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Admissions Coordinator

2 months ago

Pensacola, Florida, United States Peoples Home Health, LLC Full time

Position Overview:

The Admissions Coordinator plays a crucial role in managing the flow of admission information in accordance with company protocols. This position is responsible for prioritizing incoming calls, ensuring the availability of admission packets, and interpreting insurance benefits to accurately represent coverage and client co-pay amounts. The Admissions Coordinator must effectively communicate relevant clinical information to secure authorization for Home Care Services. Additionally, this role involves precise data entry of referral information into the Home Care Management System (HCMS). The individual in this position is expected to embody the company's Mission, Vision, and Guiding Principles through their daily actions and performance.

Key Responsibilities:

  • Ensure accurate entry of all demographic, financial, and referral data into the system to support timely billing and scheduling.
  • Manage incoming calls and direct referral inquiries appropriately based on clinical requirements.
  • Prioritize follow-up calls, including those from healthcare providers and insurance companies.
  • Assist the Intake Supervisor by preparing client referrals in compliance with company policies and relevant regulations.
  • Evaluate and prioritize referrals to address urgent needs effectively, collaborating with Case Managers and schedulers for optimal admission timing.
  • Calculate co-pays and deductible amounts according to insurance reimbursement guidelines.
  • Complete all necessary documentation for initial authorizations in line with insurance contracts.
  • Handle follow-up authorization requests and communicate authorization outcomes and visit limits to relevant staff.
  • Engage in discussions to resolve issues related to insurance interpretations and verify benefits and eligibility with carriers.
  • Work closely with Case Managers to ensure authorized visits align with patient needs.
  • Communicate with Liaisons via text or email to confirm receipt of referrals and necessary documentation.
  • Be available for inquiries regarding insurance for new referrals during weekends and after hours.
  • Provide support to clinical staff as needed, including administrative tasks such as copying and faxing.
  • Strive to create a positive experience for clients and visitors, maintaining confidentiality at all times.
  • Participate in accreditation initiatives and assist referral sources in finding suitable placements when necessary.
  • Maintain daily referral reports and distribute them to designated staff members.
  • Perform additional duties as assigned.

Work Environment:

This position is primarily office-based, with potential exposure to biological hazards.

Qualifications:

  • Preferred: Associate's degree.
  • Required: High School diploma or equivalent.
  • Preferred: A minimum of three years of experience in a medical or healthcare office setting.
  • Preferred: Familiarity with billing, insurance reimbursement, medical terminology, and diagnosis coding.
  • Preferred: Experience in troubleshooting computer issues and maintaining organized records.
  • Required: Proficiency in Microsoft Word and Excel.
  • Ability to prioritize tasks, manage time effectively, and make independent decisions when necessary.