Role Description Paradigm is seeking a detail-oriented and customer-focused Senior Intake Coordinator to join our Intake Operations team. In this role, you will be responsible for receiving phone calls in a professional and timely manner while creating appropriate Durable Medical Equipment (DME) and Home Health referrals that support injured workers, payors, clients, providers, stakeholders, and internal teams. You’ll play an important role in ensuring accurate referral creation, timely communication, and consistently high-quality service throughout the intake process. The ideal candidate demonstrates a customer-first mindset and a commitment to delivering the best possible outcomes by fully leveraging Paradigm’s solutions, collaborating effectively with internal and external partners, and helping create an exceptional customer experience. This position is fully remote and offers a consistent schedule of Monday through Friday, 12:00 PM – 8:30 PM EST. Responsibilities: - Primarily responsible to receive and answer phone calls in a professional, timely manner, assisting with processing Durable Medical Equipment (DME) and Home Health (HH) referrals. - Communicate messages to internal team in an effective, efficient manner. - Maintain payer billing location information as well as adjusters and case managers' information. - Process DME and HH billing for mailing as assigned. - Create DME and Home Health referrals, create files, and maintain applicable data with appropriate document file management for all incoming faxes, invoices, clinical notes, and prescriptions. - Assist with implementing and maintaining new customers in company's proprietary software. Complete unmatched e-claim reports. - Notify appropriate internal departments regarding new referrals. - Responsible for appropriately managing incoming mail. Follow up as appropriate with co-workers, supervisor, or referral sources as needed. - Responsive to inquiries within given timeframes and within established policy. Appropriately follow up with supervisor, co-workers or residents regarding reported complaints, problems, and concerns. - Assist with special projects as assigned. - Positively support the mission, values, and vision of Paradigm through effective communication with internal and external customers, serve as positive role model, demonstrate excellent customer service, and comply with all applicable regulatory requirements and Quality Assurance initiatives. - Maintain reliable and predictable attendance during scheduled work hours. Qualifications - Education/Training: Some college credit and/or experience in a related discipline. - Experience: At least one year of experience working with Injured Workers or Workers’ Compensation Insurance. One (1) year of related experience may be considered in lieu (e.g., DME, insurance, healthcare, physician practice, and orthotics). - Skills: - Excellent communication skills, verbal and written. - Proficient in reading, grammar, and mathematics. - Strong computer skills (e.g., Outlook, Excel, Word, Teams, proprietary software for which training will be provided). - Accuracy and efficiency required. - Excellent organizational, prioritization and multi-tasking skills. - Knowledgeable of medical terminology. - Excellent customer service skills required. - Maintain Confidentiality of all data, including ensuring protection of injured workers' rights, Protected Health Information (PHI), employee, and operations data. Knowledgeable of injured worker’s rights and ensure an atmosphere which allows for the privacy, dignity, and well-being of that injured worker. - Equipment/Machinery Used: Standard office equipment including phones, calculators, copiers, scanners, fax, laptop/PC, copiers, various computer programs, mailing equipment, etc. Benefits - Health and wellness – PPO, HDHP, and HMO health insurance options with Cigna and Kaiser (CA employees only). - Financial incentives – Competitive salaries, 401(k) matching contributions, employer-paid life and disability insurance, flexible spending and commuter accounts, and employer-matched HSA contributions. - Vacation - Paid time off and personal holiday programs for work-life balance. - Volunteer time – One paid day per calendar year for community engagement. - Learning and development – Support for continual learning and growth through the Learning Excellence at Paradigm (LEAP) program.

