Admissions Manager
About The Position
The Admissions Manager oversees the admissions process from initial referral through acceptance, helping clients and families connect with appropriate rehabilitation services. The role coordinates pre-screening assessments and related paperwork, works with clinical teams and referral partners, and helps determine whether the company can meet a client's needs. It also involves payer and reimbursement discussions, maintaining community and referral-source relationships, monitoring satisfaction and conversion data, supporting operational compliance, and supervising direct reports and field staff assigned to pre-screening.
Requirements
- Bachelor's degree in Nursing or a healthcare field; at least five years of related admissions and medical insurance work experience may be considered in place of a degree.
- At least three years of experience working in a rehabilitation or healthcare setting.
- Strong knowledge of rehabilitation operations and third-party payer reimbursement.
- Proficient data-entry and computer skills, including Microsoft Word and Excel.
- Excellent negotiation, organization, problem-solving, decision-making, and communication skills.
- Ability to function with minimal supervision.
- Effective and professional interpersonal, verbal, and written communication skills.
Responsibilities
- Respond to calls from referral sources and potential clients, identify client needs, and consult with the Director of Clinical Management about the company's ability to meet them.
- Complete viable referrals by arranging and conducting pre-screening assessments, preparing reports and case proposals, completing pre-admission paperwork, obtaining payment authorization, and coordinating an appropriate treatment team.
- Oversee, direct, and supervise field staff assisting with the pre-screening process.
- Access relevant national, state, and company account information, including contract terms and prior payer agreements.
- Consult with third-party representatives about benefit coverage, client financial responsibility, service authorization, and reimbursement procedures; present company services and negotiate reimbursement levels.
- Notify referral sources of case acceptance and provide information about the clinical team responsible for the client.
- Maintain knowledge of company services and community resources, and help identify alternative community services when company solutions are unavailable or unsuitable.
- Maintain relationships with referral sources and payer case managers, seek referrals, record call outcomes, and keep the SAR informed; assist the CRM with other sales and marketing activities as needed.
- Monitor referral-source satisfaction and conversion ratios, and provide summary reports to management at requested intervals.
- Participate in performance-improvement activities, collect data for analysis, and prepare reports for management as needed.
- Implement and maintain operational processes with up-line management to ensure compliance with company policies, legal requirements, and regulatory mandates.
- Follow and participate in the company's HIPAA privacy and Business Ethics and Compliance programs and practices.
- Participate in quarterly growth-planning activities, including discussions about staffing and recruitment needs.
- Perform duties inherent in a supervisory role for direct reports.
- Participate in special projects and perform other duties as assigned.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
