Tanace Foster

Initiates all steps of intake including benefits, verification, prior authorizations, discussion of copays and patient financial responsibilities, coordinating interactions with physicians, families, clinicians and patients. Completing referral information that includes intake data, essential background information and plan of care. Consulting with case manager and discharge planners to set up a coordinated home plan of care and ensure a seamless transition to home care. Communicates and resolves problems with /patients/customers, physicians' offices, referral sources, third party insurance companies, Medicaid and Medicare. Interview patient, family and caregiver to discuss home situation and current needs. Working with all members of the organization including marketing staff, clinical supervisors and staff clinicians. Efficiently using Kinnser/Wellsky, Forcura and HCHB data bases. Serving as a liaison with hospital and insurance personnel.

Greeting incoming visitors and customers professionally and provided friendly, knowledgeable assistance. Keepin reception areal clean and neat to give visitors a positive first impression. Confirming appointments, communicating with clients and employees and updating employee records. Providing clerical support to company employees by copying, faxing and filing documents. Corresponding with clients through email, telephone or postal mail. Answering large volumes of incoming calls daily to resolve customer issues and scheduling appointments.

• Acted as Clinical intake/scheduler for 3 separate offices (Houston, Corpus Christi, and San Antonio.)Serve as point of contact for all questions or issues related to intake process and/or insurance verification. Responsible for processing referrals received from referral sources. Ensures that all required documentation has been received to processing referrals timely. Ensures Intake referral checklists are complete. Enters patient demographic, insurance and authorization information into the computer system. Obtains authorizations and re-authorizations as required by payers and documents this in the computer system. Ensures that insurance verification is completed, and authorization is in place or requested prior to giving referrals to pharmacist. Communicates with other departments including Sales and pharmacy staff regarding status of referrals and any authorization requirements and out of pocket cost required to be collected before delivery. Completes documentation of progress notes in computer system. Notifies patients/caregivers regarding insurance coverage and payment responsibilities. Maintains confidentiality of patient and proprietary information.

Proficient in the use of Vesta/ electronic visit verification (EVV) through MEDSYS. Assures that Service Plans are delivered to Clients as ordered and in a timely manner.

Hires and trains providers for clients. Assures that Clients understand services they are getting and number of hours they are entitled to. Assesses clients' health status during supervisory visits and reports to the Case Manager/Social Worker any changes needed in Client's Service Plan or any need for increase/decrease in hours. Recognizes emergencies and notifies Case Manager and/or client's family member of any emergency situation pertaining to client or providers in a timely manner. Checks and confirms provider's work hours through MEDSYS.