Post-Acute Admissions Facilitator

SCR St. Claire Medical Center, Inc.; United States; On-site; USD 45,000 - 65,000; Full time

Job summary

SCR St. Claire Medical Center, Inc. is seeking a discharge planning support professional to coordinate transitions to post-acute and lower levels of care.

You will help ensure timely precertification and authorization for post-acute services, communicating with payers and facilities to minimize delays. Responsibilities include updating patient authorization status in the EHR, verifying insurance coverage, and maintaining precise records for compliance.

Qualifications

• High school diploma or equivalent required.
• 0–2 years of experience in a healthcare, clinical setting, or a relevant area.
• All experience must be paid work experience in the related field.

Responsibilities

• Initiates and completes precertification and authorization requests for post-acute care services.
• Communicates with payers, post-acute facilities, and internal teams to coordinate discharge.
• Assists case managers and social workers in transitions to lower levels of care with accurate documentation.
• Tracks and updates patient authorization status in the EHR to support timely discharge.
• Verifies insurance eligibility and communicates findings to team members.
• Maintains organized records of authorizations and approvals for compliance.
• Responds to inquiries from patients and care teams regarding post-acute placement and processes.
• Escalates delays, denials, or complex cases to supervisory staff per protocol.
• Adheres to confidentiality, quality, and compliance standards.

Education

High school diploma or equivalent experience

Job description

Job Summary

Responsible for supporting the discharge planning process by assisting with the coordination of patient transitions to post‑acute and lower levels of care. Ensures timely completion of precertification and authorization activities to facilitate smooth patient transfers and reduce delays.

Responsibilities

• Initiates and completes precertification and authorization requests for post‑acute care services in accordance with payer requirements.
• Communicates with insurance companies, post‑acute facilities, and internal departments to coordinate discharge arrangements.
• Assists case managers and social workers in facilitating transitions to lower levels of care, ensuring all required documentation is accurate and complete.
• Tracks and updates patient authorization status in electronic health record systems to support timely discharge.
• Verifies insurance eligibility, benefits, and coverage for post‑acute services and communicates findings to appropriate team members.
• Maintains organized records of authorizations, correspondence, and approvals for compliance and reporting purposes.
• Responds promptly to inquiries from patients, families, and care teams regarding post‑acute placement and insurance processes.
• Follows established protocols to escalate delays, denials, or complex cases to supervisory staff for resolution.
• Adheres to confidentiality, quality, and compliance standards in handling patient and payer information.
• Performs other duties as assigned.

Education Requirement

High school diploma or equivalent experience.

Experience Requirement

0–2 years of experience in a healthcare, clinical setting, or a relevant area. An equivalent combination of education and experience may be considered. All experience must be paid and in the same related field. Part‑time and PRN experience will be prorated based on hours worked per week. Volunteer work and internships for academic credit are not counted.

Certifications & Licensures

N/A

Working Conditions

• A. Lifting, pushing, and/or pulling objects up to 50lbs: 2. Occasional (< 10% of the time)
• B. Lifting, pushing, and/or pulling objects over 50lbs: 1. Never
• C. Standing or walking with objects up to 10lbs: 3. Intermittent (10% – 50% of the time)
• D. Standing or walking with objects up to 25lbs: 2. Occasional (< 10% of the time)
• E. Sitting at computer workstation for extended periods: 3. Intermittent (10% – 50% of the time)
• F. Risk of back injury from moving, lifting or positioning patients, equipment, or materials: 2. Occasional (< 10% of the time)
• G. Repetitive motion: 3. Intermittent (10% – 50% of the time)
• H. Working at heights above 4 feet: 1. Never
• I. Working in confined spaces: 1. Never
• J. Risk of injuries from use of equipment on the job: 2. Occasional (< 10% of the time)
• K. Job‑related travel: 2. Occasional (< 10% of the time)
• L. Loud noises: 1. Never
• M. Temperature extremes: 1. Never
• N. Hazardous chemicals and fumes including waste: 1. Never
• O. Radiation: 1. Never
• P. Burns: 1. Never
• Q. Cuts/Punctures: 2. Occasional (< 10% of the time)
• R. Bloodborne/airborne pathogens: 2. Occasional (< 10% of the time)
• S. Recombinant DNA or viral vectors: 1. Never
• T. Combative/violent people: 1. Never
• U. Animal handling (including carcasses): 1. Never
• V. Please specify other(s) and amount of exposure (i.e. Occasional, Intermittent or Regular): N/A

Physical Demands

This position requires intermittent sitting at a computer workstation for extended periods of time; performing tasks with repetitive motions (such as typing); intermittent standing or walking with objects weighing up to 10 pounds; occasionally standing or walking with objects weighing up to 25 pounds; and occasionally lifting, pushing, and/or pulling objects weighing up to 50 pounds. It also involves occasional exposure to risk of injury from moving, lifting, or positioning patients, equipment, or materials; occasional risk of injuries from use of equipment on the job; and occasional exposure to cuts/punctures and bloodborne or airborne pathogens.

Department: Rehabilitation Unit
Shift: Days (United States of America)
Address: 301 Main Building City, State: Lexington, Kentucky