PURPOSE AND SCOPE:
Acts in a case management capacity by initiating the patient intake, working with referral sources and discharge planners, obtaining medical records in a timely manner. Receives and processes calls and emails for patient admission into clinics and home programs. Coordinates inbound referral calls and admissions for specified area obtaining and entering the pertinent patient data into the database in compliance with assigned unit and company standard operating procedures and all local, state and federal regulatory requirements.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
Serves in a case management capacity by initiating the intake of patient. Liaison with the referral sources, clinics and discharge planners. Obtains medical records in a timely manner to ensure an expedited admissions process.
Serves as the primary contact for the initial administration of patient referral calls and communications regarding patient admission to the clinics (chronic and/or acute) and home programs.
Coordinates the admissions process from the initial request for admission to patient placement in preferred clinic.
Ensures all intake data for admissions requests are collected, completed and communicated according to the established standard operating procedures and in compliance with all regulatory requirements. May require navigation with various levels of clinic and management staff.
Obtains the necessary information demographic, financial and clinical and other pertinent data through contact and/or interview with referral agency, patient or patient representative to initiate the process.
During transient or busy periods will assist other teams in the processing of referrals/calls.
Interviews patient, patient's representative, or referral source to obtain the necessary personal and financial data to determine eligibility for admission.
Obtains necessary signatures to ensure the efficient processing of admissions data according to FMCNA policies and procedures.
Utilizes appropriate call tracking and admissions program systems applications to ensure accurate documentation of calls.
Maintains and updates database with current data, pertinent information, and status of the admissions referral as appropriate, recording details of the enquiry/referral, complaints and issues. Utilizes the Notes section consistently and accurately for tracking purposes.
Completes the preliminary paperwork and standard admissions forms to ensure efficient processing of admissions.
Coordinates with Hospital and Patient Services Managers and Commercial Integration team to establish appropriate placement of patients according to vacancies rates and capacity of relevant clinics in specific regions.
Promotes the efficiency of admissions process by answering phones and assisting callers in a professional and timely manner escalating issues to supervisor/manager as necessary.
Works closely with applicable billing groups as needed.
Communicates with individual clinics as needed based on current admissions process and prompt scheduling of patients and forwards necessary documents and records to the appropriate receiving facilities in a timely manner.
Collaborates with facility staff and various levels of management to effectively resolve issues impacting a patient's admissions process.
Immediately communicates to supervisor/manager any admissions denials from clinics or billing groups for further action and communication with management team.
Other duties as assigned.
Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions.
PHYSICAL DEMANDS AND WORKING CONDITIONS:
EXPERIENCE AND REQUIRED SKILLS:
2 4 years' related experience.
Excellent customer service, communication, organizational and interpersonal skills required.
Detail oriented with the ability to enter information accurately into a database system.
Working knowledge of standard office applications email, word processing, spreadsheets, and presentations.
Completion of and compliance with the Marketing and Business Development Functional Compliance Program.
Ability to adapt to change and support new policies and procedures in a positive manner.
EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity
Fresenius Medical Care