Hospice Admission Referral Representative

Center4Hospice; Mishawaka (IN); On-site; USD 35,000 - 45,000; Full time

Benefits offered by this job

Employer-supplemented group health insurance

Student Loan Forgiveness through PSLF

Generous retirement match

Disability benefits

Retirement match

Life insurance

Job summary

A compassionate health service provider in Mishawaka, Indiana seeks a Hospice Admission Referral Representative to manage patient referrals and ensure compliance with healthcare regulations. The ideal candidate has experience in a medical office, exceptional organizational and communication skills, and a strong commitment to patient confidentiality. The role includes flexible scheduling and a range of benefits to support your well-being and professional growth.

Qualifications

• Minimum of two years medical office experience required.
• Ability to work under time pressures without sacrificing quality.
• Must maintain a current driver’s license.
• Proficient in data entry and word processing.

Responsibilities

• Ensures compliance with state and federal rules for home health and hospice.
• Gathers patient information during calls and manages referrals.
• Maintains patient confidentiality and updates EMR regularly.
• Sends referral notice to PCP.
• Notifies other health care agencies involved in the patient’s care of the referral.
• Enters referrals and notes into EMR with source and status details.
• Scans patient information into EMR and outlook folders.
• Verifies insurance in billing after intake/referral.
• Monitors referral repository and Epic for new referrals.
• Sends admission/denial letters to PCP after eligibility is determined.
• Schedules pre-assessments and admissions under supervision.
• Completes admissions calendar and adheres to Matrix scheduling.
• Coordinates immediate admissions for distressed patients with nurse involvement.
• Obtains additional information as needed by Admission personnel.

Skills

Strong organizational skills

Excellent communication skills

Time management

Education

High school graduate or equivalent

Tools

EMR (Epic)

Job description

Hospice Admission Referral Representative

Join the Hospice Admission Referral Representative role at Center4Hospice

Job Overview

A culture of excellence, compassion, and trust allows our team to thrive. Join an environment where everyone respects your unique skills and talents, empowering you to do your job well and advance your career. Our flexible scheduling allows for one-on-one patient time. It's also a great way to tailor your work-life balance to what's best for you and your family.

Benefits

• Employer-supplemented group health insurance which includes an annual on-site wellness screening; wellness and healthy lifestyle discounts; also includes $500 annual contribution to Health Savings Account
• Student Loan Forgiveness through PSLF
• Wellness Benefit - Many routine testing, exams, and immunizations are covered 100%.
• Health Savings Account - CHC contributes up to $500 per year at the beginning of the year.
• Disability Benefits
• Flexible Spending Account - Able to deduct up to $2,000 (pre-tax) each calendar year for reimbursement of uninsured medical, dental, or visions expenses
• Healthy lifestyle reimbursement program – Reimbursement for items such as gym memberships, spin classes, yoga classes, etc.
• Generous retirement match…After 90 days of employment, CHC matches 25% of employee contributions up to a maximum annual match of $4,000; 100% vesting
• Employer-paid life and AD&D insurance at 1x annual salary
• Employer-paid long-term disability insurance
• Employee Peer Recognition program
• Annual anniversary/retention bonus - Upon completion of each year of employment, CHC will give $100 per year with a maximum of $1,000
• Accrued Vacation

Responsibilities

• Has a working knowledge of the state and federal rules and regulations for both home health and hospice to ensure appropriate programs are explained to referral sources.
• Receives information calls and referrals on the dedicated referral line, gathering as much information as possible and asking if the patient is having any symptoms or distress at present.
• Requests pertinent documentation relating to patient’s medical status, i.e., imaging, lab results, pathology reports, physician notes, history and physicals, consultations and discharge summaries from physician offices, hospitals, and IHIE to assist with the pre-assessment.
• Sends letter of referral notice to the Pt’s PCP.
• Notifies any other health care agencies involved in the patient’s care of the referral.
• Enters referrals and a referral note into the patient’s EMR noting the referral source, information received from the phone call regarding the terminal diagnosis and decline in status, if a pre-assessment meeting was set up, when it will be, who will be present, and any other pertinent information.
• Scans all patient information into the patient’s outlook folder/EMR.
• Scans intake and referral source face sheet (if appropriate) to billing for insurance verification.
• Monitors the scan/fax repository and Epic for new referrals.
• Once the patient eligibility is determined a letter of admission/or denial is sent to the patient’s PCP.
• Once the patient is scheduled a request of assignment will be sent to the appropriate PCC.
• Schedules pre-assessments and admissions under the supervision of the Intake Coordinator.
• Completes schedule on Admission’s calendar, including date of referral on all appointments.
• Completes schedule in accordance with Matrix.
• Schedules patients that are having symptoms or signs of distress for an immediate visit by the Admissions Nurse for assessment and possible admission if patient and family agree.
• Will obtain further requested information as needed by the Admission Representatives and Admission Nurses.
• Updates EMR every 48 hours in compliance with regulation unless specific date of follow up is given with changes or updates in referral status or reasons why a referred patient was not admitted.
• Files non-admitted patient referral information appropriately.
• Maintains the patient’s outlook folder until the patient is admitted then performs a final audit assuring all information required has been uploaded to the patient’s EMR and then deletes the folder.
• Conducts follow up calls that have been placed on the follow up schedule for all Pt’s that were not admitted or were live discharge
• Committed to Agency resolution against fraud and abuse.
• Knowledgeable in hospice philosophy and state and federal rules and regulations.
• Arrives to work and meetings on time and ready to work.
• Respects confidentiality of patients/families and other Agency employees.
• Attends educational meetings/conferences for professional growth as required.
• Sees change as an opportunity and maintains a level of flexibility which allows for adaptation to new ways of performing.
• Follows directions and policies that allow for an organizational commitment to working under time pressures without sacrificing quality.
• Performs other duties that may be assigned.

Requirements

• Speak in ordinary conversational tones utilizing the English/American language
• Hear ordinary conversations
• See with the visual acuity necessary to perform the Essential Functions listed in this Job Description
• Have simultaneous use of hands, wrists, and fingers (example: writing, typing, data entry)
• Have the ability to work under conditions not listed, as assigned
• Maintains a current driver’s license

Qualifications

• High school graduate or equivalent with a minimum of two years medical office experience, including word processing and data entry.
• Strong organizational skills, and the ability to prioritize work responsibilities.
• Excellent communication skills.