Intake Specialist in Niagara Falls, New York at Health System Services Ltd
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Job Description
Do you display Empathy, Passion, Integrity, and Commitment? If YES, join us at HSS, where we are passionate about healthcare and providing seamless services to our patients, referral partners, and colleagues.
This is more than just a job, it's an opportunity to help patients get the medical equipment they need to safely recover and remain at home. As an Intake Specialist, you'll play an important role by reviewing referrals, verifying insurance, and preparing orders so patients can receive the care they need as quickly and smoothly as possible.
About the Position
As an Intake Specialist, you'll manage incoming referrals for Durable Medical Equipment (DME). You'll review documentation, verify insurance coverage, confirm patient eligibility, and accurately enter orders into our system. Working closely with physicians, referral sources, insurance providers, and internal teams, you'll help ensure every order is processed accurately and efficiently.
In This Role, You Will:
- Review incoming referrals to ensure all required documentation is complete andaccurate.
- Communicate with physicians, referral sources, insurance companies, and patients to obtain missing information.
- Verify insurance eligibility, benefits, and coverage using payer portals and verification systems.
- Initiate and monitor prior authorizations when required.
- Confirm medical necessity and patient qualification according to payer guidelines.
- Accurately enter patient demographics, prescriptions, diagnosis codes, HCPCS codes, and billing information into the ERP system.
- Ensure documentation meets payer requirements and internal compliance standards.
- Collaborate with billing, documentation, customer service, and operations teams to ensure a smooth handoff for order fulfillment.
- Maintain accurate records of insurance verification, authorizations, and qualification details.
- Meet productivity and quality standards while maintaining exceptional attention to detail.
- Provide backup support for walk-in patients by answering questions related to referrals, orders, and documentation.
- Protect confidential patient information and maintain HIPAA compliance.
- Contribute to process improvements and support department initiatives.
What We're Looking For
- High school diploma or equivalent required; Associate degree preferred.
- 1–3 years of experience in healthcare insurance verification, medical billing, or related field required.
- Previous experience with Durable Medical Equipment (DME) intake is strongly preferred.
- Experience verifying insurance benefits and obtaining prior authorizations required.
- Proficiencywith Microsoft Office and ERP or order management systems.
- Ability to multitask and prioritize in a fast-paced healthcare environment.
- Strong attention to detail with excellent organizational skills.
Qualifications for Success
- Compassionate and patient-focused approach.
- Excellent verbal and written communication skills.
- Strong critical thinking and problem-solving abilities.
- Highly organized with exceptional attention to detail.
- Ability to work independently while collaborating with a team.
- Professional, positive, and dependable demeanor.
- Commitment to providing outstanding customer service to patients, referral partners, and coworkers.
What You Get - Benefits That Go Beyond the Basics
- Comprehensive Health Coverage - Medical, Dental, and Vision insurance to keep you and your family well
- Future-Ready Retirement Plan - 401K with 3% company contribution after one yearand1,000 hoursworked
- Time to Recharge - Generous PTO, Vacation, and 9 Paid Holidays
- Extra Support When You Need It - Short Term Disability (optional) and Company-Paid Long-Term Disability and Free Confidential Employee Assistance Program
- Be Part of Something Bigger - Join an organization that values giving back through community programs
Compensation
$20.00 - $23.00 per hour
Shift
Monday - Friday, 8:30am to 5:00pm
Location
Wheatfield, NY