Intake Coordinator

4 weeks ago

Chicago, Illinois, United States Rehabilitation Institute of Chicago Full time

Job Summary:

The Intake Coordinator will play a critical role in the rehabilitation process by coordinating inpatient admissions, expediting responses to referral inquiries, and ensuring benefits are available to cover admission. This position requires strong analytical skills to direct referrals to the appropriate level of care and communicate necessary information to Patient Financial Services, care teams, and care managers.

Key Responsibilities:

  • Coordinate inpatient admissions, including expediting responses to referral inquiries and ensuring benefits are available to cover admission.
  • Analyze clinical, financial, and socio-demographic information to direct referrals to the appropriate level of care.
  • Communicate necessary information to Patient Financial Services, care teams, and care managers.
  • Verify patient benefits and initiate the pre-certification process, utilizing internal and external resources to identify additional coverage options.
  • Identify opportunities for improvements to enhance efficiency and outcomes.
  • Educate referring professionals, case managers, patients, and families on the spectrum of rehabilitation services available in the SRAlab system of care.
  • Communicate medical and financial clearance guidelines to referral sources and collaborate with admission consultants to ensure medical stability is assessed prior to admission for inpatients.
  • Enter patient demographic, insurance, funding, and medical information in the MIS.
  • Collaborate with Admission Consultant nurses, physicians, and other clinical personnel to ensure timely determination of appropriate level of care/program.
  • Research and verify patient payment coverage by accessing electronic payer databases, conferring with third-party payors, case managers, attorneys, Patient Financial Services, and public aide applications.
  • Communicate extraordinary funding or concurrent review requirements as well as patient family special needs to appropriate clinical team members prior to admission.
  • Determine need for additional funding to cover inpatient admission and initiate Medicaid and/or SRAlab charity care application.
  • Communicate financial and, when requested by Admission Consultant, clinical denials for inpatient admission to referral source and patient or family when appropriate.
  • Provide rationale and recommendations for alternate care when communicating denials.
  • Obtain consents for treatment prior to admission from patient's Legally Authorized Representative (LAR) or ensure that LAR will accompany patient to sign consents in cases where patient cannot consent themselves.

Requirements:

Work requires a level of knowledge typically acquired through completion of a Bachelor's degree in business, social work, healthcare administration, or related field. One to two years of previous experience in healthcare financial clearance is preferred for knowledge of patient admission, registration procedures, benefits, and financial clearance procedures. Strong customer service skills and interpersonal skills are necessary to interact with all levels of personnel, physicians, insurance representatives, and referrers.

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