Home Care Intake Specialist

hace 8 horas

Santiago de los Caballeros, Santiago, República Dominicana OSA Outsourcing Advantage A tiempo completo

Outsourcing Advantage is actively seeking a highly organized and detail-oriented Intake Specialist. The ideal candidate must have prior
home care intake experience.
Responsabilities

  • Process new referrals for Managed Long-Term Care (MLTC), Health Maintenance Organization (HMO), and Certified Home Health Agency (CHHA) cases across New York State
  • Identify case type and eligibility via Electronic Provider Assisted Claim Entry System (ePACES) and related systems
  • Schedule New York Independent Assessor Program (NYIA) clinical assessments and follow up on pending or failed assessments
  • Communicate with doctors, telehealth companies, and CHHAs to obtain required forms (e.g., M11Q, CHHA progress notes, Plan of Care (POC) forms)
  • Navigate and process cases in clients' software HHAeXchange, ensuring complete and compliant documentation
  • Communicate promptly and professionally with insurance plans regarding authorizations, start of care (SOC)s, and service continuation
  • Track pending cases, authorizations, and follow-ups daily to ensure timely activation
  • Support the intake department in coordination with marketing and transition teams

Requirements

  • Minimum Home Care Intake experience (required)
  • Working knowledge of HHAeXchange (required)
  • Familiarity with ePACES, NYIA, CHHA/MLTC processes, and home care documentation
  • Strong written and verbal communication skills
  • Exceptional organizational skills and the ability to manage multiple priorities with accuracy and speed
  • Analytical mindset and ability to identify trends, issues, and opportunities through data

Preferred Skills:

  • Familiarity with Medicaid, MLTC, and CHHA regulatory timelines (SOC, POC, authorizations)
  • Understanding of DOH documentation standards and managed care processes

*Hours
Full-time:*
Monday - Friday 9-5 EST

Benefits

  • Competitive salary
  • Opportunity to work on diverse and exciting projects
  • Supportive and collaborative work environment
  • Weekly payments
  • Weekends off
  • Hiring Bonus
  • Growth Opportunities
  • Earn bonuses for getting your friends hired
  • National holidays pay double the hourly rate

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