Intake Representative - $68,000 - $75,000/yr

Koya Medical • Full-time • Remote (United States) • $68k - $75k / year • 1d ago

Koya Medical is a transformative healthcare company developing breakthrough treatments for lymphedema and venous diseases to increase movement, mobility and personalized care that is unavailable with traditional compression therapy. The privately held company was founded in 2018 with the mission to transform lymphatic and vein care through innovative patient-centric platforms.

About Koya Medical

Koya Medical, a privately held company founded in 2018, is a transformative healthcare company developing breakthrough treatments for venous diseases and lymphedema to enable joint contractions, patient mobility, and personalized care that is unavailable with traditional compression therapy. Koya is always looking for curious and passionate individuals who want to join a fast-paced team for a career in transforming venous and lymphatic care through innovative people-centric technologies that improve lives and empower self-care. Koya values integrity, humility, hard-work, camaraderie, and fun. We offer a base + bonus compensation package, and a competitive benefits program.

Description

Koya Medical has an immediate need for a full time Intake Representative who is interested in joining an organization at the ground floor (early commercialization phase). The candidate will be a front-line contact for our patients and referral sources and will facilitate the onboarding of new patients/customers through their intake, verification of benefits and document collection processes (including Patient Authorizations, Prescription, Certification of Medical Necessity, treatment notes, and other required documentation). The ultimate goal of the position is to expand patient access to Dayspring and convert referrals who are generated by sales and marketing efforts into customers. The position is full time and must be located within the Pacific Time Zone.

Candidate must be a strong team player, agile learner, and self-motivated. They must deliver the essential job responsibilities, but also have the drive and talent to grow the role and grow with the company as it scales. The job requires strong administrative, organizational, and (oral and written) communication skills and specialized knowledge of insurance coding, coverage, and policy. The candidate must also be confident and resourceful when faced with challenges related to a start-up company.

Position Responsibilities:

● Processes all incoming referrals, interviewing client/referral source to secure demographic and qualifying data, and securing verification and authorization of benefits as appropriate.

● Coordinates incoming and outgoing calls and emails from both referral sources and patient/customers.

● Maintains a working knowledge of third party payer guidelines to support the Payer Operations team who handles insurance authorizations.

● Operates in CRM system (SalesForce.com) to record/document and manage patient protected health information.

● Establishes and maintains positive working relationships with current and potential customers and referral sources and with other company resources including field sales and commercial operations.

● Assists other Intake/Home Care Coordinators as directed by the Vice President, Strategic Market Access and Health Economics.

● Practices and reflects knowledge of HIPAA, TJC, and other federal/state regulatory agencies affecting patients and our business.

● Knowledgeable of compliance requirements for federally funded healthcare programs (e.g. Medicare and Medicaid) regarding fraud, waste and abuse. Brings any questions or concerns regarding compliance to the immediate attention of administrative staff. Takes appropriate action on concerns reported by department staff related to compliance.

Competencies:

● Ethical Conduct

● Detail Orientation

● Time Management

● Organization Skills

● Data entry skills

● Personal Effectiveness/Credibility

Education & Experience:

● At least three years of medical experience; preferably in home medical equipment.

● Minimum high-school degree.

● Has previous health care or home care related Intake/Authorization experience.

● Knowledge of insurance requirements.

Physical Functions and Work Environment

The physical functions described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the functions. While performing the duties of this position, the employee is regularly required to talk or hear. The employee frequently is required to use hands or fingers; handle or feel objects, tools, or controls. The employee is occasionally required to stand; walk; sit; and reach with hands and arms. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this position include close vision, distance vision, and the ability to adjust focus. The noise level in the work environment is expected to be low to moderate.

Note

This job description in no way states or implies that these are the only duties to be performed by the employee(s) incumbent in this position. Employees will be required to follow any other job-related instructions and to perform any other job-related duties requested by any Koya manager authorized to provide instruction or assign work. Duties, responsibilities, and activities may change at any time with or without notice.

All duties and responsibilities are essential functions and requirements and are subject to possible modification to reasonably accommodate individuals with disabilities. To perform this job successfully, the incumbents will possess the skills, aptitudes, and abilities to perform each duty proficiently. Some requirements may exclude individuals who pose a direct threat or significant risk to the health or safety of themselves or others. The requirements listed in this document are the minimum levels of knowledge, skills, or abilities. This document does not create an employment contract, implied or otherwise, other than an “at will” relationship.

Koya Medical, Inc. is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.