Admissions Manager
Sign up free to see how well your resume matches this role.
What you'll do
- Receives/responds to incoming calls from referral sources/potential clients and exchanges information to identify the clients' needs and consults with Director of Clinical Management to determine the Company's ability to meet them.
- Completes all viable referrals by setting up and carrying out pre-screening assessments, completion of pre-screening reports, preparation of case proposals and other related pre-admission paperwork (i.e., obtains authorization for payment, coordinates availability of an appropriate treatment team).
- Oversees, directs and supervises field staff assigned in assisting with pre-screening process.
- Accesses national/state/company account information, including the account names and terms of contracts or other past payer agreements, as appropriate.
- Consults with third party representatives regarding client benefit coverage, client financial responsibility, company service authorization and specific reimbursement procedures. Presents company’s services, interprets potential reimbursement options, and negotiates reimbursement levels with third party payer.
- Contacts referral sources to advise them of case acceptance and provides information on the clinical team responsible for client's case.
- Develops/maintains a working knowledge of all services/resources provided by the Company and services available within the community. Assists in identifying alternative community service sources when company solutions are not appropriate or available.
- Maintains relationships with standard referral sources and payer case managers. Contacts identified referral sources and seeks referrals as appropriate. Records outcome of calls and keeps the SAR informed. May assist CRM in other sales/marketing activities.
- Monitors/tracks referral sources' satisfaction levels, tracks/reports on conversion ratios and provides summary reports to management at requested intervals.
- Participates in performance improvement activities. Ensures the collection of data for improvement analysis and prepares reports for management, as needed.
- Implements/maintains, with the up-line management, operational processes to ensure compliance with Company policies, legal requirements and regulatory mandates.
- Adheres to and participates in Company’s mandatory HIPAA privacy program / practices and Business Ethics and Compliance programs / practices.
What they're looking for
- Bachelor’s Degree in Nursing or health care field. Related admissions and medical insurance work experience of at least 5 years will be considered in place of degree.
- Minimum of 3-years’ experience working in rehabilitation or healthcare setting
- Strong knowledge of rehabilitation operations and third-party payer reimbursement
- Proficient data entry and computer skills including Microsoft Word and Excel
- Excellent negotiation, organization, problem-solving, decision making and communication skills also required.
- Able to function in position with minimal supervision
- Effective and professional interpersonal, verbal, and written communication skills
Nice to have
- Commercial Insurance/Admissions Experience
- OTA/PTA/SLP-A are welcome to Apply
Summarised by NextRaise from the employer’s description, which follows in full below.
Full description from employer
Our Company
Rehab Without Walls Neuro Rehabilitation
Overview
We are seeking an experienced Admissions Manager to be the frontline advocate for our patients and their families!
- Position: Admissions Manager- Full Time
- On-site location: Houston Branch Office: 10350 Richmond, St. 140, Houston, TX 77042
- Schedule: Monday - Friday
- Need Commercial Insurance/Admissions Experience; OTA/PTA/SLP-A are welcome to Apply
Who are we looking for:
- Are you passionate about making a difference in the lives of individuals recovering from brain injuries, complex injuries, and spinal cord injuries?
- Do you possess extensive experience in meticulously checking benefits and effectively liaising with commercial payers and workers' compensation programs?
- Are you excited about collaborating with a dynamic team of healthcare professionals, advocating passionately for the well-being of our patients?
What you will receive:
- Comprehensive Benefits
- Paid Time Off/Paid Holidays
- No Evenings or Weekends Required
- Medical/Dental/Vision/401K
- Work Life Balance
- Supportive Leadership and Team Environment
Responsibilities
• Receives/responds to incoming calls from referral sources/potential clients and exchanges information to identify the clients' needs and consults with Director of Clinical Management to determine the Company's ability to meet them.• Completes all viable referrals by setting up and carrying out pre-screening assessments, completion of pre-screening reports, preparation of case proposals and other related pre-admission paperwork (i.e., obtains authorization for payment, coordinates availability of an appropriate treatment team).• Oversees, directs and supervises field staff assigned in assisting with pre-screening process.• Accesses national/state/company account information, including the account names and terms of contracts or other past payer agreements, as appropriate.• Consults with third party representatives regarding client benefit coverage, client financial responsibility, company service authorization and specific reimbursement procedures. Presents company’s services, interprets potential reimbursement options, and negotiates reimbursement levels with third party payer.• Contacts referral sources to advise them of case acceptance and provides information on the clinical team responsible for client's case.• Develops/maintains a working knowledge of all services/resources provided by the Company and services available within the community. Assists in identifying alternative community service sources when company solutions are not appropriate or available.• Maintains relationships with standard referral sources and payer case managers. Contacts identified referral sources and seeks referrals as appropriate. Records outcome of calls and keeps the SAR informed. May assist CRM in other sales/marketing activities.• Monitors/tracks referral sources' satisfaction levels, tracks/reports on conversion ratios and provides summary reports to management at requested intervals.• Participates in performance improvement activities. Ensures the collection of data for improvement analysis and prepares reports for management, as needed.• Implements/maintains, with the up-line management, operational processes to ensure compliance with Company policies, legal requirements and regulatory mandates.• Adheres to and participates in Company’s mandatory HIPAA privacy program / practices and Business Ethics and Compliance programs / practices.• Participates in quarterly growth planning meetings/activities including discussions around staffing and recruitment needs.• Performs all duties inherent in a supervisory role for any direct reports.• Participates in special projects and performs other duties as assigned.
Qualifications
• Bachelor’s Degree in Nursing or health care field. Related admissions and medical insurance work experience of at least 5 years will be considered in place of degree. • Minimum of 3-years’ experience working in rehabilitation or healthcare setting• Strong knowledge of rehabilitation operations and third-party payer reimbursement • Proficient data entry and computer skills including Microsoft Word and Excel• Excellent negotiation, organization, problem-solving, decision making and communication skills also required.• Able to function in position with minimal supervision• Effective and professional interpersonal, verbal, and written communication skills
About our Line of Business
Rehab Without Walls, an affiliate of BrightSpring Health Services, is a revolutionary neurorehabilitation program that moves individuals outside the walls of institutional settings and into their natural home and community environment through a continuum of care. It is designed to significantly help people who have primarily experienced a brain injury, spinal cord injury, or stroke/CVA through accident or illness regain functional capabilities. By providing care in the home, community, workplace, or school, Rehab Without Walls promotes greater health through the recovery process, all with industry-leading outcomes that dramatically improve functional skills and independence for patients. For more information, please visit www.rehabwithoutwalls.com. Follow us on Facebook and LinkedIn.Salary Range
USD $52,000.00 - $60,320.00 / YearCompany
Company facts come from this company's own listings. We only show what the postings themselves carry.