Admissions Coordinator-Weekends Only

Brief Description

Miami Jewish Health is one of the largest providers of healthcare and living options for aging adults in the Southeast. Our main campus is located on 20 acres just north of mid-town Miami, and is home to our support departments like Finance, Accounting, Human Resources, Marketing and more. Join us now to do purposeful work with our diverse and respectful team.

Job Title: Admissions Coordinator

Job Summary

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

Essential Job Functions

• Responsible for bed management, assigns beds according to the needs of the patient works closely with Liaisons for bed assignments
• Contacts insurance/payor source to verify coverage levels, responds promptly and accurately to telephone, written, and electronic inquiries from admission, providers, and in-house departments
• Maintains a deep understanding of Medicare, Medicaid, and all major insurance plans
• Verification of payor source, i.e., Medicare, managed Care, Medicaid, Insurance.
• Requires extensive amounts of time on the phone with insurance companies
• Responsible for identifying significant gaps in coverage and/or high co-pays or deductibles prior to admission
• Reviews and coordinates with Liaison on patient acceptance.
• Assist with arrangements and confirmation of all admissions.
• Tracks pre-admission referral activity daily.
• Ensures receipt of all necessary documentation from referring institution.
• Obtains authorizations/re-authorizations as needed
• Documents authorizations, denials, or status updates in appropriate systems
• Initiates and completes specified components of the facility admission packet with patient and/or responsible party.
• Completes reports, special projects and other duties as assigned
• Completes Medicaid application in collaboration with family
• Uploads clinical information in Point Click Care (PCC)
• Other duties as assigned, includes serving as backup for Concierge role
• Conducts tours of facility for prospective residents whether walk-ins or scheduled admissions.
• Contacts families of potential residents and invite for tour.
• Participates in on call responsibilities after hours
  
  

Medicaid Specific

• Completes and submits agency required forms such as, 2515/2506 and 3008
• Tracks and submits Medicaid recertifications
• Prints and reviews documentation to be submitted to CARES
• Routinely communicates with community partners such as DCF and CARES on member status
• Documents in GO and programmatic software
  
  

Education

Job Requirements

• Two-year college or combination of education and experience
  
  

Experience

• At least two years’ experience in Health Care/ Business Development/ Insurance.
• Familiar with medical terminology.
• Excellent interpersonal, coordinating, and organizational skills.
• Demonstrated ability to manage multiple tasks at one time
  
  

Licenses/Certifications

• N/A
  
  

Abilities Required

• Ability to function in stressful situations
• Sensitivity and skill required in working with impaired elders and families by phone (if speaking with admission or families)
• Extensive knowledge of different types of payor coverages and policies.
• Exceptional organizational, time management, communication, and telephone skills. Bi-lingual (English/Spanish or Creole) a plus
• Proficient computer skills required
• Ability to think critically
• Problem solving skills in complex situation required
• Outstanding customer service skills
• Good communication skills
  
  

Functional Demands

Environment Work Conditions

• Normal working condition with adequate lighting and ventilation
  
  

Infectious Material Exposure

• N/A
  
  

Organizational Expectations

• Ensures that resident’s/patient’s rights are adhered to
• Demonstrates professionalism and accountability
• Demonstrates a caring attitude consistent with Miami Jewish EmpathicareSM toward MJH residents, patients, family members, employees, and other facility guests
• Demonstrates excellent communication skills
• Ensures confidentiality and security of patients’ medical information
• Identifies and utilizes appropriate channels of communication
• Able to speak, read and write English
• Able to think and act calmly to meet unusual occurrences of the job
• Adheres to the organization’s Mission, Vision and Values
• Participates in departmental activities, meetings and in-services and follows established guidelines
• Maintains a safe working environment
  
  

The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.

We believe in the power of empathy, the value of relationships and the importance of a life well-lived. Come see why Miami Jewish Health is unlike anywhere you’ve ever worked before. We offer competitive compensation, medical/dental/vision coverage and a 403(b)-retirement savings plan for eligible full and part-time positions, free on-campus parking, an onsite fitness center and more.

Miami Jewish Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.