Works under the supervision of the Central Intake Manager. Performs intake insurance verification and preauthorization and processing of all referrals for service lines within the Home Care Division. Elements required for above include data collection and clinical review of all referrals determination of referral acceptance based on established criteria attaining and remaining knowledgeable and current related to Medicare/Insurance reimbursement information and regulations knowledge of service lines and products and coordination of services. Provides exceptional customer service to all contacts by telephone in person and via electronic media.
Riverside Home Care provides the trained staff and complete array of specialized services to help you maintain your safety and independence, and we do it in the comfort of your very own home. Riverside Home Care offers home health, usually provided to individuals recovering from an illness, surgery or hospital stay, and short- or long-term in-home private care for assistance with everyday tasks like cooking and cleaning.
Education: Successful completion of an accredited school of practical nursing required.
Experience: Minimum of two years nursing experience with 1 year in Home Health preferred. Intake and insurance reimbursement experience preferred. Computer experience preferred.
Licensure/Certification: Licensed as a LPN in the state of Virginia with no restrictions required.