POSITION SUMMARY The Care Connect Admissions Liaison c oordinates hospital bed reservations from physician offices, medical groups, hospital emergency department, and short stay/ambulatory services for same day and future requests.
Responsibilities include ensuring that beds are obtained and communicated to requester on a timely basis, financial information is obtained and cleared for admission, and clinical crieria is met in conjunction with the Care Connect Case Manager.
MAJOR RESPONSIBILITIES ESSENTIAL DUTIES AND RESPONSIBILITIES 1.
Ensures authorizations and appropriate documents are received, signed, and necessary test reports secured with the patient's chart and forwarded to admission.
Monitors the physician suspension list and request an alternate admitting physician as appropriate.
Establishes visits for all patient types and for assigning a medical record number when appropriate.
This is the first step in the billing process, so accuracy and thoroughness are critical for compliance, excellent customer service and fiscal health.
Evaluates financial reimbursement for proposed hospitalization and intervention and obtains pre-certification for intervention.
Collects accurate demographic and financial information under strict confidentiality in compliance with EMTALA, HIPAA, Title 22 California Code of Regulations and all applicable regulations.
Completes evaluations on potential behavioral health patients and activate PET teams, as needed.
Arrange patient transportation to the medical center, as needed.
Other job related duties, as required.
INTERPERSONAL CHALLENGES 1.
Excellent human relations skills are a must to maintain a calm, reassuring and caring environment for the patient.
Good interpersonal skills a must in order to maintain a harmonious working environment.
Constant interaction over the telephone with clinical staff, physicians, and other hospital departments and nursing staff.
DEGREE OF SUPERVISION Reports to the Care Connect Director but must be able to work independently.
The position will not supervise others.
KNOWEDGE REQUIRED FOR EFFECTIVE PERFORMANCE 1.
Fundamental and working knowledge of health insurance eligibility and authorization requirements of third party payors including state and federal programs.
Understanding of EMTALA and Title 22 California Code of Regulations.
Understanding and knowledge of current utilization/quality m anagement principles, techniques, and procedures.
Knowledge of scheduling, pre-registration, authorization, and referrals.
Familiarity with medical terminology.
Effective communication in English through reading, writing and speaking.
Advanced computer skills and ability to navigate EMR and other software designed to facilitate duties.
Ability to interact effectively with a variety of behaviors including fear, hostility, and non-cooperation from all customers (physicians, patients, and hospital staff). 9.
Ability to work in high pressure, fast pace work environment.
Requires excellent attention to details, strong critical thinking and decision making, and verbal communication skills.
QUALIFICATIONS: Requires 2-4 years of experience in a comparable role such as hospital-based registration or billing.
Behavioral health, care coordination, and outreach experience is preferred.
Education: High School Diploma or GED equivalent.
Some college preferred.
Specialized Training : Los Angeles City Fire/Safety Card within 30 days of hire.
Current BLS Card issued by the American Heart Association.
Software: Basic Microsoft Office computer skills preferred, All Scripts, MS-4 (AS-400), 3M-CPM, ARCIS, IBEX, Medicity, TeleTracking, MCG.
Verity Health System