Role Description The Intake Coordinator is responsible for providing quality service by accurately and respectfully triaging telephone, written and electronic inquiries from employees/members, providers, and clients. Inquiries include a variety of topics such as: - Pre-certification requests - Benefit verification - Status requests The HCM Operations Intake Coordinators service business for Luminare Health, Small Business Benefits, and key clients. Qualifications - High School Diploma or GED equivalent - Communicate in a positive and effective manner in both oral and written communication - Read and interpret documents, criteria, instructions, and policy & procedure manuals - Write/create routine correspondence and reports - Speak effectively with clients, physicians, providers, families in crisis, community agencies, co-workers, and senior management - Add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals - Compute rate, ratio, and percent - Apply common sense understanding to carry out instruction furnished in written, oral, or diagram form - Deal with problems involving several concrete variables in standardized situations - Evaluate problems, develop alternative solutions, and identify trends and patterns - Capable of working in an environment that requires organization and prioritization in order to address time-sensitive assignments - Excellent interpersonal skills - Perform multiple tasks simultaneously - Maintain high level of confidentiality, flexibility, and willingness to learn new tasks - Work in a dynamic team-oriented environment - Work independently with minimal supervision or instruction Requirements - Medical coding and/or transcription certification (preferred) - Previous experience in a healthcare or insurance environment (preferred) - Previous experience in a call center (preferred) - Experience with Microsoft Office (preferred) Benefits - Health and wellness benefits - 401(k) savings plan - Pension plan - Paid time off - Paid parental leave - Disability insurance - Supplemental life insurance - Employee assistance program - Paid holidays - Tuition reimbursement - Other incentives Company Description At Luminare Health, our people are what set us apart. Their expertise, dedication, and passion for service excellence are the foundation of our success. We're committed to helping our employees grow through thoughtful development opportunities, meaningful work, and a culture that values collaboration and continuous improvement. When you join Luminare Health, you join a purpose-driven team focused on making healthcare simpler, better, and more affordable.

• The Clearance Specialist is responsible for processing new referrals including but not limited to verifying patient eligibility, test claim adjudication, coordination of benefits, and identifying patient estimated out of pocket costs. • Perform benefit verification of all patient insurance plans including documenting coverage of medications, administration supplies, and related infusion services. • Responsible to document all information related to coinsurance, copay, deductibles, authorization requirements, etc. • Calculate estimated patient financial responsibility based off benefit verification and payer contracts and/or company self-pay pricing. • Initiate, follow-up, and secure prior authorization, pre-determination, or medical review including reviewing and obtaining clinical documents for submission purposes. • Communicate with patients, referral sources, other departments, and any other external and internal customers regarding status of referral, coverage and/or other updates as needed. • Refer or assist with enrollment any patients who express financial necessity to manufacturer copay assistance programs and/or foundations. • Generate new patient start of care paperwork.

Role Description Do you have a passion for health care and a passion for life? If so, join the team that is committed to providing excellence in nursing and life-changing care! Horizon Home Health & Hospice West is looking for an Intake Coordinator in the Caldwell, Idaho area who is compassionate, has strong clinical skills, and enjoys being a part of an amazing team. The Intake Coordinator I communicates and coordinates with patients, families, and physician offices. Responsibilities include: - Processing referrals and coordinating patient care. - Assisting to ensure smooth clinical operations. - Maintaining strong community relationships. - Helping ensure adherence to regulations, policies, and procedures. Responsibilities - Respond to incoming phone calls to handle referrals, scheduling, and coordination of details to support field staff, patients, families, and referral sources. - Build and maintain strong relationships with referral sources and other community contacts. - Assist field staff with information, scheduling, and workflow. - Responsible for Homecare Homebase workflow appropriate to the Intake and PCC roles. - Work with the office team to provide other types of office support as needs dictate. Qualifications - At least 5 years experience in Home Health and/or Hospice. - Strong written and oral communication skills in person and over the phone. - Excellent customer service skills. - Strong team skills. - Organized. - Flexible—responds well to changing priorities and conditions. Company Description Horizon Home Health and Hospice is one of Idaho's oldest and largest Home Health agencies. We have been in business for over 20 years and currently have 8 branches from Fruitland to Pocatello. We pride ourselves on our quality of care and ethical business practices as well as our foundational Core Values: - Celebrate - Accountability - Passion for Learning - Love one another - Intelligent Risk Taking - Customer Second - Ownership Horizon is Idaho’s Employer of Choice and we want you to join us as we provide life-changing service to all those we touch.