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Admissions Coordinator Part Time - Full-time / Part-time
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Sacramento, California |
About this job
The Admissions Coordinator processes, financial assessment of patients, self-pay liability, insurance verification, up-front deposits/collections and data integrity. The incumbent also communicates benefit information to patients, family, staff, and provides a high degree of customer service.
A. PRIMARY RESPONSIBILITIES
1. Verifies eligibility and benefits upon receipt of an intake inquiry form for all admissions.
2. Communicates benefits information and co-payments to patients and families prior to admission.
3. Obtains after-hours admission files from the nurses station each morning if not delivered, with any exceptions approved by the office management.
4. Communicate benefit expirations on a daily basis with Case Management, Physicians/Licensed Practitioners, and discharge planning department to provide an update on benefits status.
5. Ensures all admission calls and paperwork are addressed and completed in an accurate and timely manner:
6. Contacts the appropriate agencies to obtain treatment authorizations, reimbursement structure, and patient eligibility.
7. Conducts a financial interview with the patient/family prior to admission based on insurance verification, calculate the amount of deposit necessary and collect the deposit or makes arrangements for payment.
8. Verifies insurance information.
9. Completes the telephone profile of insurance benefits in a timely fashion.
10. Assures that all admission forms are completed accurately and appropriate signatures are obtained.
11. Assigns the correct financial class and adjust financial class as required.
12. Notifies the appropriate facility management of any potential problems related to admission or payment.
13. Obtains a deposit and explain benefits and financial obligations within 48 hours of admittance
14. with all exceptions approved by the Controller.
15. Completes a demographic pre-certification if required.
16. Answers correspondence and files related information in the patient file.
17. Completes the admission folder within one working day of admission, and schedule all critical dates for appropriate follow up:
18. Provides admission folder to the appropriate facility management for review within one working day of admission.
19. Ensures written confirmation of benefits and eligibility is sent to the primary and secondary insurance carrier, and scheduled for follow up.
20. Completes Medi-Cal TAR/Medicaid forms, or other state-funded program authorization forms where applicable.
21. Provides financial counseling to patient and/or guardian or assigned responsible party:
22. Contacts patient or assigned contact within 48 hours to make payment arrangements and to obtain deposits if not done prior to admission, with all exceptions approved by Business Office Manager.
23. Serves as a patient liaison between the family or assigned parties, and business office case management staff.
24. Obtains the financial worksheet and income proof, as required, prior to discharge.
25. Completes timely and effective payment arrangements prior to or upon discharge whenever possible.
26. Participates in completing appropriate paperwork for patient discharge, and coordinate patient financial arrangements
27. Maintain all in-house accounts in a current and accurate manner:
28. Reviews all in-house accounts and clearly documents the status of the file regarding all financial and legal issues. Complete all required information.
29. Clearly documents all activity occurring during the admission as it pertains to eligibility, benefits, reimbursement and required signatures.
30. Collects all weekly deposits, or obtain income worksheets and promptly process for administrative allowance consideration.
31. Coordinate with other departments within the facility to assure appropriate usage of patient benefits:
32. Coordinates with the case management staff to determine benefits for reduced level of care (i.e., residential, day care, outpatient).
33. Coordinates with case management staff and physicians/licensed practitioners for treatment extensions when appropriate, as well as coordinating coverage limits and other length of stay issues for patients.
Education: High school graduate or equivalent.
Experience: Prefer two (2) years experience, preferably in a heath care environment and any combination of education, training, or experience in a hospital environment and insurance verification
Additional Requirements: May be required to work occasional overtime and flexible hours.
144150
A. PRIMARY RESPONSIBILITIES
1. Verifies eligibility and benefits upon receipt of an intake inquiry form for all admissions.
2. Communicates benefits information and co-payments to patients and families prior to admission.
3. Obtains after-hours admission files from the nurses station each morning if not delivered, with any exceptions approved by the office management.
4. Communicate benefit expirations on a daily basis with Case Management, Physicians/Licensed Practitioners, and discharge planning department to provide an update on benefits status.
5. Ensures all admission calls and paperwork are addressed and completed in an accurate and timely manner:
6. Contacts the appropriate agencies to obtain treatment authorizations, reimbursement structure, and patient eligibility.
7. Conducts a financial interview with the patient/family prior to admission based on insurance verification, calculate the amount of deposit necessary and collect the deposit or makes arrangements for payment.
8. Verifies insurance information.
9. Completes the telephone profile of insurance benefits in a timely fashion.
10. Assures that all admission forms are completed accurately and appropriate signatures are obtained.
11. Assigns the correct financial class and adjust financial class as required.
12. Notifies the appropriate facility management of any potential problems related to admission or payment.
13. Obtains a deposit and explain benefits and financial obligations within 48 hours of admittance
14. with all exceptions approved by the Controller.
15. Completes a demographic pre-certification if required.
16. Answers correspondence and files related information in the patient file.
17. Completes the admission folder within one working day of admission, and schedule all critical dates for appropriate follow up:
18. Provides admission folder to the appropriate facility management for review within one working day of admission.
19. Ensures written confirmation of benefits and eligibility is sent to the primary and secondary insurance carrier, and scheduled for follow up.
20. Completes Medi-Cal TAR/Medicaid forms, or other state-funded program authorization forms where applicable.
21. Provides financial counseling to patient and/or guardian or assigned responsible party:
22. Contacts patient or assigned contact within 48 hours to make payment arrangements and to obtain deposits if not done prior to admission, with all exceptions approved by Business Office Manager.
23. Serves as a patient liaison between the family or assigned parties, and business office case management staff.
24. Obtains the financial worksheet and income proof, as required, prior to discharge.
25. Completes timely and effective payment arrangements prior to or upon discharge whenever possible.
26. Participates in completing appropriate paperwork for patient discharge, and coordinate patient financial arrangements
27. Maintain all in-house accounts in a current and accurate manner:
28. Reviews all in-house accounts and clearly documents the status of the file regarding all financial and legal issues. Complete all required information.
29. Clearly documents all activity occurring during the admission as it pertains to eligibility, benefits, reimbursement and required signatures.
30. Collects all weekly deposits, or obtain income worksheets and promptly process for administrative allowance consideration.
31. Coordinate with other departments within the facility to assure appropriate usage of patient benefits:
32. Coordinates with the case management staff to determine benefits for reduced level of care (i.e., residential, day care, outpatient).
33. Coordinates with case management staff and physicians/licensed practitioners for treatment extensions when appropriate, as well as coordinating coverage limits and other length of stay issues for patients.
Education: High school graduate or equivalent.
Experience: Prefer two (2) years experience, preferably in a heath care environment and any combination of education, training, or experience in a hospital environment and insurance verification
Additional Requirements: May be required to work occasional overtime and flexible hours.
144150
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