Intake Coordinator - Ambulatory - Northern Virginia

This position reports to the Practice Manager or Clinic Operations Manager. This hybrid position is responsible for ensuring workflow in the clinic and to provide administrative support both onsite and remote. Expected to triage and resource issues in the clinic and involve the manager as needed. Aids the department in meeting financial objectives, through authorization management of denials and submission of appeals. Provides training and mentoring to other employees within the department. Able to perform all functions of the Clinic Operations Representative. Position may be required to float to other locations/ROCS for coverage. Position geared to support complex, multi-specialty clinics intake and support.

Minimum Work Experience
4 years of related experience (Required)

Required Skills/Knowledge

• Excellent customer service skills.
• Experience in healthcare setting preferred and computer knowledge necessary.
• Excellent verbal, interpersonal, and telephone skills required.
• Knowledge of medical terminology and CPT-4/ICD-9 coding preferred.
• Detail oriented, organized individual with demonstrated ability to prioritize, problem-solve and follow through.
• Working knowledge of third-party payers, eligibility requirements and ability to discuss medical health benefits.
• Ability to make appropriate new patient assignments to clinician based on specialty clinic and/or refer to other medical health services both at Children's Hospital and other community resources.
• Should have knowledge of computer database entry.
• Knowledge of charge entry and/or front desk operations.

Functional Accountabilities

Insurance Authorization

* Verify insurance eligibility for anticipated services using any verification system (EVS, Envoy, MAMSI On-line, DIV A, ACEDS) and/or call insurance companies as appropriate.
* Coordinate patients, physicians and insurance companies to fulfill authorization requirements, facilitate document submission and communicate outcomes.
* Obtain authorization from insurance companies as appropriate, document authorization in Account Notes and appropriate fields.

Patient Services

* Obtain required clinical and financial information by conducting telephone intake; mail packet of information to families after initial phone intake; enter intake information into database.
* Greet patient, parent and staff in courteous and consumer-oriented manner; complete computer aided, on-line registration screen with parent/guardian via telephone or in person; schedule patient for appointment with physician, nurse or technical personnel using the on-line scheduling system.
* Discuss co-payment or payment-in-full requirements.

Patient Triage

* Appropriately triage treatment needs based on department guidelines.
* Refer requests to other medical services both at Children's National Medical Center and other community resources when appropriate based on departmental guidelines.
* Assign cases to intake staff by clinical specialty after receipt of packets.
* Monitor wait list and assignment of cases to clinicians.

Peer and Staff Training

* Provide expertise to peers throughout the institution regarding protocols governing their specific department.
* Train COR staff on insurance, registration and scheduling requirements for the patients in their department.
* Provide input to manager about the registration errors for ongoing training purposes.

Safety

* Speak up when team members appear to exhibit unsafe behavior or performance
* Continuously validate and verify information needed for decision making or documentation
* Stop in the face of uncertainty and takes time to resolve the situation
* Demonstrate accurate, clear and timely verbal and written communication
* Actively promote safety for patients, families, visitors and co-workers
* Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and
performance.