Admissions Services Specialist Acute

AcadiaFranklin, TN
Remote

About The Position

Acadia Healthcare is seeking remote Admissions Services Specialists to support our Acute Behavioral Health Facilities from coast to coast. This position is 100% remote. The role involves verifying benefits information, monitoring and processing patient referrals, responding to inquiries about facilities, and supporting Acadia Healthcare admissions departments throughout the country. Acadia Healthcare is a leader in treating individuals with acute co-occurring mood, addiction, and trauma, and places a strong emphasis on admissions & intake functions.

Requirements

  • Bachelor’s or Master’s degree in Behavioral Science, Social Work, Sociology, Nursing, or a related field; in some states, RN, LVN/LPN
  • Knowledge of admission/referral processes, techniques, and tools
  • Familiarity with behavioral health issues and services
  • Solid understanding of financial principles and insurance reimbursement practices
  • Knowledge and proficiency with Salesforce.com (or other CRM application), Concur, and MS Office application.
  • Licensure, as required for the area of clinical specialty, i.e., RN license, CAC or other clinical counseling or therapy license, as designated by the state in which the facility operates.

Responsibilities

  • Verify benefits information for assigned facility.
  • Monitor and process patient referrals (may include fax referrals).
  • Respond to inquiries about facilities within policy timeframes.
  • Support Acadia Healthcare admissions departments throughout the country.
  • Manage Referral Management Portals.
  • Monitor all faxed referrals.
  • Monitor all webforms and call center handoffs/rollover referrals.
  • Utilize facility admissions/exclusionary criteria to process incoming types of referrals.
  • Document calls inside of Salesforce and follow-up as needed.
  • Complete Prior Authorization.
  • Pre-Admit the patients in billing system.
  • Coordinate with local admissions department regarding bed availability.
  • Facilitate intake, admissions, and utilization review process for incoming patients.
  • Perform insurance benefit verifications, disseminating the information to appropriate internal staff.
  • Collaborate with other facility medical and psychiatric personnel to ensure appropriate recommendations for referrals.
  • Coordinate admission and transfer between levels of care within the facility.
  • Communicate projected admissions to designated internal representative in a timely manner.
  • Ensure all medical admission documentation is gathered from external sources prior to patient admission and secure initial pre-authorization for treatment and admission.
  • Complies with organizational policies, procedures, performance improvement initiatives and maintains organizational and industry policies regarding confidentiality.
  • Communicate clearly and effectively to person(s) receiving services and their family members, guests and other members of the health care team.
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