Admissions Counselor

About the role

Purpose Statement Clinical professional is responsible for facilitating admissions, clinical intake assessments, and utilization review processes to assure continuity for the most appropriate level of care for patients and their benefit/resource utilization.

Responsibilities

• Respond to inquiries about the facility within facility policy timeframes.
• Ability to develop therapeutic relationships with patients and families.
• Perform benefit eligibility to ensure patient benefits are active at the time of admission.
• Communicate benefit eligibility to the business office and the patient or significant other.
• Collaborate with facility medical and psychiatric personnel to ensure appropriate recommendations regarding pending referrals.
• Coordinate admission and transfer from referral sources and between levels of care within the facility.
• Maintain knowledge of milieu management.
• Communicate projected admissions to designated internal representatives promptly.
• Ensure all clinical information from referral sources or patients (including medical comorbidity information) is received, when possible, prior to patient admission.
• Schedule (when applicable) and complete pre-admission assessments, consult with the admitting physician and communicate disposition recommendations to the patient or their family.
• Possess skill in preparing and maintaining appropriate medical record documentation that will result in authorization at the level of care being requested of the payor.
• Complete initial pre-authorization for treatment and admission prior to admission, when possible, and within payor timeframe guidelines.
• Admit the patient to the registration and accounting system.