Home Health Admissions Coordinator

As a service organization, Wesley selects employees who bring our mission to promise. When you become a member of the Wesley team, you contribute to the active lifestyle, high quality of care and other services we provide older adults at our award-winning communities or other residence. Our workforce is as diverse as our services, which include independent living, assisted living, Catered Living, memory care, skilled nursing, rehabilitation, hospice, home care and home health.

Our Total Rewards philosophy is a balanced approach that meets the needs of employees on their career journey whether they are just joining the workforce or nearing retirement. We evaluate our Total Rewards offerings annually to provide benefits employees would find meaningful. In addition to competitive wages and a commitment to pay equity, we offer the following benefits and other compensation:

• Employees, and their families if elected, can participate in medical and vision insurance (full time and ACA eligible), dental (full time) and group life (employee only for full time, excludes part-time and on-call staff).
• We offer a combined paid time off (PTO) policy which incorporates state paid sick leave with company paid time off at an accrual rate of 0.0607 per hour worked, equivalent to 120 hours of PTO at 2,080 hours worked in a year. We also offer 6 Paid Holidays (8 hours for full time and 6 hours for part time per event, excludes on-call staff) and 1 Personal Holiday of Choice per year (excludes on-call staff).
• Retirement planning is encouraged through our 403(b) plan that includes a generous 100% company match on the first 4% of earnings an employee contributes. There is a 5-year vesting schedule on the company match, and minors are ineligible for the company match.
• A food and beverage discount of 50% is available to all employees at any Wesley bistro. Employees are also eligible for On-Demand Pay with Dayforce Wallet. Minors need parental consent to access this benefit.
• To assist employees with challenges outside of the workplace, Wesley offers an Employee Assistance Program (EAP), which is 100% company paid. Additionally, Wesley Community Foundation provides grants to qualifying employees as detailed in the plan summary.
• Lastly, the efforts and contributions of our valued employees are celebrated in our best-in-class recognition and reward platform, Inspire. Points earned for various reasons may be redeemed for a variety of merchandise, gift cards, tickets, travel and other experiences selected by the employee.

This summary is intended to reflect the most reasonable and genuinely expected offering of benefits and other compensation for the posted job. The official website for all Wesley job postings is https://wesleychoice.org/careers/. Wesley is not responsible for content on third-party job boards. Salary ranges, benefits and other compensation are subject to change.

Enrich the lives of older adults through community, choice, and continuing care in the Home Health Admissions Coordinator role. This role receives, evaluates, processes and coordinates admission-related tasks for home care and hospice such as verification of coverage, authorizations, patient data entry, communications between parties including families, and resolving billing-related issues. The Home Health Admissions Coordinator also plays a lead role in day-to-day staff scheduling and compliance with Home Health Medicare guidelines. Find your sense of belonging at Wesley!

 You will provide continuing care through these responsibilities

Essential functions of this position include the following.

1. Receives and processes all requests for services.

• Record/log the request for services and make follow-up calls as necessary.
• Reviews referral information for appropriateness, under the direction of Director of Clinical Services and Director of Business Operations. Reviews based on Medicare Guidelines.
• Assigns and schedules referrals into the electronic medical record according to agency policies and procedures; maintains timely and accurate records.
• Informs clinical staff of newly assigned patients and status of all disciplines involved. Monitors that admissions and discipline evaluations are completed as ordered and scheduled. Communicates with the Director of Clinical Services as necessary.
• Verifies Medicare and third-party payor coverage as a ring of defense.

2. Establishes system for prior authorization from third-party payers.

• Implements procedures for completing and filing reimbursement forms.
• Compiles documentation and orders required for billing. Tracks that visits are made within authorization parameters.
• Provides requested information to insurance companies for reimbursement.
• Communicates effectively verbally and in writing with representatives of insurance companies/other payers.
• Communicates with families and patients regarding the coverage for home health services.

3. Demonstrates teamwork and effective communication to achieve Home Health goals.

• Works with community referral sources, families, and Home Health staff to problem solve and identify services available to the patient either through company services or community partners.
• Participates in Home Health orientation for new staff in matters pertinent to patient insurance information, scheduling admission visits, and coordination of secondary discipline evaluations.
• Follows up on patient transition to home. Communicates with referral sources regarding status of referrals.

4. Other duties and special projects as assigned.

 Our requirements and qualifications for success

• Ability to read, write and communicate proficiently in English.
• Excellent communication skills (verbal and written), interpersonal skills, and documentation skills.
• Proficiency with Microsoft Office and other workplace technology including cloud-based software and mobile apps.
• Experience or understanding of the regulatory components of home health and hospice.
• Knowledge of community resources, Medicare and state regulations, and reimbursement criteria for third-party and private payers.
• Self-motivated, self-directed, excellent organizational skills, and ability to effectively manage stress.
• Critical thinking skills and ability to adapt to changing priorities a must.
• Ability to work independently and with minimal supervision.

Physical, environmental, and mental requirements

• Ability to sit, stand or walk at-will throughout shift.
• Ability to hear, understand, and distinguish speech and/or other sounds one-to-one, in a group, and via telephone/computer.
• Keyboarding and near visual acuity.
• Ability to lift up to 25 lbs.

Salary Range: $25.28 to $36.44 per hour

REQ Code: AZL0930