Admissions Coordinator

2 weeks ago


Houston, Texas, United States Nexus Health Systems Ltd Full time
Job Title: Admissions Coordinator

At Nexus Health Systems Ltd, we are seeking a highly skilled Admissions Coordinator to join our team. As an Admissions Coordinator, you will play a critical role in converting referrals into actual admissions by managing all referrals from the time of referral to the time of actual admission.

Key Responsibilities:

  • Effectively convert appropriate inpatient referrals into admissions within timeframes identified by referral sources.
  • Ensure that insurance verifications are completed for potential inpatient admissions to the facility.
  • Establish and maintain effective working relationships with referral sources.
  • Complete Intake Form accurately and completely, obtaining all pertinent financial and personal information on all referrals.
  • Complete benefits explanation documentation for pt/family.
  • Assure timely completion of screening for all referrals and relays timeframes to referral sources and all related parties throughout the admissions process.
  • Obtain and document clinical and financial acceptance from appropriate administrative staff for all referrals within established time frames and communicates to referral source and all related parties.
  • Secure a rate from CEO or designee, if necessary, for commercial payors. Facilities care plan and/or additional communication from facility case manager to the payor as necessary.
  • Coordinate all incoming transfers.
  • Document all interactions by date and time relative to each referral.
  • Complete and submit daily and monthly logs and reports.
  • Enter data into the patient accounting system as needed.
  • Attend all scheduled marketing meetings, as requested.
  • Complete follow-up phone calls on canceled referrals on a monthly/quarterly basis.
  • Liaison with Texas Department of Assistive and Rehabilitative Services for potential inpatient/outpatient referrals.
  • Providing monthly referral, admission, and discharge tracking report(s) to the CEO and marketing team members.
  • Market facility programs and services to potential referral sources and conducts tours of the facility to potential referral sources and family members
  • Participate in daily flash meetings with CEO and/or key department managers or their designee to discuss referral activities.
  • Update daily referral activity and faxes intake board to CEO and/or designees: per protocol.
  • Document all conversations and complete intake checklist for each referral.
  • Demonstrate knowledge and awareness of Licensing regulations and third-party payer information.
  • Perform the above duties/responsibilities in inpatient and outpatient clinic settings.
  • Perform other duties as assigned.

Requirements:

  • High school diploma or equivalent
  • Preferably some college courses
  • Experience in case management and insurance verification.
  • Strong background in healthcare with knowledge of Medicare, Medicaid, and commercial insurance preferred.
  • Microsoft efficient
  • Medical terminology and demonstrated organizational skills necessary.


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