Intake Specialist at Coral Connect LLC
United States
<p style="margin: 0in; font-size: 12pt; font-family: Calibri, sans-serif;"><span style="color: #444444; background: #FEFEFE;">Coral Connect, LLC (“Coral”) is a technology-enabled service provider focused on reducing healthcare costs through intelligent data management, pharmacy optimization, and value-driven sourcing. Our mission is to make specialty care more accessible, efficient, and equitable by improving operations at community care organizations, infusion centers, and specialty providers.</span></p> <p style="margin: 0in; font-size: 12pt; font-family: Calibri, sans-serif;"> </p> <p style="margin: 0in; font-size: 12pt; font-family: Calibri, sans-serif;"><strong>Job Overview:</strong></p> <p style="margin: 0in; font-size: 12pt; font-family: Calibri, sans-serif;">The Intake Specialist is responsible for managing incoming referrals for specialty pharmacy and ambulatory infusion center (AIC) services. This role ensures accurate and timely processing of patient information, coordination of benefits, and initiation of services. The Intake Specialist serves as a key liaison between providers, patients, payers, and internal teams to facilitate a seamless onboarding experience and support timely access to therapy.</p> <p style="margin: 0in; font-size: 12pt; font-family: Calibri, sans-serif;"> </p> <p style="margin: 0in; font-size: 12pt; font-family: Calibri, sans-serif;"><strong>Responsibilities:</strong></p> <p style="margin: 0in; font-size: 12pt; font-family: Calibri, sans-serif;"><strong> </strong></p> <p style="margin: 0in; font-size: 12pt; font-family: Calibri, sans-serif;">Your key responsibilities will include:</p> <ul style="margin-bottom: 0in; margin-top: 0px;"> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt;">Referral Intake & Processing</span> <ul style="list-style-type: circle; margin-bottom: 0in; margin-top: 0px;"> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt;">Receive and review incoming referrals via fax, electronic portals, and provider communications </span></li> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt;">Accurately enter patient demographics, insurance information, and referral details into the system </span></li> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt;">Verify completeness of referral documentation, including clinical notes, orders, and supporting documentation </span></li> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt;">Ensure all required elements are obtained prior to benefits investigation and authorization </span></li> </ul> </li> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt;">Patient & Provider Communication</span> <ul style="list-style-type: circle; margin-bottom: 0in; margin-top: 0px;"> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt;">Conduct welcome calls to patients, explaining services, next steps, and financial expectations </span></li> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt;">Communicate with referring providers to obtain missing or clarifying information </span></li> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt;">Maintain professional and timely communication with patients, caregivers, and healthcare providers </span></li> </ul> </li> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt;">Insurance & Benefits Coordination</span> <ul style="list-style-type: circle; margin-bottom: 0in; margin-top: 0px;"> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt;">Initiate benefits investigation for pharmacy and infusion services </span></li> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt;">Identify payer requirements, coverage limitations, and prior authorization needs </span></li> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt;">Communicate findings to internal teams and escalate issues as needed </span></li> </ul> </li> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt;">Authorization & Financial Clearance Support</span> <ul style="list-style-type: circle; margin-bottom: 0in; margin-top: 0px;"> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt;">Support prior authorization submission by ensuring accurate and complete intake documentation </span></li> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt;">Assist in gathering clinical documentation required for authorization approval </span></li> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt;">Coordinate with financial counseling teams to provide patient cost estimates and discuss assistance options </span></li> </ul> </li> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt;">Program Enrollment & Assistance Support</span> <ul style="list-style-type: circle; margin-bottom: 0in; margin-top: 0px;"> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt;">Identify patients eligible for manufacturer assistance programs or copay support </span></li> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt;">Initiate enrollment processes for assistance programs as applicable </span></li> </ul> </li> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt;">Workflow Coordination</span> <ul style="list-style-type: circle; margin-bottom: 0in; margin-top: 0px;"> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt;">Route referrals to appropriate teams</span></li> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt;">Track referral status to ensure timely progression through the intake process </span></li> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt;">Maintain documentation and audit trails in accordance with compliance standards </span></li> </ul> </li> </ul> <p style="margin: 0in; font-size: 12pt; font-family: Calibri, sans-serif;"> </p> <p style="margin: 0in; font-size: 12pt; font-family: Calibri, sans-serif;"><strong>Qualifications:</strong></p> <p style="margin: 0in; font-size: 12pt; font-family: Calibri, sans-serif;">To excel in this role, you should possess the following qualifications:</p> <ul style="margin-bottom: 0in; margin-top: 0px;"> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt;">High school diploma or equivalent required </span></li> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt;">Minimum 1–3 years of experience in healthcare intake, medical office, specialty pharmacy, or infusion services </span></li> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt;">Experience with prior authorizations, benefits investigation, or revenue cycle processes preferred </span></li> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt;">Strong attention to detail and accuracy in data entry </span></li> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt;">Knowledge of insurance plans, including commercial, Medicare, and Medicaid </span></li> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt;">Ability to manage high-volume workload and meet turnaround time expectations </span></li> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt;">Excellent communication and customer service skills </span></li> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt;">Proficiency in EMR systems and pharmacy/infusion platforms (e.g., WeInfuse, CareTend, Brightree, or similar) preferred </span></li> </ul> <p style="margin: 0in; font-size: 12pt; font-family: Calibri, sans-serif;"><strong> </strong></p> <p style="margin: 0in; font-size: 12pt; font-family: Calibri, sans-serif;"><strong>Education:</strong></p> <p style="margin: 0in; font-size: 12pt; font-family: Calibri, sans-serif;"><strong> </strong></p> <p style="margin: 0in; font-size: 12pt; font-family: Calibri, sans-serif;">Bachelor’s degree or relevant experience is preferred.</p> <p style="margin: 0in; font-size: 12pt; font-family: Calibri, sans-serif;"> </p> <p style="margin: 0in; font-size: 12pt; font-family: Calibri, sans-serif;"><strong>License Requirement: N/A</strong></p> <p style="margin: 0in; font-size: 12pt; font-family: Calibri, sans-serif;"> </p> <p style="margin: 0in; font-size: 12pt; font-family: Calibri, sans-serif;"><strong>Job Benefits:</strong></p> <p style="margin: 0in; font-size: 12pt; font-family: Calibri, sans-serif;"><strong> </strong></p> <p style="margin: 0in; font-size: 12pt; font-family: Calibri, sans-serif;">Health, Dental, Vision, Life, 401k, Paid Time Off.</p> <p style="margin: 0in; font-size: 12pt; font-family: Calibri, sans-serif;"><strong> </strong></p> <p style="margin: 0in; font-size: 12pt; font-family: Calibri, sans-serif;"><strong>Location:</strong></p> <p style="margin: 0in; font-size: 12pt; font-family: Calibri, sans-serif;"><strong> </strong></p> <p style="margin: 0in; font-size: 12pt; font-family: Calibri, sans-serif;">Remote with limited travel to client locations, internal business meetings, and other locations as needed.</p> <p style="margin: 0in; font-size: 12pt; font-family: Calibri, sans-serif;"> </p>
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