Esperta Health
Esperta Health
Esperta Health provides in-home care programs for people with chronic wounds. Its wound-certified specialists use evidence-based guidelines and technology to support treatment of diabetic foot ulcers, venous and arterial ulcers, and pressure injuries. The healthcare company works with health plans and providers to coordinate care and support healing while managing wound-care costs.

Bilingual Intake Coordinator, Esperta Health (Remote, U.S.)

Coordinate referrals for Esperta Health’s in-home wound care services, from intake and eligibility checks through admission or final disposition. Work with members, providers, payors, and clinical teams in English and Spanish.

Opis

  • Process referrals after handoff from Member Engagement and monitor inboxes, secure messages, and fax queues throughout the day.
  • Check referrals for required demographic, contact, insurance, clinical, provider, and scheduling details, and follow up on missing or conflicting information.
  • Maintain referral and member records in BOP and other designated systems, including notes, status updates, task ownership, and disposition reasons.
  • Verify insurance and payor details, coordinate eligibility checks, and identify authorization, referral, and documentation requirements.
  • Confirm clinical records and wound information are available before referrals advance, and check members’ locations and availability for in-home care.
  • Track referrals from receipt through admission or final disposition.
  • Identify obstacles to an initial visit and follow up on canceled, unsuccessful, delayed, or unresolved referrals.
  • Coordinate member re-engagement with Member Engagement, Patient Care Coordinators, and Regional Clinical Operations.
  • Record reasons referrals do not convert and monitor their age and next steps.
  • Direct referrals to the appropriate regional team and track handoffs to completion.
  • Update internal and external partners in English and Spanish on referral status, barriers, missing information, and next steps.
  • Escalate clinical, safety, and service eligibility questions without making clinical decisions independently.
  • Report on referral volume, pending items, conversion, and non-conversion trends.
  • Spot intake process gaps and support workflows that help prevent lost referrals and admission delays.

Zahteve

  • High school diploma or equivalent.
  • At least two years of experience in healthcare referral intake, patient access, eligibility verification, medical scheduling, care coordination, medical office administration, or a related healthcare setting.
  • Experience managing referral documents, inboxes, faxes, task queues, and follow-up workflows, and working with patients, providers, health plans, and clinical teams.
  • Fluency in spoken English and Spanish, including the ability to communicate with members and caregivers in both languages.
  • Strong written communication, accurate data entry, attention to detail, organization, and follow-through.
  • Ability to manage a high volume of referrals and prioritize by urgency, referral age, payor requirements, and readiness for service.
  • Working knowledge of HIPAA and proper handling of protected health information.
  • Proficiency with Microsoft Office, Teams, electronic fax platforms, and web-based healthcare systems.

Ugodnosti

  • Medical, dental, and vision health care plan
  • 401(k) or IRA retirement plan
  • Basic and voluntary life insurance, including AD&D
  • Paid vacation, sick leave, and public holidays
  • Maternity and paternity leave
  • Short-term and long-term disability coverage

Sorodna delovna mesta