ADMISSIONS COORDINATOR PART TIME

Description

PART TIME 

Bilingual speaking Spanish 

Summary & Objective

The Admissions Coordinator obtains required information to determine and verify eligibility for patient and/or resident admission based on payer guidelines, in accordance with established policies and procedures. They also help support data systems used in Business Development and Admissions (Enquire, Intellimed, GPS)

Essential Functions

• Must exhibit excellent customer service and a positive attitude towards residents and/or patients, colleagues, physicians and community.
• Answer phone inquiries and educates prospective patients, families, physicians, and hospitals regarding for all lines of business under CHS.
• Cross train on intake process for SNF, IRF and HHC.
• Take telephone referral information accurately.
• Coordinating both internal/external referrals and following-up with referring sources, private clients and social workers.
• Process intake and secures all necessary intake information for new referral required for processing.
• Supports all data systems used internally.
• Able to input, updates and make minor changes in data systems.
• Maintain pending, admission and denial log for assigned line of business on daily basis.
• Create admission face sheets and completes all admissions paperwork.
• Manage bed/room assignment at campus level.
• Serves as a liaison between Central Admission and facility/HHC office.
• Ensures transfer/discharge data entered into clinical database is accurate.
• Assigns appropriate physician depending on insurance and/or facility agreement.
• Consults with the interdisciplinary team and/or Director, Executive/ Administrator to determine medical eligibility by providing the medical history on potential admissions when necessary.
• Maintains confidentiality of all pertinent care information for patients and/or residents in accordance with HIPPA guidelines and established policies and procedures.
• Verifies Medicare / Medicaid eligibility through online services verifies supplemental insurance, demographic and contract information prior to admission and follow up as necessary.
• Assists/coordinates with collection of up-front copay for new admissions when necessary.
• Verify insurance benefits to determine financial eligibility on Medicare, Medicaid, HMO, Insurance, Charity, Private pay etc.
• Obtains medical information and determine if Medicare, Insurance and/or Managed Care will cover services based on payer guidelines including pharmacy.
• Requesting and managing authorizations from carrier for new admission.
• Assist in communication with patients/families on SNF, IRF or Homecare related issues.
• Exercise independent judgment, work well with marketing team, office personnel and hospital and doctor offices and communicates with referral sources confidently and knowledgeably.
• Communicates with the leadership of Centralized Admission of any issues and department needs.

*Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position.

Other Duties

• Provides orientation to new employees as needed.
• Maintain your required license, certifications and mandatory skill updates.
• Complies with all policies, local, state and federal laws and regulations.
• Perform other duties as assigned

Supervisory Responsibility

• May serve as an interim department leader depending on need.

Physical Requirements

• Must be able to lift and/or move up to 50 pounds and push/pull up to 250 pounds, walk, climb stair or ladders, stand on feet for extended periods of time, etc

Disclaimer

The job description is not designed to cover or contain a comprehensive listing of activities duties or responsibilities that are required of the employee. Other duties, responsibilities and activities may change or be assigned at any time.

EEOC Statement

CHS provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Requirements

Knowledge & Experience Requirements

• High School diploma or general education degree (GED) mandatory. College degree preferred.
• 2-3 years of experience in a Health Care Facility preferred.
• Basic, functional knowledge of computer/technology skills including, but not limited to MS Office, MS Excel, and electronic medical record with good typing skills.
• Excellent interpersonal skills and ability to communicate verbally and in writing effectively.
• Bilingual Preferred.
• Knowledge of Medicare regulations preferred but not required.
• Knowledge and the ability to apply understanding of medical terminology.
• Ability to multitask, ensuring the completion of many tasks throughout the day.