ADMISSIONS COORD II

Position Summary

Under the supervision of the clinic manager, coordinates the admission functions to therapy center outpatient services. Monitors and pursues unpaid patient accounts. Serves as financial liaison.

Responsibilities

• Maintains and fosters effective public relations with patients, families, referral sources, third party payors, and staff.
• Serves as primary position for answering phone calls relating to registration, schedule, charges and accounts.
• Collaborates with clinicians regarding admission processes, conferences, documentation, and reimbursement issues.
• Verifies benefits and pre-certifies all outpatient admissions with insurance carriers.
• Enters information into account notes. Assists in obtaining authorizations as needed.
• Assesses alternative payment arrangements for or explains co-payments to patient and/or family prior to admission.
• Tracks Medicare certifications/recertifications for physician signature and authorization.
• Captures and distributes chart to therapists. Assists in maintaining staff schedules and running charges daily.
• Audits charge function on daily and monthly basis. Tracks, collects and documents patient co-pays.
• Prepares copays and report for transport to KBOS. Tracks, documents and coordinates with patients/therapists therapy cap limits.
• Serves as financial liaison between business office, reimbursement coordinator and patient/family.
• Audits daily discharge and re-admit report 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.
• Maintains expert status in the aforementioned.
• Fulfills policies, procedures, and safety standards.
• Completes required education assignments annually.
• Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested.

Qualifications

• Minimum Education: None specified; will accept 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 such as would be 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 required.
• Excellent communication and organizational skills required.
• Knowledge of medical terminology required.
• Two (2) year admitting procedures and insurance providers required.