Program coordinator serp_jobs.h1.location_city

Description : Summary & Objective

The Admissions Coordinator obtains required information to determine and verify eligibility for patient and / or resident admission based on payer guidelines, in accordance with established policies and procedures. They also help support data systems used in Business Development and Admissions (Enquire, Intellimed, GPS)

Essential Functions

• Must exhibit excellent customer service and a positive attitude towards residents and / or patients, colleagues, physicians and community.
• Answer phone inquiries and educates prospective patients, families, physicians, and hospitals regarding for all lines of business under CHS.
• Cross train on intake process for SNF, IRF and HHC.
• Take telephone referral information accurately.
• Coordinating both internal / external referrals and following-up with referring sources, private clients and social workers.
• Process intake and secures all necessary intake information for new referral required for processing.
• Supports all data systems used internally.
• Able to input, updates and make minor changes in data systems.
• Maintain pending, admission and denial log for assigned line of business on daily basis.
• Create admission face sheets and completes all admissions paperwork.
• Manage bed / room assignment at campus level.
• Serves as a liaison between Central Admission and facility / HHC office.
• Ensures transfer / discharge data entered into clinical database is accurate.
• Assigns appropriate physician depending on insurance and / or facility agreement.
• Consults with the interdisciplinary team and / or Director, Executive / Administrator to determine medical eligibility by providing the medical history on potential admissions when necessary.
• Maintains confidentiality of all pertinent care information for patients and / or residents in accordance with HIPPA guidelines and established policies and procedures.
• Verifies Medicare / Medicaid eligibility through online services verifies supplemental insurance, demographic and contract information prior to admission and follow up as necessary.
• Assists / coordinates with collection of up-front copay for new admissions when necessary.
• Verify insurance benefits to determine financial eligibility on Medicare, Medicaid, HMO, Insurance, Charity, Private pay etc.
• Obtains medical information and determine if Medicare, Insurance and / or Managed Care will cover services based on payer guidelines including pharmacy.
• Requesting and managing authorizations from carrier for new admission.
• Assist in communication with patients / families on SNF, IRF or Homecare related issues.
• Exercise independent judgment, work well with marketing team, office personnel and hospital and doctor offices and communicates with referral sources confidently and knowledgeably.
• Communicates with the leadership of Centralized Admission of any issues and department needs.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position.

Other Duties

Supervisory Responsibility

Physical Requirements

Disclaimer

The job description is not designed to cover or contain a comprehensive listing of activities duties or responsibilities that are required of the employee. Other duties, responsibilities and activities may change or be assigned at any time.

EEOC Statement

CHS provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

PM19

Requirements :

Knowledge & Experience Requirements

PI211e4869be0d-31181-38204805