A Clinical Intake Specialist assists patients with the registration and admission process at clinics. The job description includes recording information, medical histories, and health insurance coverage. Typical work activities listed on the Clinical Intake Specialist Resume are – welcoming patients to the facility, completing all admissions paperwork and entering it digitally, verifying medical insurance coverage and benefits, scheduling appointments for tests and procedures; answering the phone and email inquiries; addressing any patient complaints or concerns, preparing and maintaining patient charts, and complying with the regulations and policies of the facility.
To be successful as a Clinical Intake Specialist, one should be highly organized and detail-oriented. Top candidates for this post have excellent interpersonal skills, a strong aptitude for great customer service, multitasking skills, and proficient computer literacy. Hiring companies look for resumes with a high school diploma or GED along with experience in patient intake or medical office administration.
Objective : Responsible for Verifying member eligibility, collect demographic and pertinent clinical information, and document results in the computer system, and also Building cases in the computerized member record using information gathered from faxes and/or phone calls.
Skills : CDL Class A, Pallet Jack, Warehouse.
Description :
Assisted patients, providers, and facilities with pre-authorizations via phone regarding various issues.
Contacted members upon hospital discharge for the follow-up to ensure patients received and understood hospital discharge instructions.
Researched and updated information as needed using Single Point System.
Licensed in a mental health field is required. Willing to consider those individuals nearing licensure.
Experienced with assessments and admissions highly preferred.
Provided full assessments to individuals presenting to Open Access.
Assessed appropriateness/readiness of referrals for counseling and other service lines (such as CPRC and CSTAR).
Experience
2-5 Years
Level
Junior
Education
GED
Clinical Intake Specialist Resume
Headline : Seeking a career opportunity to lead as well as utilize my extensive experience in building customer relationships in an effort to aid the company in maintaining the current customer base obtain new customer relationships.
Skills : Previous Coder, Case Manager, Paralegal.
Description :
Assisted patients, providers, and facilities with pre-authorizations via phone regarding various issues.
Opened, closed, and updated cases accordingly.
Distributed and attached clinical information, assign cases.
Contacted facilities or providers as needed.
Contacted members upon hospital discharge for the follow-up to ensure patients received and understood hospital discharge instructions.
Responsible for identifying any needs or problems upon discharge and resolve accordingly (i.e. problems with medications, home needs, DME, unresolved issues upon discharge, etc.).
Referred patients to nurse/ case manager as needed.
Experience
5-7 Years
Level
Junior
Education
MS
Clinical Intake Specialist Resume
Headline : To obtain a Clinical Intake Specialist position utilizing my clinical training, education, and experience to provide counseling to individuals in need of emotional support.
Skills : Typing, Dual Screen, Customer Service.
Description :
Gathered individual and family background information, expressing narrative of individual past issues and challenges, that will assist with clinical approach and preliminary diagnoses.
Assisted individuals and families with developing, obtainable and measurable, short-term and long-term, treatment goals using Likert Scale and other measurable treatment tools.
Revised Treatment Plan with Individual and families, discussing progress of treatment and assist with planning how to manage and or potentially overcome current treatment challenges.
Assigned individual and families to primary Therapist and groups based upon clinical evaluation of individual and or family treatment needs.
Provided individual and/ or group therapy to children and adolescent youth assisting with positive decision making, coping with current and past issues, preparation and planning for future goals, and building healthy and positive relationships by exploring instrumental and terminal values.
Provided Family Therapy, assisting families with building positive connections and understanding each others needs to achieve long-term healthy positive relationship.
Consulted and collaborated with clinical and administrative team, discussing progress and concerns of clients;identify high risk factors to ensure effective implementations of appropriate interventions for individual care.
Experience
5-7 Years
Level
Executive
Education
Master Of Science
Clinical Intake Specialist Resume
Headline : Responsible for Assisting in refinement and implementation of unit workflows to enhance efficiency and support unit/department goals,Assisting implementation of all new utilization management processes and programs in accordance with business plans to provide quality customer service to all customers.
Skills : Data Entry, Intake Specialist, Bookkeeping, Residential Care Worker, Computer, Customer Service, Internet Research, Cooking.
Description :
Assisted in ensuring TRICARE beneficiaries receive the highest quality specialty health care through processing referrals/authorizations that meet or exceed cycle time and quality standards.
Applied subject matter expertise to examine and analyze the referral and authorization process, and the referrals and authorizations processed by others.
Provided feedback and guidance to ensure standardization and accuracy in referral management.
Developed and submitted reports of audit findings.
Functioned in a support, training, or mentoring capacity as requested, and participate in process and performance improvement activities.
Processed referrals and authorizations for Tricare Beneficiaries to civilian providers Assisted Military Treatment Facility Coordinators in locating providers Trained new employees Assisted Benefit Service Representative with Tricare Briefing.
Complimented the effort given to agency summer youth program and recognizing the positive behavioral difference within the youth, when the summer program transition back to individual and group therapy.
Experience
5-7 Years
Level
Junior
Education
Masters Of Business Administration
Clinical Intake Specialist Resume
Summary : Responsible for Responding to clinical inquiries in a validating, timely, inclusive, and comforting fashion, and also Presenting Eating Recovery Center program information in a comprehensive and welcoming manner.
