This position will work under the direction of the Director of Business Development and be responsible for patient admissions, insurance verification and other insurance verification duties as directed. The position supervises the admissions coordinator. This individual will be responsible for obtaining the necessary demographic information of the patient which may require interviewing patients or their representatives. This position is responsible for preparing/processing admitting forms and keeps abreast of all new insurance updates and regulations. The position prepares required admissions and marketing reports.
Supervises all admissions processes.
Processes referrals and coordinates admissions of all hospital patients in an efficient, responsive manner.
Coordinates the flow of information through the admissions process and forwards to appropriate departments for the successful completion of admission.
Collect and record all information necessary for admitting patients.
Immediately notifies appropriate rehab liaison to perform a clinical evaluation.
Completes Insurance Verification Form with benefit and billing information.
Communicates admission status and coordinates all aspects of rehab admission.
Admit all patients – obtain correct general information.
Ensure that all admitting forms are signed.
Contact patient's insurance to confirm and determine amount of coverage and benefits, deductible due, length of stay and if pre-certification is required.
Answers telephone promptly and courteously, providing information and completing all referral/intake forms as appropriate for each call.
Contacts appropriate third-party payors to verify and document inpatient and outpatient benefits and extended care benefits.
Notifies appropriate department if referral requires pre-certification and provides appropriate contact information.
Notifies appropriate departments of patient's anticipated admission date/time.
Notifies the appropriate personnel of the arrival of all inpatients and arranges for an appropriate escort of all patients and families to their designated area.
Records and pre-admits patients using information pertinent to the admission in the computer system.
Routes all admission forms to the appropriate departments.
Keeps a record of all referrals. Record includes denied admissions and the reason for denial.
Maintains confidentiality of patient medical records information in accordance with hospital's defined policies and procedures.
Completes admitting paperwork, obtaining appropriate signatures and reviews information with the patient and family.
Communicates patient's current medical status to Medical Director/appropriate clinicians when Rehab Liaison is unavailable.
Coordinates denial information with liaisons for follow-up communication to referral sources, families and physicians.
Continuously updates referral logs.
Provides current list of all pending referrals.
Maintains regulatory requirements, including all state, federal, Joint Commission and Hospital Compliance Plan.
Maintains cooperative working relationship and good rapport with hospital departments and staff and other organizations or entities related to the hospital business.
Represents the organization in a positive and professional manner.
Communicates the mission, ethics and goals of the organization at all levels of the organization.
Ability to clearly and effectively communicate with all constituents (patients, families, peers, and other healthcare team members) as needed for leadership, assessment, intervention, and professional development.
High School Diploma required. College Degree preferred.
Minimum of 2 years experience in Admitting and/or medical insurance required.
Experience in handling patient admissions preferred.
Extensive knowledge of insurance and their benefits and admitting forms.
Proficiency in recording admission reservations.
Basic computer knowledge including Outlook, Excel, PowerPoint and Word
Must be able to read, write, and speak the English language.
Good communication skills.
Ability to work harmoniously with other personnel.
Ability to deal tactfully with patients, hospital staff and the general public.
Med-Surge hospitals and systems (for profit and non-profit) knowledge desired
Must be able to follow written and oral instructions.
Must maintain a professional demeanor and appearance to reflect proper image for the hospital.
Must have good organizational skills and analytical ability in order to interpret information, and carry out duties independently.
Must be cooperative and have the desire to be a team player.
Must recognize and observe confidentiality principles.
Consistently demonstrates the ability to organize tasks in order of priority.
Consistently performs job duties in an independent manner and seeks direction from department manager when needed.
Performs other duties as requested by authorized personnel or as necessary for effective operation of the facility, including emergency situations.
Processes referrals and coordinates admissions of all patients in an efficient, responsive manner. Assists with action plan for all pending cases to maximize conversion of referrals to admissions.
Prepares all forms completely and accurately prior to the arrival of all admissions.
Arranges transfer in a timely manner.
Maintains up-to-date statistical data in computer information system within established time frames.
Ensures completion of all referral documentation and maintains filing systems.
Maintains, posts, and distributes an accurate census and referral information to administration hospital staff on a daily basis.
Maintains systems and processes for timely data-entry of pre-admit, admission, and registration of information for inpatients and outpatients.
Maintains log of statistics for admission, discharges, referrals and denials.
Compiles and distributes weekly admissions/discharges list. Monitors pending list daily.
Recognizes problems and communicates to responsible party to solve them when they occur.
Seeks supervisory help appropriate in problem solving and assists in implementing solutions.
Ensures patients have a good understanding of their insurance benefits and answers questions as needed.
Ensures all pre-admission screenings are signed by physician within 48 hours of patient admitting.
Physical and Safety Requirements:
Must be able to move intermittently throughout the day.
Must be able to cope with the mental and emotional stress of the position.
Must possess sight/hearing senses, or use prosthetics that will enable these senses to function adequately, so that the requirements of this position can be fully met.
Sitting, standing, bending, lifting, and moving intermittently during working hours
Subject to frequent interruptions.
Willingness to work beyond normal working hours when necessary and in other positions temporarily, when necessary.
Attend and participate in continuing education programs.
May be subjected to infectious diseases, substances, and contaminated articles, etc.
Is subject to quiet to moderate noise levels.
Job : Administrative/Clerical/Secretarial Primary Location : OK-OKC-CHC Payroll - Mercy Rehab Oklahoma City Organization : 6786 - CHC Payroll - Mercy Rehab Oklahoma City Shift : Day