Intake Referral Manager | Remote in Ohio | Clinical and Insurance Experience

 Posted 17 hours ago
     
2-5 years experience
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AI Summary

Manages the pre-admission process by reviewing referrals, verifying insurance benefits, and determining admission approval for care communities. Coordinates with hospital discharge planners and families to arrange admission timing and transportation.

Position Summary:

The Intake Referral Manager is responsible for pre-admission process from referral sources and performing necessary functions to direct potential admission to appropriate HCF Care Community.

Position Responsibilities for a Manager of Intake Referral:

* Manages all inquiry calls from hospital or online hospital referral site, reviews inquiry for potential admission and consulting Clinical Referral Manager as needed for assessment
* Verifies Medicare benefits online; verifies insurance benefits, including MA and private insurance, and verifies payor status
* Has the authority to determine approval or denial of inquiries for admission into HCF Care Communities
* Completes all communication with hospital discharge planners/case managers regarding acceptance or denial of admissions
* Coordinates admission time of each resident with specific care community and arranges transportation for admissions if necessary
* Checks bed availability in each care community assigned
* Assists families in scheduling tours, times for sign-in admissions, etc. by coordinating with each care community
* Coordination of referrals to Care Communities includes gathering needed information, data entry into computer system (Point Click Care) and the coordination of doctors’ orders
* Accessing specific payor source websites to view and accept open referrals through the specific payor
* Completes any required documentation
* Must be able to work independently and self-direct daily schedule and utilize independent judgement related to the admissions approval process for assigned facilities.

Knowledge, Skills and Abilities: High School diploma required. Medical related Associate’s Degree required; LPN preferred. Must be proficient in Microsoft Office programs (e.g. Word, Excel, and PowerPoint).

Benefits for an Intake Referral Manager"

* Promotion opportunities
* Flexibility 
* Education/Learning 
* Competitive benefit package

What we look for in Manager of Intake Referral:

Experience – If you’ve had a job or experience in a position with similar goals and responsibilities, we’d love to connect with you.
Skills – We’re looking for individuals that are compassionate, team players, social, trustworthy and service-minded.
Characteristics – We’re looking for individuals that are self-motivated, dependable, ethical, and ready to jump in and provide outstanding care and customer service to our residents.

The Company

Our Core Values, better known as We Care is that each and every employee in the organization is held to standards of Wholeheartedness, Excellence, Collaboration, Accountability, Respect, and being Ethical. Whether you work for HCF or become a resident of HCF, we can promise you one thing; we will treat you like family!

 

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