WFH | Insurance and Referrals Intake Specialist

3 days ago

Work from Home, Philippines Dextra Outsourcing Solutions, Inc Full time ₱120,000 - ₱180,000 per year

We are seeking a Part-time Intake Specialist to join our administrative team and support the seamless entry of patients into our wound care program. This role is responsible for managing the patient intake process, verifying insurance, and coordinating closely with clinical and administrative teams to ensure that all documentation and scheduling are accurate and timely.

The Intake Specialist plays a critical role in ensuring that all new patients are efficiently onboarded, properly documented in the Electronic Medical Record (EMR) system, and ready for clinical engagement. We are looking for a compassionate, detail-oriented, and organized individual who thrives in a fast-paced healthcare environment and understands the nuances of wound care operations.

Key Responsibilities

Patient Intake & Coordination

  • Collect and enter patient demographics, insurance details, medical history, emergency contacts, conservators, and POA into the Intellicure EMR upon receipt of referral.
  • Perform intake quality checks to ensure completeness and accuracy of referrals before scheduling.
  • Schedule assessments, treatments, and follow-ups in coordination with clinical teams and patients.
  • Dispatch consent and intake forms to patients via FormDr and follow up on completion.
  • Educate patients and families on wound care basics, prevention strategies, and program structure during the intake process.

Medical Records & EMR Management

  • Upload and maintain accurate patient records, including visit notes, diagnostic reports, photos, consents, and lab results.
  • Regularly audit EMR charts for completeness and flag gaps to providers and leadership.
  • Respond promptly to requests for patient records from internal teams, external providers, or patients.
  • Organize and label documents properly to ensure compliance and readiness for review by providers.

Insurance Verification

  • Conduct timely insurance verifications and confirm patient eligibility upon intake and monthly.
  • Communicate with payors to resolve issues or obtain pre-authorizations, retro authorization as needed.
  • Accurately document coverage information to support billing workflows and prevent delays.

Administrative Support & Cross-Department Collaboration

  • Act as a liaison between intake, billing, medical records, providers, and scribes to ensure alignment and communication.
  • Alert leadership to documentation gaps or incomplete referrals that may impact patient care or the revenue cycle.
  • Serve as backup for other administrative functions, including insurance verification or chart preparation, when needed.
  • Maintain and update tasks and responsibilities in project management systems, such as
  • Ensure all vendor documents and items requiring a signature are properly routed to appropriate leadership.

Qualifications:

  • Associate degree or higher in a healthcare-related field preferred.
  • 1–2 years of experience in a healthcare administrative or intake role.
  • Knowledge of HIPAA regulations and patient privacy standards.
  • Proficiency with EMR systems (Intellicure strongly preferred).
  • Familiarity with insurance workflows (Availity, Cortex, Insurance Clearing Houses) and pre-authorization processes.
  • Strong Microsoft Excel and data organization skills.
  • Excellent communication, organizational, and interpersonal skills.

Job Type: Part-time

Pay: Php15,000.00 per month

Benefits:

  • Work from home

Experience:

  • Insurance Verification: 2 years (Required)
  • Intake Specialist: 2 years (Required)
  • Medical records: 2 years (Required)
  • WoundCare: 2 years (Required)
  • HIPAA: 1 year (Required)

License/Certification:

  • Registered Nurse (Preferred)

Work Location: Remote

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