Admissions/Managed Care Coordinator

Overview

Registers all new residents according to established procedures. Secures all legal consents and insuranceinformation and assigns residents rooms. Coordinates transfers with other facilities. Handles managed care for Applewood

Responsibilities

• Enters patient information into the computer database.
• Acts as a liaison between the Medical Center and hosital physicians as it relates to managed care issues.
• Analyzes managed care reimbursement versus contract rates and pursues revenue recovery. Assigns appropriate IDC-9 codes for all admissions, diagnostic updates and discharge.
• Assists the Patient Accounts area with managed care payment issues as they related to the contract.
• Collaborates with clinical team to determine appropriate bed assignment for resident based on diagnosis and resident mix.
• Completes and complies reporting data for Census, Inventory Consumption, variance, and distribution report.
• Coordinates and maintains the documentation for the PPS meetings.
• Ensures that the admission agreement is signed by all new admissions.
• Gathers and maintains all pertinent clinical information from Medi-tech and/or Soarian for pre-admission review process.
• Interacts closely with the medical center discharge planners to ensure an efficient referral and admission process.
• Maintains and updates bed control by a census check on a regular basis. Maintains managed care contract matrix and managed care statistics.
• Verifies Medicare, Medicaid, and private insurance eligibility prior to admission.
• Refers resident to proper resource for financial assistance when necessary.
• Schedules monthly IDT meetings and maintains schedule of residents who are due to be reviewed. Transmits all MDS's to CMS in conjunction with the MDS Coordinator.
• Maintains the operating budget for the Healthcare Unit: Compiles and prepares invoices/ purchase reqs, release ereq invoices.
• Completes check request and petty cash.
• Plans and manages department budget and expenditures in conjunction with the DON.
• Completes and compiles data for operating budget report. Prepares the accruals and keeps up to date

Qualifications

• High School Diploma Or Equivalent Required
• Previous long term care admission preferred.
• Registered Health Information Technician (RHIT) Preferred
• Knowledge of medical terminology. Strong professional, organizational, and interpersonal skills to effectively relate with all members of the healthcare team.

About Us

CentraState Healthcare System, a partner of Atlantic Health System, is a fully accredited, not-for-profit, community-based health system that provides comprehensive health services in the central New Jersey region. In addition to offering a full range of leading-edge diagnostic and treatment options, CentraState serves as a valuable health partner focused on the latest ways to prevent disease, promote healthy behaviors, and help people of all ages live life well. Based in Freehold, CentraState is comprised of a 284-bed acute-care hospital, a vibrant health and wellness campus, three award-winning senior living communities, a charitable foundation, and convenient satellite health pavilions offering primary care and specialty physician practices, along with access to outpatient services, such as lab and physical therapy. The system also offers a family medicine residency and geriatric fellowship training program in affiliation with Rutgers Robert Wood Johnson Medical School. Among its many honors and accreditations, CentraState is one of less than two percent of hospitals nationwide to earn Magnet® designation for nursing excellence four times and was designated a Great Place to Work-Certified™ Company by Great Place to Work® for the second consecutive year.

When you bring your talent to CentraState, you are joining a trailblazing healthcare facility, committed to providing high-quality, patient-focused care. Join us in making incredible strides in health care, and making a difference in our community. We believe in enriching the lives of our employees through work/life balance initiatives, tuition assistance, career advancement opportunities and much more.

Find out why our employees love their jobs and being part of the CentraState family!

What We Offer:

• Highly competitive compensation
• Excellent benefits package and rewards program
• 403(b) retirement plan with company match
• 401(a) retirement plan with employer contribution
• Life Insurance 
• Tuition Reimbursement Program
• Profit Sharing Program
• Growth Opportunity and Workforce Development Initiatives
• Continuing Education / Onsite Training
• A warm, welcoming company culture based upon mutual respect and a collaborative goal of providing excellent patient care
• Concierge Services with Work & Family Benefits
• Magnet recognized healthcare facility