Admissions & Partnerships Manager

Rehab Without Walls Neuro Rehabilitation; Huntersville (NC); Sur place; USD 62 000 - 83 000; Plein temps

Résumé du poste

BrightSpring Health Services Corporation through Rehab Without Walls Neuro Rehabilitation seeks an Admissions Manager to oversee the admissions process from referral to acceptance, coordinating pre-screening assessments and collaborating with clinical teams and referral partners to place clients in appropriate rehabilitation services.

You will build relationships with insurers, manage payer negotiations, and lead a team to ensure compliant, timely intake while maintaining HIPAA standards.

Qualifications

• Bachelor’s Degree in Nursing or health care field; related admissions and medical insurance work experience considered in place of degree.
• Minimum of 3 years’ experience in rehabilitation or healthcare setting
• Strong knowledge of rehabilitation operations and third-party payer reimbursement
• Proficient data entry and computer skills including Microsoft Word and Excel
• Excellent negotiation, organization, problem-solving, decision making and communication skills
• Able to function with minimal supervision
• Effective and professional interpersonal, verbal, and written communication skills

Responsabilités

• Receives/responds to incoming calls from referral sources/potential clients and consults with Director of Clinical Management to determine the Company’s ability to meet them.
• Completes all viable referrals by setting up and carrying out pre-screening assessments, completion of pre-screening reports, preparation of case proposals and other related pre-admission paperwork.
• Oversees, directs and supervises field staff assigned in assisting with pre-screening process.
• Accesses national/state/company account information, including the account names and terms of contracts or other past payer agreements.
• Consults with third party representatives regarding client benefit coverage, client financial responsibility, company service authorization and specific reimbursement procedures.
• Presents company’s services, interprets potential reimbursement options, and negotiates reimbursement levels with third party payer.
• Contacts referral sources to advise them of case acceptance and provides information on the clinical team responsible for client’s case.
• Develops/maintains knowledge of all services/resources provided by the Company and community resources; identifies alternatives when appropriate.
• Maintains relationships with referral sources and payer case managers; tracks satisfaction and conversion ratios; prepares reports for management.
• Participates in performance improvement activities and data collection for analysis.
• Implements/maintains, with upper management, processes to ensure compliance with policies, legal requirements and regulatory mandates.
• Adheres to HIPAA and Compliance programs; participates in growth planning and recruitment discussions.
• Performs duties of supervision for direct reports and participates in special projects.

Connaissances

Negotiation

Organization

Problem solving

Communication

Formation

Bachelor’s Degree in Nursing or health care field

Outils

Microsoft Word

Excel

Description du poste

BrightSpring Health Services Corporation through Rehab Without Walls Neuro Rehabilitation seeks an Admissions Manager to oversee the admissions process from referral to acceptance, coordinating pre-screening assessments and collaborating with clinical teams and referral partners to place clients in appropriate rehabilitation services.

You will build relationships with insurers, manage payer negotiations, and lead a team to ensure compliant, timely intake while maintaining HIPAA standards.