Intake Specialist

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Work Shift:

Pay Range:

The pay range for this position is listed below. Actual pay rate dependent upon experience.

Position Highlights

Opportunity to work remote upon the completion of 6-12 months of onsite training in Sioux Falls SD.

You Belong at Avera

Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.

• Serves as primary intake person for incoming requests for multiple sites and appropriately screens incoming referrals and responds in priority levels as set forth by the Access Services Manager.
• Registers the patient in the computer system utilizing multiple resources to gather information. Forwards multi-discipline orders to appropriate sites and completes any other necessary steps to facilitate a timely hand-off.
• Completes insurance eligibility and benefit verification gathers medical necessity documentation and negotiates pre-authorization as necessary.
• Maintains current knowledge base of all payers unique rules/regulations coverage criteria payer contracts and in-network providers.
• Reviews documentation and determines medical necessity coverage per specific payer guidelines and completes Advance Beneficiary Notices (ABN)/waivers when required.
• Maintains an up-to-date knowledge of products and services and coverage area.
• Utilizes workflow software to track all orders for the purpose of performance productivity responsiveness and quality standards and productively participates in continuous quality improvement efforts to streamline workflows so as to maximize effectiveness and efficiency.
• Ensures compliance with state federal and accreditation regulatory requirements.
• Achieves and maintains a thorough knowledge base of the platform to include ongoing upgrades and assist in the planning and application of the system as well as staff education to assure maximum utilization of the system aimed at cost effective and quality services.
• Assists in the development of new programs and project coordination relevant to data collection for productivity outcomes referral tracking and benchmarking.

• High School or GED Equivalent

• Certificate from college or technical school or 3-6 months experience and/or training

• Commitment to the daily application of Averas mission vision core values and social principles to serve patients their families and our community.
• Promote Averas values of compassion hospitality and stewardship.
• Uphold Averas standards of Communication Attitude Responsiveness and Engagement (CARE) with enthusiasm and sincerity.
• Maintain confidentiality.
• Work effectively in a team environment coordinating work flow with other team members and ensuring a productive and efficient environment.
• Comply with safety principles laws regulations and standards associated with but not limited to CMS The Joint Commission DHHS and OSHA if applicable.

Benefits You Need & Then Some

Avera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced healthy lives. Benefits are designed to meet needs of today and into the future.

• PTO available day 1 for eligible hires.

• Up to 5% employer matching contribution for retirement

• Career development guided by hands-on training and mentorship

Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race color religion sex national origin disability Veteran Status or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application please call 1- or send an email to .