This position will work under the direction of the Director of Business Development and be responsible for patient admissions, insurance verification, demographics and information inputting and other duties as directed. This individual will be responsible for obtaining the necessary demographic information of the patient which may require interviewing patients or their representatives. This position is also responsible for preparing/processing admitting forms and keeps abreast of all new insurance updates and regulations.
Processes referrals and coordinates admissions of all hospital patients in an efficient, responsive manner.
Coordinates the flow of information through the admissions process and forwards to appropriate departments for the successful completion of admission.
Collect and record all information necessary for admitting patients.
Immediately notifies appropriate rehab liaison to perform a clinical evaluation.
Completes Insurance Verification Form with benefit and billing information.
Communicates admission status and coordinates all aspects of rehab admission.
Admit all patients - obtain correct general information.
Ensure that all admitting forms are signed.
Contact patient's insurance to confirm and determine amount of coverage and benefits, deductible due, length of stay and if pre-certification is required.
Answers telephone promptly and courteously, providing information and completing all referral/intake forms as appropriate for each call.
Contacts appropriate third-party payors to verify and document inpatient and outpatient benefits and extended care benefits.
Notifies appropriate department if referral requires pre-certification and provides appropriate contact information.
Completes pre-certification process for required referrals.
Notifies appropriate departments of patient's anticipated admission date/time.
Records and pre-admits patients using information pertinent to the admission in the computer system.
Informs the patient of charges not covered by their insurance and refers them to the Business Office.
Routes all admission forms to the appropriate departments.
Keeps a record of all denied admissions and the reason for denial.
Maintains confidentiality of patient medical records information in accordance with hospital's defined policies and procedures.
Completes admitting paperwork, obtaining appropriate signatures and reviews information with the patient and family.
Communicates patient's current medical status to Medical Director/appropriate clinicians when Rehab Liaison is unavailable.
Notifies referral sources of admission status and arranges transfer within a timely manner.
Coordinates denial information with liaisons for follow-up communication to referral sources, families and physicians.
Continuously updates referral logs.
Provides current list of all pending referrals.
Presents current clinical information and estimated admission date at Admission meeting.
Assists Rehab Liaisons with PASs and meet-and-greet patient interviews, as needed.
Able to adapt to departmental changes to serve the needs of the facility.
Other duties as assigned.
Maintains regulatory requirements, including all state, federal, Joint Commission and Hospital Compliance Plan.
Maintains cooperative working relationship and good rapport with Board of Managers, Medical Staff, hospital departments and staff and other organizations or entities related to the hospital business.
Represents the organization in a positive and professional manner.
Communicates the mission, ethics and goals of the organization at all levels of the organization.
Ability to clearly and effectively communicate with all constituents (patients, families, peers, and other healthcare team members) as needed for leadership, assessment, intervention, and professional development.
High School Diploma required. Some college preferred.
Minimum of 2 years experience in Admitting and/or medical insurance preferred.
Experience in handling patient admissions preferred.
Extensive knowledge of insurance and their benefits and admitting forms.
Proficiency in recording admission reservations.
Basic computer knowledge including Outlook, Excel, PowerPoint and Word
Must be able to read, write, and speak the English language.
Good communication skills.
Must be able to follow written and oral instructions.
Must maintain a professional demeanor and appearance to reflect proper image for the hospital and the board members, medical staff, community leaders and fellow employees.
Must have good organizational skills and analytical ability in order to interpret information, and carry out duties independently.
Job : Administrative/Clerical/Secretarial Primary Location : IN-Greenwood-Indianapolis South IRF Organization : 4089 - Indianapolis South IRF Shift : Day