Summary:

The Intake Specialist serves as a patient advocate and allows access to life changing care for members of the community. Intake Specialists work within a collaborative team including physicians, providers, other intake specialists and many other members of a multidisciplinary team.

The Intake Specialist gains career experience to develop and progress with a nationally recognized behavioral health leader.

Job Duties and Responsibilities:

• Evaluate incoming telephone inquiries to determine needs and offer a screening.
• Contact referents and/or family members to determine their perspectives of the patient’s needs.
• Understand how to use Rogers Behavioral Health (RBH)contracted insurance provider listing when making decisions regarding admissions of potential patient.
• General knowledge of HIPAA and Emergency Medical Treatment and Active Labor Act (EMTALA) and how it related to admissions.
• Knowledge of all Rogers programs and services and the ability to explain to patients/families/referents.
• Demonstrate clear, accurate and timely use of case notes.
• Interview patients and/or responsible representatives to obtain demographic and insurance information.
• Comply with needed metric collection to facilitate continuous improvement.
• Recognize cases that require involvement of Rogers outreach services or that provide an opportunity for outreach services. Cases referred by a Rogers’ physician for outpatient treatment should be given to outreach for referrals.
• Explain insurance coverage to patients during the admission process and answer related questions.
• Involve the Manager in cases that require special attention due to the complex nature of the case.
• Ability to communicate and coordinate transfer to and from Rogers.
• Develop working relationships with physicians to ensure an open line of communication regarding patients care, utilization of insurance benefits and criteria for authorization by third-party payers.
• Communicate with members of the multi-disciplinary team, as needed, regarding documentation and clinical criteria to assist with reimbursement and third-party reviews and treatment issues.
• Be available for on-call coverage as scheduled.
• Reviewer/Screener:
• Provide clear case summary to on-call provider to provide recommendation for level of care.
• Screener:
• Provide accurate and complete clinical documentation on screening to support decisions for appropriate level of care for each patient.
• Meet with patient during the admission process to educate him/her regarding the admissions process and ensure a seamless transition to the appropriate program.
• Understanding of admissions paperwork and the ability to explain all forms to patients/guardians.
• Obtain all signatures needed for admissions, including, patient rights, consent for Treatment Consent for the Release of Information, patient financial agreement, and all other admission forms.
• Distribute/Scan all documents required for admissions; ensuring proper labels and make sure they are accurate and saved in Cerner.
• Register patients in the Cerner system.
• Coordinate admission with patient and/or responsible representative to include admission information, directions, and information about the program they will be entering.

Requirements:

• High School Diploma required; bachelor’s degree preferred in human services. Minimum of 2 years’ experience in a health care setting, HIM, admissions, or billing preferred. Customer service experience required.
• One full year in a previous Intake Specialist role.
• Demonstrates the following qualities: reliable, dependable, and good customer service skills as evidenced by managing time efficiently, showing up to work on time, prepared, working independently without constant need of supervision, handling challenging callers with ease.
• No disciplines in the past 12-month period.
• Demonstrates ability to handle higher volume while still providing quality in work performed.
• Performs customer service with difficult callers and helps navigate the situation without the help of lead or manager.
• Working knowledge of managed care environment, procedures and criteria.
• Knowledge of psychiatric clinical criteria.
• Familiarity with managed care and reimbursement system process. Previous hospital utilization review experience is preferred.
• Knowledge of medical/psychiatric/chemical dependency diagnosis, treatment process, and Joint Commission medical record standards.
• Formal Crisis Prevention Institute (CPI) training is required within sixty (60) days of the date of hire. Annual re-certification is required.
• Interpreting: To be eligible for interpret services within the admissions department for the purposes of completing screenings and coordinating admissions. This is not a job requirement for the intake specialist position.
  • Must be fluent in source and target language.
  • Interpreter is only to function in the role as an intake specialist.
  • All Admitting policies and procedures apply.
  • Maintain certification as an interpreter for the specified language.
• Valid driver license preferred, and must be granted insurable status by the Rogers Memorial Hospital insurance policy.
• Must pass pre-employment background and drug screen
• Must be fully vaccinated for COVID unless approved for a medical or religious exemption

Benefits:

• Comprehensive benefits package (medical, dental, vision, etc.) for positions of 30 hours or more per week.
• Childcare reimbursement offered for positions of 20 hours or more per week.
• Gainshare bonus based on company goals.
• 401k with matching contribution that is fully vested from day 1.
• Loan relief, tuition reimbursement and scholarship opportunities.

ABOUT ROGERS BEHAVIORAL HEALTH

Rogers Behavioral Health is a nationally recognized, not-for-profit provider of highly specialized psychiatric care. Rogers offers evidence-based treatment for children, teens, and adults with OCD and anxiety, addiction, depression and other mood disorders, eating disorders, trauma, and PTSD. Backed by more than a century of experience, Rogers is leading the way on measurement-based care and use of clinical outcomes. Rogers provides residential care and has three inpatient facilities located in southeastern Wisconsin. Rogers also offers outpatient services in a growing network of communities across the U.S.

The System also includes Rogers Behavioral Health Foundation, which supports patient care, programs, and research; and Rogers InHealth, an initiative that works to eliminate the stigma of mental health challenges.

For more information, visit rogersbh.org.

EOE/MFDV

Equal Employment Opportunity and Affirmative Action – Rogers Behavioral Health (rogersbh.org)