Sprx Intake Coordinator I

Position Summary

The SPRx Intake Coordinator I is responsible for the acceptance, processing, and coordination of all referrals for patient care services. Determines eligibility and benefits for new referrals or readmissions, obtains authorizations and secures financial obligations for new admissions or readmissions. Coordinates with SPRx Care Coordinators to initiate patient care services.

Essential Functions and Duties

• Answers telephones utilizing appropriate etiquette and speaks to referral sources, patients, family members, clinicians and payors.
• Initiates the intake process gathering relevant data from the referral source required to admit patient to NuFactor services.
• Notifies departments of new referrals and coordinates information amongst referral sources, clinicians and sales. Provide appropriate documentation to clinical departments for initiation of services.
• Determines patients' financial obligation, out of pocket expenses and copays. Contacts patients prior to start of services to discuss financial obligations and make arrangements for payments.
• Completes start of care paperwork for patient signature i.e., consent, PHI release, advanced beneficiary notice as required prior to initiation of services and tracks the return of signed copies within NuFACTOR system of record.
• Enters complete referral information into NuFACTOR system of record. Enters all communications and updates in assessments and notes while admitting patients for service.
• Complies with all NuFactor policies and procedures and compliance requirements when engaging in activities related to the company.
• Adheres specifically to all company policies and procedures, Federal and State regulations and laws.
• Display dedication to position responsibilities and achieve assigned goals and objectives.
• Represent the Company in a professional manner and appearance at all times.
• Understand and internalize the Company's purpose; Display loyalty to the Company and its organizational values.
• Display enthusiasm and dedication to learning how to be more effective on the job and share knowledge with others.
• Work effectively with co-workers, internal and external customers and others by sharing ideas in a constructive and positive manner; listen to and objectively consider ideas and suggestions from others; keep commitments; keep others informed of work progress, timetables, and issues; address problems and issues constructively to find mutually acceptable and practical business solutions; address others by name, title, or other respectful identifier, and; respect the diversity of our work force in actions, words, and deeds.
• Comply with the policies and procedures stated in the Injury and Illness Prevention Program by always working in a safe manner and immediately reporting any injury, safety hazard, or program violation.
• Ensure conduct is consistent with all Compliance Program Policies and procedures when engaging in any activity on behalf of the company. Immediately report any concerns or violations.
• Other duties as assigned.

Education, Knowledge, Skills and Experience

Required Education:

• High School diploma or equivalent required.

Preferred Knowledge:

• One (1) year health care related experience in a pharmacy, home healthcare, infusion related setting or hospital is preferred.

Preferred Experience:

• Benefit verification and prior authorizations for specialty medications.

Required Skills:

• Must have strong organizational skills.
• Must have a detail orientation and the proven ability to prioritize work.
• Must have effective verbal and written communication skills.
• Must have the ability to work with limited supervision and as part of a team.
• Sound decision-making abilities

Preferred Skills:

• Knowledge of medical and pharmacy terminology and calculations, general pharmacy dispensing requirements, including identification of items requiring prescription and valid prescribing data.
• Excellent verbal and written communication skills and the ability to interact effectively with patients, co-workers and management.
• Ability to work with a high degree of accuracy in an organized, detail-oriented manner with appropriate follow-up when required.
• Ability to communicate effectively and at the appropriate level with healthcare professionals and peers.
• Ability to prioritize work and make decisions independently and effectively, often quickly in response to dynamic patient needs, with limited supervision and direction, except where required/restricted by law.
• Working knowledge of state, federal and Joint Commission guidelines/regulations/laws.
• Ability to exercise discretion and maintain confidentiality to the level of required HIPAA standards.
• Ability to use and understand Microsoft Office skills and internet technologies.

Professional Certification:

• None

Physical requirements

Vision, hearing, speech, movements requiring the use of wrists, hands and/or fingers. Must have the ability to view a computer screen for long periods and the ability to sit for extended periods. Must have the ability to work the hours and days required to complete the essential functions of the position, as scheduled. Must have the ability to lift and maneuver items of at least 20 lbs. Must have the ability to travel occasionally. Working condition include normal office setting.

Mental Demands

Learning, thinking, concentration and the ability to work under pressure, particularly during busy times. Must be able to pay close attention to detail and be able to work as a member of a team to ensure excellent customer service. Must have the ability to interact effectively with co-workers and customers, and exercise self-control and diplomacy in customer and employee relations' situations. Must have the ability to exercise discretion as well as appropriate judgments when necessary. Must be proactive in finding solutions.

Direct Reports

None

EEO/AAP Statement

FFF Enterprises/ NuFactor is an equal opportunity employer to all and prohibits discrimination and harassment based on the following characteristics: race, color, caste, religion, religious creed (including religious dress and grooming practices), national origin, ancestry, citizenship, physical or mental disability, medical condition (including cancer and genetic conditions), genetic information, marital status, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), gender, gender identity, gender expression, age (40 years and over), sexual orientation, veteran or military status, medical leave or other types of protected leave (requesting or approved for leave under the Family and Medical Leave Act or any state protected leaves), domestic violence victim status, political affiliation, reproductive health decision-making, and any other characteristic protected by state or federal anti-discrimination law covering employment. These categories are defined according to Government Code section 12920. The Company prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has or is perceived as having any of those characteristics.