Central Admissions Specialist (86862)

Regency Integrated Health Services•Weslaco, TX

5d•Onsite

About The Position

The Central Admissions Specialist supports the admissions department’s activities in the pre-admission, admission, discharge, and follow up processes. This role involves managing referrals, coordinating physician assignments, confirming approvals, and facilitating the smooth transition of residents into and out of the facility.

Requirements

High school diploma
At least one year experience in Health Care Sales/Marketing/Insurance or commensurate education preferred
Familiar with medical terminology
Communication: talking with healthcare workers, doctors, nurses, families, and patients daily, must be friendly and able to listen to needs and concerns
Empathy: working with people who may be injured, infirmed, or confused and their families, understanding needs and concerns is crucial
Detail orientated: working with medical records and must organize and process this information for use in the facility and with referring facilities
Using computers to input data and may need to use coding and classification software and electronic health record systems

Responsibilities

Receives prospective resident referrals and reviews financially and clinically with supporting tools.
Tracks pre-admission referral activity daily/weekly.
Coordinates the assignment of attending physician.
Confirms level of care approval obtained and or OBRA screen (PASSAR, MIMR) when indicated.
Confirms financial approval and acquires necessary documentation.
Obtains prior approval number from payer on a per case basis when authorized.
Communicates potential risks to Administrator and Director of Nursing.
Confirms specialized equipment is ordered as indicated.
Completes demographic information in AHT or PCC, scans, emails or faxes to appropriate facility and department.
Receives necessary financial information from discharging source prior to patient arriving, distributes to case management, social services, and business office.
Tracks acute hospital admissions to follow up and facilitate readmission of residents.
Coordinates weekend/holiday admissions.
Facilitates receipt of all necessary documentation from referring institution.
Reviews computerized census system daily.
Maintains waiting list and inquiry list.
Coordinates room assignment designation.
Accesses continuing education opportunities appropriate to responsibilities.
Promotes optimal communication among program staff members, facility staff, referrals sources, physicians and residents.
Appropriately accesses the resources of the company’s regional offices for consultation and program development support.
Seeks out external resources through conferences, workshops, etc. as necessary.
Routinely shares personal knowledge with staff, other managers and facility personnel.
Participates in sales events and meetings as needed in medical community or in the non-medical community.
Demonstrates flexibility in adjusting to change, patient needs, and customer expectations; meets company standards relating to deadlines and attendance.
Establishes and maintains exemplary standards for department appearance and staff presentment; ensures compliance with company and facility policies and procedures.
Adheres to all safety and risk management protocols and programs.
Participates in direct and indirect patient care activities as warranted.
Participates in quality improvement activities, which reduce cost and increase efficiency through improved systems and processes.
Exhibits courtesy, compassion and respect to residents, families, visitors, physicians, administrators and coworkers.
Are required to exercise discretion and independent judgement.
Performs other duties or functions as directed.