Central Admissions Specialist

The Central Admissions Specialist serves as a critical hub in the admissions process, ensuring each patient referral is reviewed, coordinated, and transitioned efficiently from hospital to facility. This role works closely with clinical, financial, and operational teams to evaluate referrals, secure approvals, and prepare for successful admissions. With a focus on accuracy, communication, and timeliness, the Central Admissions Specialist helps drive census growth while ensuring a seamless and well-managed experience for patients, families, and referral partners.

• Receives prospective resident referral and reviews financially and clinically with supporting tools. i.e. clinical and financial grid
• from assigned accounts
• Tracks pre-admission referral activity daily/weekly
• Coordinates the assignment of attending physician
• Confirms level of care approval obtained and or (PASRR) when indicated
• Confirms financial approval and acquires necessary documentation
• Obtains prior approval number from payer on a per case basis when authorized
• Communicates potential risks to Administrator and Director of Nursing
• Confirms specialized equipment is ordered as indicated (review contract content for need to obtain prior approval from
• authorized payer)
• Complete demographic information in E H R and/or referral system, scan, email or fax to appropriate facility and department.
• Receives necessary financial information from discharging source prior to patient arriving, distribute to case management,
• social services, and business office
• Tracks acute hospital admissions to follow up and facilitate readmission of residents
• Coordinates weekend/holiday admissions
• Facilitates receipt of all necessary documentation from referring institution
• Reviews computerized census system daily
• Maintains waiting list and inquiry list
• Coordinates room assignment designation
• Access continuing education opportunities appropriate to responsibilities
• Promotes optimal communication among program staff members, facility staff, referrals sources, physicians and residents
• Appropriately accesses the resources of the company’s regional offices for consultation and program development support
• Seeks out external resources through conferences, workshops, etc. as necessary. Routinely shares personal knowledge with
• staff, other managers and facility personnel
• Participates in sales events and meetings as needed in medical community or in the non-medical community.
• Demonstrates flexibility in adjusting to change, patient needs, and customer expectations; meets company standards relating to
• deadlines and attendance
• Establishes and maintains exemplary standards for department appearance and staff presentment; ensures compliance with
• company and facility policies and procedures
• Adheres to all safety and risk management protocols and programs
• Participates in direct and indirect patient care activities as warranted
• Participates in quality improvement activities, which reduce cost and increase efficiency through improved systems and
• processes
• Exhibits courtesy, compassion and respect to residents, families, visitors, physicians, administrators and coworkers
• Are required to exercise discretion and independent judgement
• Performs other duties or functions as directed
• High school diploma
• At least one year experience in Health Care Sales/Marketing/Insurance or commensurate education preferred
• Familiar with medical terminology

Skills

A Central Admissions Specialist should have some knowledge, skills and abilities in order to properly do his or her job. Among them, we indicated the following as requirements:

• Communication: taking with healthcare workers, doctors, nurses, families and patients on a daily basis, must be friendly and able to listen to needs and concerns
• Empathy: working with people who may be injured, infirmed, or confused and their families, understanding needs and concerns is crucial
• Detail orientated: working with medical records and must organize and process this information for use in the facility and with referring facilities

Technical skills

• Must be able to function in computers to input data and may need to use coding and classification software and electronic health record systems

Regency Integrated Health Services, Wellsential Health, Senior Solutions Pharmacy, Nurse Practitioner Services of Texas, and Texas Independent Health Care Plan are all an Equal Opportunity Employer. We do not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, disability status, national origin, veteran status or any other basis covered by appropriate law. All employment decisions are based on legitimate, non-discriminatory criteria.