Intake Liaison, Mount Sinai

What We Provide

• Referral bonus opportunities
• Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays
• Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability
• Employer-matched retirement saving funds
• Personal and financial wellness programs
• Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care
• Generous tuition reimbursement for qualifying degrees
• Opportunities for professional growth and career advancement
• Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities
• Interdisciplinary network of colleagues through the VNS Health Social Services Community of Professionals.

What You Will Do

• Reviews patient information referred to VNS Home Care to determine initial appropriateness for admission and recommends acceptance or rejection of patients based on Agency's admission criteria. Collaborates with onsite HCC or Clinical Intake Manager as needed.
• Obtains patient insurance and payment information from various sources and submits requested information to Revenue Cycle Department (RCD) for home care authorization. Verifies insurance information and coordinates acceptance of cases with Managed Care. Informs patients/family member of sources(s) and extent of coverage. Interprets reimbursement and coverage issues to hospital staff and patients and determines appropriate charitable care fund utilization.
• Meets with the patient and/or family, and advocates for VNS's Home Care services. Interviews patient/family and confirms demographics and other information (i.e. discharge date, medications, allergies etc.). Provides patient and family members with information as to how to contact VNS Health between time of hospital discharge and initial home visit.
• Compiles patient demographic information using medical records, medical database, patient interviews, hospital staff and other sources, for all types of cases, and works with VNS Health team members to ensure a safe initial discharge home. Recommends an initial home plan of care (POC) for appropriate patients, using established protocols and standards.
• Collaborates with regional operations management and VNS Health nursing staff to ensure that the Agency is ready to meet patients' needs at the time of discharge. With RN, assesses appropriateness of requested services, medical supplies and DME, to ensure optimal patient outcomes. Confirms that appropriate supplies and/or medical equipment are readily available in patients' homes prior to discharge
• Establishes and promotes an ongoing collaborative relationship between the Agency and/or other facilities, direct care givers, physicians, nurses, discharge planners, case managers, social workers, etc. to ensure coordination of appropriate referrals.
• Determines customer needs and provides accurate and responsive intake to ensure customer satisfaction. Provides appropriate handoff of information to team members to support a safe and effective discharge for the patient.
• Requests appropriate referrals from customers.
• Represents VNS Health at institution and community programs and functions. Markets VNS Health programs/services by providing information through promotions, lectures, health fairs, etc.
• Provides educational resources to the institution concerning appropriate home care services, and community resources. Interprets governmental regulations regarding home health care.
• Participates with the implementation of clinical initiatives or pilot projects within assigned accounts.
• Participates in the orientation of new Intake and other Agency staff as requested. Participates in regional team meetings as needed.
• Assumes responsibility for professional growth to optimize skills.
• Participates in special projects and performs other duties as assigned.

Education:

• Bachelor's Degree in Health Care, Business or a related field or the equivalent work experience required

Work Experience:

• Ability to commute onsite to the hospital
• Minimum of two years of customer service experience in the medical field (i.e. hospital, long term care, home care setting, or medical office) required
• Ability to understand medical terminology required
• Experience entering data, navigating and retrieving information through a mainframe or similar computer system required
• Ability to adapt to change and work in a team-based environment required
• Demonstrated ability to be persuasive, negotiate to win-win outcomes and provide exceptional customer service required
• Demonstrated capability to gain commitment, build rapport with others (patients, families, physicians, clinicians, institutions etc.) required
• Strong follow up skills, as well as the ability to manage multiple priorities required
• Knowledge of managed care, Medicare/Medicaid and insurance authorization/billing preferred
• Bilingual skills may be required, as determined by operational needs.