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Hours Full-time, Part-time
Location Aliso Viejo, CA
Aliso Viejo, California

About this job

Admissions Coordinator with Healthcare Company-1400024Y Job Marketing/Communication Primary Location United States-CA-CAAliso Viejo Organization Care Meridian

Founded in 1989, CareMeridian provides a continuum of high quality, cost-effective post-acute care and rehabilitation options to people of all ages with brain, spinal cord and other life-altering injuries and medically-complex illnesses. With program locations throughout the Western United States, CareMeridian offers a distinctive service delivery model, merging an experienced and skilled health care and rehabilitation team with state-of-the-art technology in community-based program settings designed to meet each individual’s unique needs at every stage of recovery.


CareMeridian is a partner of The MENTOR Network, a national network of local human services providers offering quality, community-based services to adults and children with intellectual and developmental disabilities, brain and spinal cord injuries and other catastrophic injuries and illnesses, and to youth with emotional, behavioral and medically complex challenges as well as their families. With opportunities from coast to coast, when you join CareMeridian and The MENTOR Network, you’ll make a difference every day and help to provide quality of life enhancing services to individuals across the country.

Description

Every person needs the support of others, but we look for very special people to support our patients; children and adults with medical complexities; and/or adults with brain injuries, spinal chord injuries or other such medically fragile and complex conditions.

For CareMeridian and The MENTOR Network, an Admissions Coordinator is critical to our success and exemplifies the wonderful mission driven work we do here every day.

CareMeridian is seeking someone for our corporate office in Southern Orange County, CA who can coordinate prospective resident inquiries and resident admissions for all of CareMeridian’s programs and services and facilitate communication and act as an effective hub for the operations team, marketing team, payer source, and patient/patient’s family.

ESSENTIAL Job FUNCTIONS

To perform this Job successfully, an individual must be able to satisfactorily perform each essential function listed below. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Handles prospective resident inquiries and provides information regarding CareMeridian’s programs and services. (Training is provided at length in this area).

2. Manages the referral line phone calls and the web-site referral system inquiries. Facilitates an immediate response by each region to caller’s requests. Provides research and resources to outside and internal callers regarding programs and product lines.

3. Establishes and maintains relationships with potential referral sources

4. Facilitates determination of potential residents’ financial viability. Identifies all types of funding possibilities including primary, secondary, and ancillary insurances, as well as any possible “red flags.” Verifies prospective residents’ health insurance coverage, completes all funding verification protocols, and informs evaluator and facility operations staff of benefits profile.

5. Facilitates determination of potential residents’ clinical viability. Works with facility operations staff to determine clinical aptness and appropriate level of care and justification based on the pre-admission evaluation and the payer contract terms.

6. Contacts pre-certification and establishes exchange with payer case manager in order to obtain authorization to admit and to confirm the level of care and justification.

7. Works with payer, facility operations staff, evaluators, and family, as necessary, to ensure everything is in place prior to admission.

8. Completes and processes intake form, notifies evaluator and sends documents for database input. Distributes records and other documents to appropriate staff for clinical and medical approvals; tracks and documents status of clinical and medical approvals.

9. Maintains and updates the patient database with prospective resident referrals and their statuses.

10. Inputs necessary admission information for all new residents into the billing system.

11. Provides administrative assistance to VP of Managed Care and Payer Contracting when needed.

12. Creates quarterly reports and monthly monitors concerning prospective resident types and statuses, as part of the Performance Improvement Program.

Performs other related duties and activities as the position is required.
Qualifications

Requirements:

  • Experience in medical field is preferred but not required!
  • High School Diploma

Other Skills:

  • Strong analytical and problem solving skills
  • Excellent written and oral communication skills
  • Ability to work in a team-orientated environment
  • Knowledge of Microsoft Office, Outlook, Word, Excel
  • Experience with database management preferred but not required
  • Experience and general knowledge regarding HMO/PPO insurance as it relates to the medical field

Candidates with less experience will be considered for the right person.


Founded in 1980, The MENTOR Network is a national network of local human services providers offering an array of quality, community-based services in more than 30 states to adults and children with intellectual and developmental disabilities, brain and spinal cord injuries and other catastrophic injuries and illnesses, and to youth with emotional, behavioral and medically complex challenges as well as their families.

EOE/AAE


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