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Admissions Services Specialist Acute

Acadia Healthcare
Full-time
Remote
United States
Healthcare, Administration

Acadia Healthcare is seeking remote Admissions Services Specialists to support our Acute Behavioral Health Facilities from coast to coast.

ESSENTIAL FUNCTIONS:

  • Manage Referral Management Portals
  • Monitor all faxed referrals
  • Monitor all webforms and call center handoffs/rollover referrals
  • Utilize facility admissions/exclusionary criteria to process incoming types of referrals
  • Respond to inquiries about the facility within facility policy timeframes.
  • Document calls inside of Salesforce and follow-up as needed
  • Complete Prior Authorization
  • Pre-Admit the patients in billing system
  • Coordinate with local admissions department regarding bed availability
  • Facilitate intake, admissions, and utilization review process for incoming patients.
  • Perform insurance benefit verifications, disseminating the information to appropriate internal staff.
  • Collaborate with other facility medical and psychiatric personnel to ensure appropriate recommendations for referrals.
  • Coordinate admission and transfer between levels of care within the facility.
  • Communicate projected admissions to designated internal representative in a timely manner.
  • Ensure all medical admission documentation is gathered from external sources prior to patient admission and secure initial pre-authorization for treatment and admission.

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STANDARD EXPECTATIONS:

  • Complies with organizational policies, procedures, performance improvement initiatives and maintains organizational and industry policies regarding confidentiality.
  • Communicate clearly and effectively to person(s) receiving services and their family members, guests and other members of the health care team.

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EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

  • Bachelor’s or Master’s degree in Behavioral Science, Social Work, Sociology, Nursing, or a related field; in some states, RN, LVN/LPN
  • Knowledge of admission/referral processes, techniques, and tools
  • Familiarity with behavioral health issues and services
  • Solid understanding of financial principles and insurance reimbursement practices
  • Knowledge and proficiency with Salesforce.com (or other CRM application), Concur, and MS Office application.

 LICENSES/DESIGNATIONS/CERTIFICATIONS:

  • Licensure, as required for the area of clinical specialty, i.e., RN license, CAC or other clinical counseling or therapy license, as designated by the state in which the facility operates.
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