SUMMARY:
The Intake Specialist serves as a patient advocate and allows access to life changing care for members of the community. Intake Specialists work within a collaborative team including physicians, providers, other intake specialists and many other members of a multidisciplinary team.
The Intake Specialist gains career experience to develop and progress with a nationally recognized behavioral health leader.
JOB DUTIES AND RESPONSIBILITIES:
Evaluate incoming telephone inquiries to determine needs and offer a screening.
Contact referents and/or family members to determine their perspectives of the patient’s needs.
Understand how to use Rogers Behavioral Health (RBH)contracted insurance provider listing when making decisions regarding admissions of potential patient.
General knowledge of HIPAA and Emergency Medical Treatment and Active Labor Act (EMTALA) and how it related to admissions.
Knowledge of all Rogers programs and services and the ability to explain to patients/families/referents.
Demonstrate clear, accurate and timely use of case notes.
Interview patients and/or responsible representatives to obtain demographic and insurance information.
Comply with needed metric collection to facilitate continuous improvement.
Recognize cases that require involvement of Rogers outreach services or that provide an opportunity for outreach services. Cases referred by a Rogers’ physician for outpatient treatment should be given to outreach for referrals.
Explain insurance coverage to patients during the admission process and answer related questions.
Involve the Manager in cases that require special attention due to the complex nature of the case.
Ability to communicate and coordinate transfer to and from Rogers.
Develop working relationships with physicians to ensure an open line of communication regarding patients care, utilization of insurance benefits and criteria for authorization by third-party payers.
Communicate with members of the multi-disciplinary team, as needed, regarding documentation and clinical criteria to assist with reimbursement and third-party reviews and treatment issues.
Be available for on-call coverage as scheduled.
Reviewer/Screener:
Provide clear case summary to on-call provider to provide recommendation for level of care.
Screener:
Provide accurate and complete clinical documentation on screening to support decisions for appropriate level of care for each patient.
Meet with patient during the admission process to educate him/her regarding the admissions process and ensure a seamless transition to the appropriate program.
Understanding of admissions paperwork and the ability to explain all forms to patients/guardians.
Obtain all signatures needed for admissions, including, patient rights, consent for Treatment Consent for the Release of Information, patient financial agreement, and all other admission forms.
Distribute/Scan all documents required for admissions; ensuring proper labels and make sure they are accurate and saved in Cerner.
Register patients in the Cerner system.
Coordinate admission with patient and/or responsible representative to include admission information, directions, and information about the program they will be entering.
EDUCATION/TRAINING REQUIREMENTS:
High School Diploma required. Bachelor’s Degree preferred, preferably in human services, experience in insurance procedures in a health care setting preferred.
Knowledge of medical terminology preferred.
Experience with computers and demonstrated proficiency with software programs.
Working knowledge of managed care environment, procedures and criteria.
Knowledge of psychiatric clinical criteria.
Familiarity with managed care, reimbursement system process and hospital utilization review is preferred.
Knowledge of medical/psychiatric/chemical dependency diagnosis, treatment process, and Joint Commission medical record standards. 8. Formal Crisis Prevention Institute (CPI) training is required within sixty (60) days of the date of hire. Annual re-certification is required.
Interpreting: To be eligible for interpret services within the admissions department for the purposes of completing screenings and coordinating admissions. This is not a job requirement for the intake specialist position.
Must pass pre-employment background and drug screen.
Must be fully vaccinated for COVID unless approved for a medical or religious exemption.
BENEFITS:
ABOUT ROGERS BEHAVIORAL HEALTH
Rogers Behavioral Health is a nationally recognized, not-for-profit provider of highly specialized psychiatric care. Rogers offers evidence-based treatment for children, teens, and adults with OCD and anxiety, addiction, depression and other mood disorders, eating disorders, trauma, and PTSD. Backed by more than a century of experience, Rogers is leading the way on measurement-based care and use of clinical outcomes. Rogers provides residential care and has three inpatient facilities located in southeastern Wisconsin. Rogers also offers outpatient services in a growing network of communities across the U.S.
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The System also includes Rogers Behavioral Health Foundation, which supports patient care, programs, and research; and Rogers InHealth, an initiative that works to eliminate the stigma of mental health challenges.
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For more information, visit rogersbh.org.
EOE/MFDV
Equal Employment Opportunity and Affirmative Action – Rogers Behavioral Health (rogersbh.org)
Required Skills Required Experience