ADMISSIONS COORD

Fort Loudoun Medical Center, part of Covenant Health, is an 87,000-square-foot hospital serving Loudon County and surrounding communities. Based in Lenoir City, TN, with more than 200 physicians across 29 specialties, the facility offers advanced technology including MRI, CT, ultrasound, diagnostic X-rays, women’s imaging, and nuclear medicine unique to the region. Featuring private patient rooms and comprehensive services such as emergency care, surgery, and specialized treatments.

About the role

Under the supervision of the clinic manager, coordinates the admission functions to therapy center’s outpatient services. Serves as financial liaison and primary contact for phone calls relating to registration, scheduling, charges, and accounts. Collaborates with clinicians regarding admission processes, documentation, and reimbursement issues.

Responsibilities

• Verifies benefits and pre-certifies all outpatient admissions with insurance carriers; enters information into account notes and assists in obtaining authorizations as needed.
• Assesses alternative payment arrangements or explains co-payments to patients and/or families prior to admission.
• Tracks Medicare certifications/recertifications for physician signature and authorization.
• Coordinates assignment of new admissions; registers, re-registers, and discharges patients from the system.
• Compiles and distributes charts to therapists; maintains staff schedules and runs charges daily.
• Audits charge function on daily and monthly basis; tracks, collects, and documents patient co-pays.
• Prepares co-pays and reports for transport to KBOS.
• Tracks, documents, and coordinates with patients/therapists regarding therapy cap limits.
• Serves as financial liaison between business office, reimbursement coordinator, and patient/family.
• Audits daily discharge and re-admit reports to ensure all patient charts are accounted for.
• Compiles, organizes, and prepares medical records for transport and scanning.
• Maintains flowboard for active and discharged patient charts and keeps records of charts sent to medical records.
• Participates in account audits and appeals.
• Performs data collection, trending, and reporting of departmental statistics/information as assigned.
• Edits payroll for staff as assigned; maintains departmental files and records for budget reports, invoices, and time sheets.
• Provides continuing education for staff regarding regulatory and payor policy changes.
• Follows policies, procedures, and safety standards; completes required education assignments annually.
• Works toward achieving goals and objectives and participates in quality improvement initiatives as requested.
• Performs other duties as assigned.

Requirements

• Minimum education: any combination of formal education and/or prior work experience sufficient to demonstrate possession of the knowledge, skill, and ability needed to perform the essential tasks of the job, typically equivalent to a high school diploma or GED. Preference may be given to individuals possessing a Bachelor’s degree in a directly-related field from an accredited college or university.
• Minimum experience: four (4) years’ experience with case management, business office, admissions, or medical records preferred.
• Excellent communication and organizational skills required.
• Knowledge of medical terminology required.
• Knowledge of admitting procedures and insurance providers preferred.
• Computer knowledge required.

Schedule

Full time, 80 hours per pay period, day shift.