GUIDING LIGHT HOSPICE INC

Director

• Receive and process referrals for hospice care from the Guiding Light Hospice marketing team members, healthcare providers, families, and other sources
• Verifies insurance eligibility and coverage including obtaining initial authorizations for services and seeks reauthorization for ongoing or additional services
• Coordinate with healthcare professionals, including physicians, nurses, and social workers, to gather necessary demographic and medical information and other documentation
• Communicate effectively with patients and their families to explain the hospice program, services offered, and expectations for care
• Works with members of the billing team to ensure that managed care customers are billed according to managed care organization agreements
• Establishes and maintains positive working relationships with current and potential managed care customers
• Promptly responds to managed care customer’s requests and concerns
• Assists in building community, customer, payer and patient perceptions of Guiding Light Hospice as a high-quality provider of services
• Coordinate scheduling of admissions and ensure timely transitions to hospice care
• When applicable, coordinate scheduling of hospice nurse practitioners for completion of initial face to face visits
• Collaborate with insurance companies to verify coverage and obtain authorizations for hospice services
• Maintain accurate and confidential patient records, ensuring compliance with regulatory standards and organizational policies
• Provide ongoing support and assistance to patients and families throughout the intake process, addressing questions, concerns, and emotional needs

Director of Intake