About Us
McLaren Health Care is a fully integrated health network committed to quality, evidence-based patient care with locations in Michigan and Indiana. The McLaren system includes 13 hospitals in Michigan, ambulatory surgery centers, imaging centers, a primary and specialty care physician network, commercial and Medicaid HMOs, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network and a wholly owned medical malpractice insurance company. McLaren operates Michigan’s largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, one of only 53 National Cancer Institute-designated comprehensive cancer centers in the U.S.
Intake Representative
Position Summary: Ensures that requests for services and procedures are processed in an effective and efficient manner. Completes the intake process which may include coordination of services, data entry of referral information, general inquiries, and other referral and reimbursement issues. Provides a positive experience for the customer and maintain defined service standards.
Essential Functions and Responsibilities:
1. Coordinates agency referrals and inquiries, document and process all paperwork for patient care services, with accuracy and timeliness.
2. Provides accurate information regarding agency and community services that may meet client/family needs.
3. Ensures continuity of care for all clients admitted to the agency by coordinating with appropriate personnel including hospital discharge planners, physicians, client/families, staff and agencies to which clients are referred.
4. Interprets and educates clients, families, health care providers and staff on the financial aspects of coverage for services. Communicates with fiscal intermediaries, hospitals, physicians, other agencies, or patients as necessary to obtain and/or provide billing information.
5. Reviews insurance related reports indicating eligibility status and assists with obtaining and coordinating authorization for services and communicating with staff as needed.
6. Triages incoming clinical calls and coordinates services with other departments.
7. Provides excellent customer service skill and continuously work to improve skills and provide recommendations to improve department
8. Participates in continuous quality improvement activities as directed by department manager.
9. Performs other related duties as required and directed.
Qualifications:
Required
- High school diploma or GED.
- Experience with MS Office and related computer programs.
Preferred:
· Associate degree or completion of college courses.
· Formal customer service skill training.
· Two years related experience in managed care and home health.
Equal Opportunity Employer
McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status, national origin, disability, genetic information, height or weight, protected veteran or other classification protected by law.
