Admissions Coordinator

FreemanDickson, TN

About The Position

The Admissions Coordinator is responsible for managing the initial stages of the patient admissions process. This includes gathering necessary information and documentation, communicating with prospective patients and referral sources, and coordinating with internal teams to ensure a smooth transition into treatment. The role requires strong communication, organizational, and customer service skills, as well as a thorough understanding of insurance verification and HIPAA regulations.

Requirements

  • Strong communication skills.
  • Organizational skills.
  • Customer service skills.
  • Understanding of insurance verification.
  • Understanding of HIPAA and 42CFR regulations.

Nice To Haves

  • Weekend, evening, and on-call work may be required, as-needed.

Responsibilities

  • Obtain all necessary information and documentation from the prospective patient to begin the admissions process.
  • Coach prospective patients on what to expect in treatment, answer all questions of the patient/family/referent, and support the patient in the decision to receive treatment however possible.
  • Work closely with business development representatives to follow-up on prospective patients.
  • Answer incoming calls from prospective patients, families, and referral sources.
  • Maintain a positive rapport with referral sources and communicate effectively with them during admissions process.
  • Obtain medical and clinical approval of prospective patients based on medical documentation.
  • Manage incoming fax referrals inbox.
  • Ensure insurance is checked before sending to medical for review.
  • Contact case manager/referral source to let them know the referral has been received and being sent over for review, or if we cannot accept the insurance.
  • Forward all records faxed in within an hour during business hours - monitor throughout the day real time with a threshold of at least every hour.
  • Follow up on leads that we were unable to reach or make contact with (list and contact information provided daily by admissions supervisor) and note any attempts and updates.
  • Using VOBS and Hansei, verify insurance coverage and benefits.
  • Once approved or denied by medical, ensure case management is updated on denials and provided option of helping with referral, schedule Zoom or request any addition records based on medical feedback, and if it is ready to be scheduled, scheduling.
  • Routinely calling referrals and hospitals for relationship development.
  • Scoring phone calls.
  • Assist with patient retention efforts, as-needed.
  • Uphold policies and procedures related to patient confidentiality under HIPAA and 42CFR at all times.
  • Complete Initial Intake screenings.
  • Re-verify insurance once client arrives.
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