Central Admissions Specialist (86862)

Regency Integrated Health Services; Weslaco (TX); On-site; USD 32,000 - 42,000; Full time

Job summary

Weslaco Nursing and Rehabilitation Center is seeking a Central Admissions Specialist to support the admissions department across pre-admission, admission, discharge and follow-up processes in Weslaco, TX. The role involves reviewing referrals, coordinating physician assignments, and ensuring financial approvals and documentation are in place.

The position requires strong communication, empathy and attention to detail, with responsibilities spanning contact with residents, families, physicians

Qualifications

• High school diploma required.
• At least one year experience in Health Care Sales/Marketing/Insurance or commensurate education preferred.
• Familiar with medical terminology is a plus.

Responsibilities

• Support the admissions process in pre-admission, admission, discharge and follow-up activities.
• Coordinate room assignments and interface with case management, social services and business office.
• Track pre-admission referrals and financial approval and ensure necessary documentation is obtained.
• Maintain census, waiting lists, and timely communication with providers, residents and families.

Skills

Communication

Empathy

Detail oriented

Education

High school diploma

Job description

Job Details

Job Location: Weslaco Nursing and Rehabilitation Center - Weslaco, TX 78596

Position Type: Full Time

Job Shift: 8am - 5pm

Job Category: Health Care

Overview

The Central Admissions Specialist supports the admissions department’s activities in the pre-admission, admission, discharge, and follow up processes.

Essential Functions

• Receives prospective resident referrals and reviews financially and clinically with supporting tools. i.e. clinical and financial grid from assigned accounts
• Tracks pre-admission referral activity daily/weekly
• Coordinates the assignment of attending physician
• Confirms level of care approval obtained and or OBRA screen (PASSAR, MIMR) when indicated
• Confirms financial approval and acquires necessary documentation
• Obtains prior approval number from payer on a per case basis when authorized
• Communicates potential risks to Administrator and Director of Nursing
• Confirms specialized equipment is ordered as indicated (review contract content for need to obtain prior approval from authorized payer)
• Complete demographic information in AHT or PCC, scan, email or fax to appropriate facility and department.
• Receives necessary financial information from discharging source prior to patient arriving, distribute to case management, social services, and business office
• Tracks acute hospital admissions to follow up and facilitate readmission of residents
• Coordinates weekend/holiday admissions
• Facilitates receipt of all necessary documentation from referring institution
• Reviews computerized census system daily
• Maintains waiting list and inquiry list
• Coordinates room assignment designation
• Access continuing education opportunities appropriate to responsibilities
• Promotes optimal communication among program staff members, facility staff, referrals sources, physicians and residents
• Appropriately accesses the resources of the company’s regional offices for consultation and program development support
• Seeks out external resources through conferences, workshops, etc. as necessary. Routinely shares personal knowledge with staff, other managers and facility personnel
• Participates in sales events and meetings as needed in medical community or in the non-medical community
• Demonstrates flexibility in adjusting to change, patient needs, and customer expectations; meets company standards relating to deadlines and attendance
• Establishes and maintains exemplary standards for department appearance and staff presentment; ensures compliance with company and facility policies and procedures
• Adheres to all safety and risk management protocols and programs
• Participates in direct and indirect patient care activities as warranted
• Participates in quality improvement activities, which reduce cost and increase efficiency through improved systems and processes
• Exhibits courtesy, compassion and respect to residents, families, visitors, physicians, administrators and coworkers
• Are required to exercise discretion and independent judgement

Performs other duties or functions as directed

Qualifications

EDUCATION AND EXPERIENCE:

• High school diploma
• At least one year experience in Health Care Sales/Marketing/Insurance or commensurate education preferred
• Familiar with medical terminology

SKILLS

• Communication: talking with healthcare workers, doctors, nurses, families, and patients daily, must be friendly and able to listen to needs and concerns
• Empathy: working with people who may be injured, infirmed, or confused and their families, understanding needs and concerns is crucial
• Detail orientated: working with medical records and must organize and process this information for use in the facility and with referring facilities

TECHNICAL SKILLS

Using computers to input data and may need to use coding and classification software and electronic health record systems