Admissions Coordinator - Irf

JOB SUMMARY:

This position will work under the direction of the Director of Business Development and be responsible for patient admissions, insurance verification and other insurance verification duties as directed. This individual will be responsible for obtaining the necessary demographic information of the patient which may require interviewing patients or their representatives. This position is also responsible for preparing/processing admitting forms and keeps abreast of all new insurance updates and regulations. Direct supervisory for all admissions associates.

ESSENTIAL FUNCTIONS:

• Coordinates all facility tours provided to potential patients and guests – providing outcomes and clinical data pertaining to their specific needs.
• Coordinates denial information with liaisons for follow-up communication to referral sources, families and physicians.
• Must be cooperative and have the desire to be a team player.
• Contact patient’s insurance to confirm and determine amount of coverage and benefits, deductible due, length of stay and if pre-certification is required, in order to complete Insurance Benefit Verification form.
• Attends Hospital-wide operations meetings to report on potential admissions, patient needs, and pipeline information.
• Provides current list of all pending referrals to liaisons, and necessary hospital staff
• Must recognize and observe confidentiality principles.
• Processes referrals and coordinates admissions of all patients in an efficient, responsive manner. Assists with action plan for all pending cases to maximize conversion of referrals to admissions.
• Maintains systems and processes for timely data-entry of pre-admit, admission, and registration of information for inpatients and outpatients.
• Leads the admissions office process in IRF sites.
• Prepares statistics for corporate report as designated.
• Creates working patient files to track progress with patient’s admission
• Recognizes problems and assumes responsibility for helping to solve them when they occur.
• Notifies appropriate departments of patient’s anticipated admission date/time.
• Follow the step by step procedure outlined by Admissions Coordinator when receiving referrals.
• Collect and record all information necessary for admitting patients.
• Compiles daily and monthly statistics for admission, discharges, referrals and denials.
• Communicates admission status and coordinates all aspects of rehab admission.
• Notifies insurance provider of patient’s admission and updates authorization information, as needed.
• Inputs new referrals into EMR for clinical liaison to complete Pre-admission screen
• Immediately notifies appropriate rehab liaison to perform a clinical evaluation.
• Informs the patient of their verified insurance benefits and refers them to the appropriate finance department for further billing questions.
• Compiles and distributes weekly admissions/discharges list. Monitors pending list daily.
• Maintains open communication with liaisons and internal staff regarding bed availability and staffing.
• Compiles reports on patient outcomes data for liaisons and partner healthcare centers.
• Pre- Admit all patients into appropriate EMR/Billing system – obtain correct demographic, clinical, and insurance information.
• Coordinates the flow of information through the admissions process and forwards to appropriate departments for the successful completion of admission.
• Maintains, posts, and distributes an accurate census and referral information to administration hospital staff on a daily basis.
• Consistently performs job duties in an independent manner with minimal direct supervision required.
• Notifies the appropriate personnel of the anticipated arrival time of all inpatients.
• Ensures patients have a good understanding of their insurance benefits and answers questions as needed.
• Performs other duties as requested by authorized personnel or as necessary for effective operation of the facility, including emergency situations.
• Consistently demonstrates the ability to organize tasks in order of priority.
• Answers telephone promptly and courteously, providing information and completing all referral/intake forms as appropriate for each call.
• Continuously updates referral logs to indicate patients admission, pending, or denial status and reason for denial
• Provides monthly information on conversion ratios.
• Prepares all forms completely and accurately prior to the arrival of all admissions.
• Seeks supervisory help appropriate in problem solving and assists in implementing solutions.
• Maintains confidentiality of patient medical records information in accordance with hospital’s defined policies and procedures.
• Maintains up-to-date statistical data in computer information system within established time frames.
• Direct supervisory role of all hospital admission associates.
• Obtain Pre-certification for inpatient rehabilitation stay and document necessary information for case management to follow up once patient admits.
• Other duties as assigned.
• Ensures completion of all referral documentation and maintains filing systems.
• As needed, Completes admitting paperwork, obtaining appropriate signatures, reviews information with the patient and family, obtains patient identification and insurance cards for copy.
• Ability to independently make decisions on prioritization of processing referrals and insurance authorizations based on clinical readiness.

• Med-Surg hospitals and systems (for profit and non-profit) knowledge desired
• Ability to work harmoniously with other personnel.
• 401(k) retirement plan
• Minimum of 2 years of experience in Admitting and/or medical insurance preferred.
• Must maintain a professional demeanor and appearance to reflect proper image for the hospital and the board members, medical staff, community leaders and fellow employees.
• Extensive knowledge of insurance and their benefits and admitting forms.
• Salary: $55,000 - $65,000 We would expect those hired into this job would be paid within this range, however, certain circumstances may allow us to pay outside of this range.
• Good communication skills.
• Experience in handling patient admissions preferred.
• Proficiency in recording admission reservations.
• Ability to deal tactfully with patients, hospital staff and the general public.
• Flexible spending and health savings accounts
• 6 paid holidays for full time employees
• Management experience preferred.
• Tuition reimbursement, continuing education opportunities and apprenticeship programs for eligible employees
• Basic computer knowledge including Outlook, Excel, PowerPoint and Word

• Affordable medical, dental and vision plans provided to meet the needs of full employees and their families

  • Up to 20 days of PTO for full time employees
  • 6 paid holidays for full time employees
  • Tuition reimbursement, continuing education opportunities and apprenticeship programs for eligible employees
  • 401(k) retirement plan
  • Flexible spending and health savings accounts
• Up to 20 days of PTO for full time employees
• Must be able to follow written and oral instructions.
• High School Diploma required. Some college preferred.
• Must have good organizational skills and analytical ability in order to interpret information and carry out duties independently.
• Must be able to read, write, and speak the English language.