Healthcare Admissions Coordinator - Outpatient - F/T | Westover Hills Rehab

Outpatient Admissions Coordinator

Provides admissions office support for the facility, serving as the lead support person. Manages referral, intake, verification, pre-certification, and admissions processes; conducts or arranges for facility tours. Makes recommendations to the Admissions Manager regarding hiring and performance management of staff, where applicable. Serves as a back-up to the Admissions Manager. Performs other related duties as assigned.

Quality Applicants Possess:

• High school Diploma or GED Certificate - REQUIRED
• Associate Degree (or equivalent healthcare related experience)
• Insurance Verification Experience (Commercial, Medicare, Medicare Advantage and Medicaid policies)
• Referral & Intake Coordination, Pre-certification, Medical Terminology and Accounts Receivable Knowledge
• Ownership, Accountability and Leadership Mentality
• Longevity at prior employment
• Bilingual ability (English/Spanish) a plus

RESPONSIBILITIES

Lead Role

• Serves as lead support person for the Admissions Department. Makes recommendations to management re: hiring and performance

management of staff, where applicable. Orients new intake specialists upon hire and meets ongoing training needs of the staff.

• Ensures that all aspects of the admissions process (i.e., signing, verification, pre-certification, facility tour, and signature on release and consent

forms, etc.) are completed in an efficient and courteous manner.

Pre-Admission Process

• Upon receipt of a referral: Collects referral demographics to include referral source, call-back number, patient name, hospital/room number, diagnosis, insurance coverage, anticipated discharge date and time, referring physician.
• Contacts Clinical Liaison with referral information.
• Follows-up and documents all referrals within one hour of receipt or as soon as possible.
• Ensures that each referral is accurately documented.
• Logs in all referrals/inquires on the daily log. Gathers data from referral source/patient and initiates intake form.
• Verifies insurance benefits. Follows Verification of Benefits Policy & Procedure. In case of unfunded or under-funded clients, follows the Charity Care Policy & Procedure. Obtains pre-certification when necessary.
• Ensures accurate bed board and census maintenance.
• Follows admission process matrix as assigned.

Admission/Registration Process

• Verifies that intake is complete. Copies and distributes intake form and Clinical Liaison’s pre-admission assessment (patient evaluation)

form for nursing, therapists, case managers, and physicians.

• Updates HMS with information.
• Reviews admission papers with the patient to verify accuracy.
• Copies all insurance cards for business office files.
• Requests signature on proper documents, such as promissory notes, release of information, etc.
• Distributes admission documents; makes copies of admissions papers and Clinical Liaison’s patient evaluation and distributes to appropriate departments.
• Orients patients and family member or caregivers as follows: Explains all registration forms, rules and procedures to patient and or family in a manner appropriate to the individual(s). Makes family and patient aware of non-covered services and items, co-insurance, co-payments, and deductibles not covered by insurance. Explains patient visiting hours and makes family feel welcome and comfortable. Discusses family concerns and instructs family on resources for assistance during the hospital stay. Assists patients in completing orientation paperwork prior to admission.
• Updates missing information when patient registers and verifies accuracy of patient billing information.
• Verifies insurance benefits; follows Verification of Benefits Policy & Procedure. For unfunded or under-funded patients, follows the Charity Care Policy & Procedure; obtains pre-certification when necessary.
• Registers patients in HMS and completes paperwork. In HMS system, pre-registers patient based on information provided in the pre-admissions assessment or by family, patient, referral source.
• Obtains copies of all insurance cards and calculates amount patient payment responsibilities, other than insurance covered service; collects co-payments as appropriate.
• Assigns room and bed numbers and generates paperwork for chart, ID bracelet, and data cards for admission; makes patient fol