Job Summary 

The Intake Specialist is responsible for managing the patient intake process, ensuring all necessary documentation, referrals, and eligibility requirements are gathered efficiently and accurately. The role involves direct interaction with patients, families, healthcare providers, and insurance companies to ensure that new patients are enrolled into homecare services in a smooth and compliant manner. The Intake Specialist plays a critical role in facilitating timely care transitions for patients and ensuring the overall quality of the homecare experience from the start. 

Essential Duties and Responsibilities:

• Handle the initial intake process for new patients, including gathering essential information (e.g., medical history, demographics, insurance details). 

• Ensure accurate entry of patient information into the company’s electronic medical record (EMR) system and other relevant databases. 

• Verify clients' insurance coverage and eligibility for home care services, ensuring accurate billing and reimbursement. 

• Answer incoming calls from clients, caregivers, and healthcare professionals, addressing inquiries and providing information about available services. 

• Conduct comprehensive initial assessments to evaluate clients' healthcare needs and determine the appropriate level of care required. 

• Collaborate with marketing representatives to stay informed of updates and changes, providing quick and relevant information to clients and stakeholders. 

• Assist clients in accessing Certified Home Health Agency (CHHA), Managed Long-Term Care (MLTC), and Personal Care Aide (PCA) services. 

• Educate clients on the eligibility criteria for home care services, explaining their options and helping them make informed decisions about their care. 

• Serve as the primary point of contact for patients, families, and referral sources to answer questions and provide updates regarding the intake process. 

• Maintain confidentiality and ensure compliance with HIPAA and other patient privacy laws. 

• Escalate complex cases to the Intake Supervisor or Director of Intake for further resolution. 

Qualifications and Skills:  

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

• Minimum of 1 year of experience in home care intake or enrollment processes. 

• Exceptional communication and interpersonal skills, with the ability to effectively interact with clients and stakeholders. 

• Highly organized, detail-oriented, and capable of managing multiple tasks efficiently. 

• Proficiency in Microsoft Office applications and experience with HHA Exchange software. 

• Understanding of home care services, insurance verification processes, and enrollment procedures. 

Work Environment: 

On-site 

• 401k
• Medical, Vision & Dental Insurance
• PTO, Sick Time, Floating Holidays

ABOUT CARE AND HELP HOME CARE, LLC CARE AND HELP HOME CARE, LLC (“Company”) provides non-skilled services to individuals in their homes or other independent living environments. These services include (but are not limited to) assistance with self-administration of medications, personal care such as assistance with personal hygiene, dressing, and feeding, homemaking such as assistance with household tasks housekeeping, shopping, meal planning and preparation, and transportation, companionship, respite care such as assistance and support provided to the family; and other non-skilled services. We conduct criminal background checks when required on all staff. We also conduct physicals and tuberculosis screenings for all direct care workers and office staff with direct consumer contact upon hiring and on a yearly basis. The direct care workers of the Company are required to complete a minimum of forty (40) hours of experience or practical training and a competency evaluation, or a state certification program. This training includes information regarding personal hygiene, safe transfer techniques, infection control, and basic nutrition. All direct care workers of our company also receive supervised practical training before having direct contact with a consumer or verification of prior experience.

CARE AND HELP HOME CARE, LLC (“Company”) does not discriminate on the basis of race, color, national origin, ancestry, religious creed, non-job related handicap or disability, sex (which includes: sex assigned at birth, sexual orientation, gender identity, gender expression, gender transition, or transgender identity), age, use of a guide or support animal because of: blindness, deafness, or physical handicap, or any other characteristic protected by law (each, a “Protected Characteristic”). Further, the Company complies with the provisions of the Federal Civil Rights Act of 1964, the Pennsylvania Human Relations Act and all other applicable laws related to discrimination and fair employment practices. Accordingly, no person shall, on the grounds of any Protected Characteristic, be excluded from participation in, be denied benefits of, or otherwise be subject to discrimination in the provision of any care service provided by our agency.

DISCLAIMERS The company, in considering your application for employment, may verify the information set forth on this application and obtain additional information related to your background. We offer reasonable accommodations in the hiring and employment process for individuals with disabilities. If you need assistance to accommodate a disability, you may request an accommodation at any time.

All caregivers providing Medicaid-funded personal care and home health services are required to enroll in and comply with Electronic Visit Verification (EVV), as mandated by the 21st Century CURES Act.

All employees must be fully compliant with EVV requirements from their date of hire and maintain a minimum 85% compliance rate for all visits.