Intake Coordinator (Bilingual)
New
E
Esperta HealthHome wound care
Workable workplace: remote. Workable locations: Nashville, Tennessee, United States. Dallas, Texas, United States. Houston, Texas, United States. San Antonio, Texas, United StatesFull-TimeJunior
Salary not disclosed
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Job Details
- Languages
- Bilingual fluency in English and Spanish, including the ability to communicate verbally with members and caregivers in both languages.
- Experience
- At least two years of experience in healthcare referral intake, patient access, eligibility verification, medical scheduling, care coordination, medical office administration, or a related healthcare setting.
- Required Skills
- Microsoft OfficeHIPAA
Requirements
- Have a high school diploma or equivalent.
- Have at least two years of experience in healthcare referral intake, patient access, eligibility verification, medical scheduling, care coordination, medical office administration, or a related healthcare setting.
- Have experience managing referral documents, inboxes, faxes, task queues, and follow-up workflows.
- Be able to work with patients, providers, health plans, and clinical teams.
- Be fluent in English and Spanish, including verbal communication with members and caregivers in both languages.
- Demonstrate strong written communication, data-entry accuracy, attention to detail, organization, and follow-through.
- Be able to manage high referral volumes and prioritize work based on urgency, referral aging, payor requirements, and readiness for service.
- Have working knowledge of HIPAA and appropriate handling of protected health information.
- Be proficient with Microsoft Office, Teams, electronic fax platforms, and web-based healthcare systems.
- Preferred: LPN, medical assistant, or other clinical or allied health background with strong administrative experience.
- Preferred: Experience with home-based care, wound care, home health, specialty care, or another field-based clinical model.
- Preferred: Experience with Medicare, Medicare Advantage, commercial health plans, eligibility, authorizations, and payor-specific referral requirements.
- Preferred: Experience with referral conversion, re-engagement, and non-conversion tracking.
Responsibilities
- Receive and process referrals after the Member Engagement handoff; monitor referral inboxes, secure messages, and incoming fax queues.
- Review referrals for required demographic, contact, insurance, clinical, provider, and scheduling information, and obtain missing or inconsistent details.
- Enter and maintain accurate referral and member information in BOP and other designated systems, including notes, status updates, task ownership, and disposition reasons.
- Confirm insurance and payor information, coordinate eligibility verification, and identify authorization, referral, and documentation requirements.
- Ensure required clinical records and wound information are available before referrals advance, and confirm member location and availability for in-home care.
- Track referrals through completed admission or final disposition and coordinate follow-up for canceled, unsuccessful, delayed, or unresolved referrals.
- Partner with Member Engagement, Patient Care Coordinators, and Regional Clinical Operations to support member re-engagement.
- Route referrals to the correct regional team, communicate status and next steps, and escalate clinical appropriateness, safety, and service eligibility questions to the appropriate leader.
- Report referral volume, pending items, conversion, and non-conversion trends, and identify intake process gaps.
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