Job Description

At Memorial Hermann, were about creating exceptional experiences for both our patients and our employees. Our goal is to provide opportunities for our diverse employee population that develop and grow careers in a team-oriented environment focused on patient care.

Every employee, at every level, begins their journey at Memorial Hermann learning about the history of the organization and its established culture built on trust and integrity. Our employees drive this culture, and we want you to be a part of it.

Job Summary

Position is responsible for responding to inquiries from subscribers, providers and the client.

Job Description

Referral Intake Coordinator - Home Health

*Full time, Monday Friday 9am-6pm

*3+ years Healthcare customer service experience required

*Home Health experience preferred

*Discharge planning & understanding of medical terminology

Minimum Qualifications

Education: High School Diploma or GED; some college preferred

Licenses/Certifications: (None)

Experience / Knowledge / Skills:

* Three (3) years Customer Service or Claims processing experience in a TPA or HMO environment
* Bilingual preferred
* Demonstrates commitment to the Partners-in-Caring process by integrating our culture in all internal and external customer interactions; delivers on our brand promise of we advance health through innovation, accountability, empowerment, collaboration, compassion and results while ensuring one Memorial Hermann.

Principal Accountabilities

* Efficiently and courteously responds to telephone inquiries from subscribers regarding benefit verification, claims issues, and eligibility.
* Interprets plan coverage for subscribers and providers to determine correct level of benefit coverage.
* Provides claim filing instructions when needed to subscribers and providers.
* Provides telephone assistance to subscribers and providers, and verifies eligibility as required.
* Promptly returns phone calls resulting from inquiries that require additional research.
* Efficiently enters data simultaneously while listening attentively.
* Provides a high degree of confidentiality/discretion and independent judgment.
* Keeps workstations stocked and organized at all times.
* Performs daily clerical duties, including sending faxes, making copies, and assisting in other areas.
* Efficiently makes requested changes (temporary address changes, ID card requests).
* Ensures safe care to patients, staff and visitors, adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.

* Promotes individual professional growth and development by meeting requirements for mandatory/continuing education, skills competency, supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor, and resource to less experienced staff.
* Other duties as assigned.