Admissions Director

St Camillus Residential Health•Syracuse, NY

4d•$82,000 - $92,000•Onsite

About The Position

This position manages the admissions process from resident screening to completion of all required admission paperwork, with a focus on maintaining resident census and desired payer mix. This position will also serve as the primary negotiator for payer contracting for the facility.

Requirements

A bachelor's degree or higher, with at least 5 years related experience in a healthcare facility
5 or more years of supervisory or management experience
Strong verbal, written, computer and leadership skills required

Nice To Haves

RN License is preferred

Responsibilities

Oversee admissions staff operations, business planning and budget developing.
Oversee the referral process to ensure all potential admissions are reviewed and screened appropriately to support facility occupancy and payer mix targets.
Oversee the intake process to ensure that all patients/residents, for all facility programs, are admitted with accuracy in a timely, professional and efficient manner; and that the admission process provides the appropriate front-end support for billing as well as the overall revenue cycle.
Responsible for maintaining updated department procedures including census reporting, admission agreements, various admission forms, reliable insurance verification, and accurate data entry to the computerized financial records.
Ensure that the inpatient census is prepared in an accurate and timely manner each day.
Prepare month end reports related to census, admissions, discharges, length of stay and payer mix.
Ensure the efficient flow of information between intake, nursing, case management, social work, medical records, billing and other ancillary departments.
Ensure department protocols are in compliance with facility, state and federal regulations.
Work closely with Privacy and Security Officers with regard to HIPAA regulations. Ensures that appropriate procedures are in place and all staff are properly trained to ensure compliance with HIPAA.
Work closely with IT to troubleshoot problems, investigate system issues and to determine needs of future system development projects.
Build and maintain relationships with hospitals, physicians, social workers, discharge planners and other referral sources. Market the facility to referral sources, when appropriate, to gain new business.
Maintain current knowledge of Medicare and Medicaid regulations.
Serve as the primary contact and negotiator for payer contracts, (insurance companies, managed care organizations, third party administrators and others). Reviews proposed contracts with legal counsel and senior management.
Communicates final payer contract terms to relevant departments to assure compliance with operational and billing requirements.
Works closely with senior leadership in analyzing ongoing business operations and planning for new opportunities.
Remains knowledgeable of government regulations, procedures and rate formulae affecting reimbursement.
Responsible for employee injury prevention, follows safety rules, and addresses safety issues with supervisor.
Supports clinical operations, as needed.
All other duties as assigned by supervisor.