patient.
General knowledge of HIPAA and Emergency Medical Treatment and Active Labor Act (EMTALA) and how it related to admissions. Knowledge of all Rogers programs and services and the ability to explain to patients/families/referents. Demonstrate clear, accurate and timely use of case notes.
Interview patients and/or responsible representatives to obtain demographic and insurance information. Comply with needed metric collection to facilitate continuous improvement. Recognize cases that require involvement of Rogers outreach services or that provide an opportunity for outreach services.
Cases referred by a Rogers’ physician for outpatient treatment should be given to outreach for referrals. Explain insurance coverage to patients during the admission process and answer related questions. Involve the Manager in cases that require special attention due to the complex nature of the case.
Ability to communicate and coordinate transfer to and from Rogers. Develop working relationships with physicians to ensure an open line of communication regarding patients care utilization of insurance benefits and criteria for authorization by third-party payers. Communicate with members of the multi-disciplinary team, as needed, regarding documentation and clinical criteria to assist with reimbursement and third-party reviews and treatment issues.
Be available for on-call coverage as scheduled. Apply good practice principles to job duties. Use good communication skills and tact to deal effectively with third-party carrier representatives, professional staff members, Hospital management, and employees.
Use common sense in situations and respond appropriately in all communication modes (body language, verbal) to each patient, regardless of his/her behavior. Maintain a calm attitude and create a conducive atmosphere in difficult situations. Work cooperatively and supportively with Hospital staff.
Remain courteous and respectful to others during work interactions and be willing to work out problems on a one-on-one basis. Complete assignments and documentation on time. Take responsibility for and manage day-to-day problems, including implementation of treatment plans and completion of all documents.
Education/Training
High school diploma required. Anticipated Bachelor’s Degree required with graduation within 90 days of employment, preferably in human services Oconomowoc Only: Valid driver license preferred and must be granted insurable status by the Rogers insurance policy. The System also includes Rogers Behavioral Health Foundation, which supports patient care, programs, and research; and Rogers InHealth, an initiative that works to eliminate the stigma of mental health challenges. https://rogersbhfoundation.org/ EOE/MFDV Equal Employment Opportunity and Affirmative Action – Rogers Behavioral Health (rogersbh.org) With a career at Rogers, you can look forward to a Total Rewards package of benefits, including: Health, dental, and vision insurance coverage for you and your family 401(k) retirement plan Employee share program Life/disability insurance Flex spending accounts Tuition reimbursement Health and wellness program Employee assistance program (EAP) Through UnitedHealthcare, UMR and HealthSCOPE Benefits creates and publishes the Machine-Readable Files on behalf of Rogers Behavioral Health.
To link to the Machine-Readable Files, please visit Transparency in Coverage (uhc.com)
About the role
Intake Specialists work within a collaborative team including physicians, providers, other intake specialists and many other members of a multidisciplinary team.