Central Admissions Specialist

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

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:

A Central Admissions Specialist should have some knowledge, skills and abilities in order to do his or her job properly. Among them, we indicated the following as requirements:

• 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