Admissions Coordinator, Home Health

Enrich the lives of older adults through community, choice, and continuing care in the Admissions Coordinator, Home Health role. This role receives, evaluates, processes and coordinates admission-related tasks for home care and hospice such as verification of coverage, authorizations, patient data entry, communications between parties including families, and resolving billing-related issues. The Admissions Coordinator, Home Health also plays a lead role in day-to-day staff scheduling and compliance with Home Health Medicare guidelines. Find your sense of belonging at Wesley!

You will provide continuing care through these responsibilities Essential functions of this position include the following.

1. Receives and processes all requests for services.

• Record/log the request for services and make follow-up calls as necessary.
• Reviews referral information for appropriateness, under the direction of Director of Clinical Services and Director of Business Operations. Reviews based on Medicare Guidelines.
• Assigns and schedules referrals into the electronic medical record according to agency policies and procedures; maintains timely and accurate records.
• Informs clinical staff of newly assigned patients and status of all disciplines involved. Monitors that admissions and discipline evaluations are completed as ordered and scheduled. Communicates with the Director of Clinical Services as necessary.
• Verifies Medicare and third-party payor coverage as a ring of defense.

2. Establishes system for prior authorization from third-party payers.

• Implements procedures for completing and filing reimbursement forms.
• Compiles documentation and orders required for billing. Tracks that visits are made within authorization parameters.
• Provides requested information to insurance companies for reimbursement.
• Communicates effectively verbally and in writing with representatives of insurance companies/other payers.
• Communicates with families and patients regarding the coverage for home health services.

3. Demonstrates teamwork and effective communication to achieve Home Health goals.

• Works with community referral sources, families, and Home Health staff to problem solve and identify services available to the patient either through company services or community partners.
• Participates in Home Health orientation for new staff in matters pertinent to patient insurance information, scheduling admission visits, and coordination of secondary discipline evaluations.
• Follows up on patient transition to home. Communicates with referral sources regarding status of referrals.

4. Other duties and special projects as assigned.

 Our requirements and qualifications for success

• Ability to read, write and communicate proficiently in English.
• Excellent communication skills (verbal and written), interpersonal skills, and documentation skills.
• Proficiency with Microsoft Office and other workplace technology including cloud-based software and mobile apps.
• Experience or understanding of the regulatory components of home health and hospice.
• Knowledge of community resources, Medicare and state regulations, and reimbursement criteria for third-party and private payers.
• Self-motivated, self-directed, excellent organizational skills, and ability to effectively manage stress.
• Critical thinking skills and ability to adapt to changing priorities a must.
• Ability to work independently and with minimal supervision.

Physical, environmental, and mental requirements

• Ability to sit, stand or walk at-will throughout shift.
• Ability to hear, understand, and distinguish speech and/or other sounds one-to-one, in a group, and via telephone/computer.
• Keyboarding and near visual acuity.
• Ability to lift up to 25 lbs.

Salary Range: $26.04 to $37.53 per hour