Admissions Coordinator

at  Forest Manor Health and Rehab

Position Code: 1 Department: Admissions 5404
FLSA: Salaried Exempt Generally Reports to: Administrator
The following statements are intended to describe the general nature and level of work being performed and are not intended to be a complete list of all responsibilities, duties and skills required.

SUMMARY

Manages facility’s census by opening and maintaining accounts with insurers, community organizations and hospitals that generate resident admissions.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.

• Recruits, hires, provides orientation/training, and retains a sufficient number of qualified staff to carry out Admissions Office responsibilities.
• Ensures employee performance meets or exceeds expectations and periodic performance appraisals are conducted on a timely basis.
• Develops and executes strategies to maximize admissions of residents requiring a sub-acute level of care including regular contact with potential referral sources including hospitals, physicians, insurers, case management companies and health care agencies.
• Conducts admission screening of potential residents, determines level of care, services required, equipment needs and insurance coverage, as appropriate.
• Coordinates clinical and financial approval process.
• Coordinates admissions with appropriate departments and staff.
• Assists in marketing services to the managed care industry. Participates in contract closings and price negotiations with insurance companies, as assigned.
• Regularly contacts local community agencies to generate a positive image and encourage word-of-mouth referral activities.
• Maintains up-to-date knowledge of current regulations governing Medicare / Medicaid and private insurance company reimbursement processes.
• Ensures all required records are maintained and submitted, as appropriate, in an accurate and timely manner.
• Completes required forms and documents in accordance with company policy and state and/or federal regulations.

ENTRY QUALIFICATIONS

• Minimum high school diploma or equivalent required.
• Minimum of three (3) years of experience in health care sales / marketing / insurance or commensurate educations preferred.
• Must be familiar with medical terminology.
• Must be proficient with use of personal computer.

SUPERVISORY RESPONSIBILITIES

Supervises the Admissions staff and others for whom they are administratively or professionally responsible. Completes annual evaluations for potential merit increases for direct reports.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.

• Recruits, hires, provides orientation/training, and retains a sufficient number of qualified staff to carry out Admissions Office responsibilities.
• Ensures employee performance meets or exceeds expectations and periodic performance appraisals are conducted on a timely basis.
• Develops and executes strategies to maximize admissions of residents requiring a sub-acute level of care including regular contact with potential referral sources including hospitals, physicians, insurers, case management companies and health care agencies.
• Conducts admission screening of potential residents, determines level of care, services required, equipment needs and insurance coverage, as appropriate.
• Coordinates clinical and financial approval process.
• Coordinates admissions with appropriate departments and staff.
• Assists in marketing services to the managed care industry. Participates in contract closings and price negotiations with insurance companies, as assigned.
• Regularly contacts local community agencies to generate a positive image and encourage word-of-mouth referral activities.
• Maintains up-to-date knowledge of current regulations governing Medicare / Medicaid and private insurance company reimbursement processes.
• Ensures all required records are maintained and submitted, as appropriate, in an accurate and timely manner.
• Completes required forms and documents in accordance with company policy and state and/or federal regulations