About The Position

Coordinate and screen residents and provide courteous explanations of procedures to residents, families, and physicians. The role supports resident admissions and discharges, patient coordination, medical and financial record management, and treatment authorization processing. The position is based at Copley Drive and is full-time, with a 9:00 AM to 5:30 PM shift and an every-other-weekend requirement.

Requirements

  • Online computer experience in an office setting.
  • Basic computer skills.
  • Typing and word-processing skills.
  • Familiarity with medical terminology.
  • Understanding of various health plan benefits.
  • Telephone etiquette.
  • Record-keeping skills.
  • Good organizational and interpersonal skills.

Nice To Haves

  • High school diploma or equivalent.
  • One year of recent admissions or hospital-setting experience.

Responsibilities

  • Maintain a current log of residents receiving ancillary services, update it as needed, and submit the information to data processing by the end of each month.
  • Maintain a current log of Kaiser and Secure Horizon residents and inform appropriate personnel of new admissions and discharges.
  • Provide intake packets to potential residents, families, and responsible parties; interview and orient them, including facility tours; and explain available services and regulations.
  • Maintain accurate records of residents’ financial status; update, retype, and distribute the daily unit census.
  • Collect and verify insurance cards and medical eligibility before admission, collect account deposits, enter required information into the computer, and obtain and distribute face sheets and plates to nursing units.
  • Review residents’ medical information to determine whether they meet Medicare guidelines and inform residents or family members of eligibility status.
  • Record when residents become eligible for Medicare or are no longer eligible, update Medicare certifications, and distribute them to the billing office and physicians.
  • Arrange for residents or family members to sign Medicare denial letters when residents are ineligible or their Medicare coverage ends.
  • Submit initial treatment authorization requests (TARs) to the Medical office within 10 days of admission or eligibility, distribute TARs to nursing staff for completion, gather supporting documentation, send it to the physician’s office for signature, and resubmit TARs to the field office with the appropriate documentation.
  • Inform the Social Security Administration of all SSI residents.
  • Screen residents and explain procedures courteously to residents, families, and physicians.
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