Admissions Intake Clerk

Description

• Comprehensive Medical, Dental and Vision Insurance (as low as $13.33/pay)
• Paid Time Off
• Free Virtual Care – Telemedicine
• 401k with company match
• Referral Bonuses
• Life Insurance
• Make a difference in the lives of others!
• We are growing and that means more opportunities

• Collect accurate patient information, including demographics, payor information and insurance providers from a variety of sources including electronic client database, eligibility websites, and our own customer database.
• Ensure timely input of information into our pharmacy fulfillment software based on information to assure on-time fulfillment of prescription to the patient.
• Communicate efficiently and effectively with team members, pharmacists, nursing facility staff and insurance companies.
• Triage accounts by patient demographic and insurance information.
• Coordinate discharge processes within pharmacy software system when appropriate.
• Accurately update profiles upon discharge, including the handling of billing medications filled on or after day of discharge.
• Research system for member eligibility. Create and record patient and insurance information.
• Adhere to the departmental processes associated with the documentation and review of insurance information.
• Escalate issues pertaining to workflow to Intake Manager.
• Call provider or facility for any additional information necessary to the creation of an account to update regarding member eligibility, and to provide them with the information as indicated.
• Actively contributes to the evaluation and continuous improvement of client services, policies, and procedures.
• The ability to adhere to Clarets’ Code of Conduct, follow Clarest Compliance policies and procedures, and report any suspected violations of any federal or state laws to either their direct supervisor, Human Resources, or the Compliance Officer
• All other responsibilities as assigned by the manager to support these and other responsibilities in the department.
• The ability to adhere to Clarest’s Code of Conduct, follow Clarest Compliance policies and procedures, and report any suspected violations of any federal or state laws to either their direct supervisor, Human Resources or the Compliance Officer   

• High school diploma or equivalent, required.
• Knowledge of Medicare Part D, Medicaid, and Commercial insurances, required.
• Intermediate knowledge of Microsoft Outlook, and Teams, required.
• Intermediate experience with Framework LTC and DocuTrack preferred.
• Ability to maintain confidentiality including but not limited to HIPPA.

• Critical thinking and problem-solving skills, required.
• Ability to multi-task and prioritize in a fast-paced environment.

• Ability to handle a high number of accounts per day.
• Courteous, empathic, and professional demeanor, a team player.
• Strong communication, interpersonal, and organizational skills.
• Receptive to feedback, willing to learn, embracing continuous improvement.
• Ability to make decisions in alignment with Clarest core values.
• Ability to evaluate process path based off information obtained from insurance or another payer.
• Responsible for managing queue of workload and reporting any concerns to leadership.