Admissions Coordinator

Job Type: Full-time

Benefits

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off

Schedule

• Day shift
• Monday to Friday

KEY ESSENTIAL FUNCTIONS

• Responsible for coordination of referrals.
• Ensure signatures are in consent forms for new admissions & picture ID is provided upon arrival.
• Ensure criteria for admission is established before the resident is admitted and communicated to referring agencies / hospitals.
• Communicate with referral agencies for any missing documentation that would otherwise hold up an admission.
• Ensure information is updated in the computer system in relation to demographics or financial.
• Provide daily census accurately and ensure it is entered in computer system daily, as it related to behold or discharges.
• Register all admissions into the computer system.
• Maintain databases for all referrals, therapeutic & bed hold logs.
• Obtain authorization single case agreement for all Managed Care patients.
• Provide notification to Nursing Home Leadership Team regarding status & deadline of concurrent review.
• Coordinate with Social Services and Medical Department to obtain clinical notes & social work documentation to compile concurrent review package.
• Submitting concurrent review package and follow up with Utilization Management team at the Managed Care Plan for status.
• Submit daily referral report.
• Submit on a weekly basis an outreach log of who/which external community partners/ hospitals were contacted for possible admissions.
• Admissions Coordinator must attend Outreach events on behalf of the Skilled Nursing Home to assist in the Marketing efforts with the leadership team.
• Attend monthly Quality Improvement Meetings with the Nursing Home Leadership Team and provide metrics required.
• Number of Cold Calls each month conducted and Number of Re-Admissions per month.
• Protects the organization and its clients by maintaining strict confidentiality.
• Obtain, summarize, and analyze all trends in Admissions Department.
• All other tasks as deemed appropriate by the Administrator of the Nursing Home.

REQUIREMENTS

• 3 – 5 years’ experience in a similar role is preferred .
• Must have healthcare insurance claims background.
• Computer Literate – MS Word, Excel, and PowerPoint.

Ability to commute/relocate:

Education

• Associate (Required)

Experience

• Customer service: 1 year (Required)
• Medical terminology: 1 year (Required)
• Computer skills: 1 year (Required)
• Insurance verification: 1 year (Required)
• Work Location: In person

We are an Equal Opportunity Employer –M/F/D/V

ACKNOWLEDGEMENT

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. All pay rates and bonuses are paid and/ or awarded to employees based on the facilities policy and/ or the CBA, depending on the position.