Skills : Works, Spread Sheets, PowerPoint, Customer Service, Fast Learner, The Ability To Go Above And Beyond, Reliable, Trustworthy, Maintenance Capable.
Description :
Answered phone calls from providers, hospitals, doctors offices and members regarding pre-authorization for inpatient and outpatient procedures.
Answered any questions pertaining to coverage and authorizations as well as working faxes and cross training.
Worked with different programs to enlighten members and providers on changes as well as gaining more knowledge for myself.
Assisted in the global market taking calls from across the United States and working incoming faxes.
Used Customer service, all major computer applications as well as many designed specifically for Humana.
Knowledged of healthcare is vastly growing which enables my customer service skills to become more important as well.
Used Cognitive Behavior Therapy and the usage of the ABC model, to assist with positive decision making; assessing past unwanted outcomes and behaviors, to plan how to avoid potential re-occurrences.
Experience
7-10 Years
Level
Management
Education
GED
Clinical Intake Specialist Resume
Summary : Responsible for Demonstrating detail-oriented work through the necessary documentation, communication, and coordination of admission to the Eating Recovery Center community.
Skills : MS Office, Planning Skills.
Description :
Responsible for identifying any needs or problems upon discharge and resolve accordingly (i.e. problems with medications, home needs, DME, unresolved issues upon discharge, etc.).
Accurately obtained information to carry out registration and pre-registration of patients.
Effectively captured patient demographic and health insurance data for system entry.
Worked with members and providers to provide them the perfect health care experience.
Provided guidance to our members so they can achieve well-being.
Carefully collected information from resources and tools provided to me to determine if cases need further clinical review or if it's something that can be approved at the level.
Provided psychotherapy for persons served.
Experience
7-10 Years
Level
Management
Education
Associate's Degree
Clinical Intake Specialist Resume
Headline : To obtain a position in a Clinical Intake Specialist professional healthcare setting in which I can utilize my skills, as well as study and grow within the organization.
Skills : Conflict Resolution, Customer Service, Decision Making, Time Management, Interpersonal, Microsoft Word, Coaching, Training.
Description :
Received inbound calls to obtain clinical information from providers necessary to create authorizations, referrals, etc.
Documented all calls and ensured requests were routed to the appropriate party and attached all clinical information received via fax.
Investigated pended cases to ensure that they were processed appropriately and/or routed to the appropriate party.
Completed any assigned tasks or special projects by Leadership Mentored new associates Utilized strong problem-solving skills to understand and meet the needs of providers and members.
Strong ability to maneuver several systems and applications simultaneously.
Updated and maintained provider spreadsheet using Excel.
Verified member's benefits, paid through dates, and other policy-related inquiries.
Experience
5-7 Years
Level
Executive
Education
GED
Clinical Intake Specialist Resume
Summary : A diligent, organized, and people-oriented professional with over 15 years of solid knowledge, experience, and skills in all aspects of office and business functions (including a solid background in the healthcare/medical field). Superior telephone, customer service, communication, interpersonal, organizational, and leadership skills.
Skills : Leadership Development, MS Office.
Description :
Taken inbound calls from PCP/Specialist/Facilities to input outpatient and inpatient authorizations in system using ICD9 and CPT codes for pending cases or approvals.
Reviewed cases for Inpatient Admissions and making determinations if case is Senate Bill, Acute or Future case.
Called Primary Care Physician for approval or notification, based on the case.
Called Facility to give approval for inpatient admissions.
Researched and entered referrals for Commercial/Medicare/Medicaid members using ICD9 and CPT codes for approval.
Trained new associates on Medicaid process.
Created and mailed denial letters for clinical team.
Experience
10+ Years
Level
Senior
Education
BBA
Clinical Intake Specialist Resume
Objective : Over five years' experience in the medical field with working knowledge of medical terminology. Proficient in the use of various software packages including Microsoft Office. Demonstrated accuracy, attention to detail, and ability to work well in a team environment.
Skills : Clinical Skills, Communication Skills.
Description :
Assisted clinical intake team with various clerical and administrative tasks as needed.
Provided outstanding customer service in a friendly and knowledge manner.
Processed notifications, authorizations, referrals, continuities of care, and transfer of care accurately.
Updated cases with dates of service, diagnosis or procedure codes, and corrected facility and doctor information.
Made outbound calls to providers to obtain information necessary to create or update the authorization.
Participated in special projects as assigned by clinical intake leader.
Daily used of Microsoft Word, Excel, CCA, CCP2 and other job specific programs.
Experience
2-5 Years
Level
Junior
Education
Bachelors
Clinical Intake Specialist Resume
Summary : A professional, educated Microsoft Technician and Systems Administrator seek an opportunity to apply advanced problem-solving skills, technical knowledge, and interpersonal abilities.
Skills : Supervising Skills, Customer Service.
Description :
Assisted Clinical Intake Team with various clerical and administrative tasks as necessary.
Processed notifications, authorizations, conversions to observation, and referrals not requiring clinical review.
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