Intake & Authorization Team Lead

The Intake & Authorization Team Lead supervises a team that handles all incoming referrals, insurance verification, and prior‑authorization work for a home‑health agency. The role balances hands‑on processing with people leadership—driving daily workflow, ensuring regulatory compliance, and coaching staff so that every qualified patient is admitted quickly and cleanly.

RESPONSIBILITIES:

Team Leadership & Workflow Management

* Oversee day‑to‑day operations of the intake desk, set work queues, assign cases, and monitor turnaround‑time KPIs.
* Train, mentor and performance‑manage intake/authorization coordinators; provide real‑time coaching and annual reviews.* Escalate staffing or workflow issues to the OM/VP and recommend process improvements.

Referral Intake

* Receive referrals via phone, fax, e‑referral portals and EMR; log and triage each case in the agency’s system within two hours of receipt.
* Confirm demographic and clinical data, schedule start‑of‑care visits, and hand off to clinical teams.

Insurance Verification & Authorizations

* Verify Medicare, Medicaid, managed‑care and commercial benefits; determine home‑bound status and episode coverage limits.
* Secure initial and ongoing authorizations; track renewal dates, submit documentation, and follow up on payer portals* Partner with Revenue‑Cycle staff to resolve denials or authorization lapses.

Regulatory & Documentation Compliance

* Ensure every admission meets federal, state and accrediting‑body (e.g., CHAP) standards; guard HIPAA privacy.
* Maintain accurate, complete electronic records, including signed physician orders and payer correspondence.

Customer & Stakeholder Communication

* Serve as liaison to hospital case managers, physicians, branch clinicians and patients/families; provide status updates and education on coverage and out‑of‑pocket costs.
* Resolve complaints professionally and escalate complex cases appropriately.

Job Type: Full-time

Pay: ₹30,000.00 - ₹50,000.00 per month

Benefits:

• Food provided
• Health insurance
• Provident Fund

Work Location: In person