Company Overview
Three hospital health care system. DCH Regional Medical Center is the cornerstone of the DCH system. The 583-bed Regional Medical Center offers a variety of specialty units and advanced services, including cancer, cardiology, robotic and minimally invasive surgery, and the region's advanced trauma center. Northport Medical Center is a 204-bed community hospital that offers a full range of inpatient and outpatient services. The facility also operates important specialty services, including the DCH Rehabilitation Pavilion and North Harbor Pavilion for mental health. Fayette Medical Center, through a lease agreement with the DCH Health System, is a 61-bed rural hospital that offers the residents of Fayette County inpatient care, along with sophisticated diagnostic equipment, surgical techniques and specialty clinics. A 122-bed nursing home on site is fully accredited and licensed for intermediate and skilled nursing care.
Job details
Overview
The intake specialist is responsible for obtaining accurate information for each home medical equipment referral/order received based on the payers’ guidelines and specified criteria. The intake specialist will utilize the information listed in the Medicare Supplier Manual, the Local Coverage of Determination, the Articles and the Program Integrity Manual to determine the appropriate data to be collected and to ensure that all coverage and billing criteria is met. The intake specialist will determine when an Advance Beneficiary Determination is needed and will discuss all payment criteria with the patient prior to delivery. Major responsibilities include management of all equipment referrals, obtaining physician orders and certificates of medical necessity, verifying insurance and coverage criteria, gathering medical documentation to demonstrate medical necessity and initiation of an Advance Beneficiary Notice when appropriate. The intake specialist will provide requested additional documentation needed by CMS and work well with the other staff.
DCH Standards
- Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance evaluation.
- Performs compliance requirements as outlined in the Employee Handbook
- Must adhere to the DCH Behavioral Standards including creating positive relationships with patients/families, coworkers, colleagues and with self.
- Performs essential job functions in a manner that ensures the safety of patients, visitors and employees.
- Identifies and reduces unsafe practices that may result in harm to patients, visitors and employees.
- Recognizes and takes appropriate action to reduce risks and hazards to promote safety for patients, visitors and employees.
- Requires use of electronic mail, time and attendance software, learning management software and intranet.
- Must adhere to all DCH Health System policies and procedures.
- All other duties as assigned.
Other requirements
Must have BLS Healthcare Provider CPR within first 90 days of employment.
Required skills
Preferred skills
- Use basic technical and medical terminology appropriately
Required Credentials
Sensory requirement
PHYSICAL FACTORS
- Physical Activities: walking, talking, hearing, bending, twisting, stooping, lifting, kneeling, standing, sitting, crouching, or stooping with good balance for extended periods of time, grasping, pushing, pulling, repetitive motion, using hands to handle, control, or feel objects, tools or controls.
- Requirements:
- Light work. Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. If the use of arm and/or leg controls requires exertion of forces greater than that for sedentary work and the worker sits most of the time, the job is rated for light work.
- Must be able to perform the duties with or without reasonable accommodation.
- Hearing and vision must be normal or corrected to within normal range.
- Physical presence onsite is essential.
