Admissions Specialist

Position Summary:

Coordinates the inpatient admissions process including insurance pre-authorization for admission. Preferred candidate to have experience working with health insurance companies, performing account set-up & management, have medical terminology knowledge, possess excellent computer skills and be detail oriented. Experience in Behavioral Health setting is also preferred.

Essential Job Functions:

• Meets with each new client on admission and accurately inputs all necessary financial and/or insurance information into agency database.
• Verifies insurance by checking enrollment and funding status in multiple databases and documents insurance benefits in admission database prior to admission.
• Facilitates completion of any client information, financial payments, authorizations or other documentation at the time of admission.
• Calculates copayments and/or private fees and provides an invoice to client prior to discharge.
• Maintain proper balance regarding source of payment (fee for service, Medicaid, public, private and third-party payers)
• Responsible for educating clients on benefits and opportunities within the WestCare system.
• Resolves any issues with coverage and escalates complicated issues to the billing manager and/or director.
• Coordinate with the billing specialists to assure all admissions/transfers/discharges are completed within the appropriate time frame.
• Work collaboratively with treatment teams of all programs, communicating information needed to maximize good customer service to clients, referral sources and third party payers.

• Maintain daily census and provide census information to internal and external sources on a timely basis.
• Assist all clients with application process for Medicaid by assisting with completion of the application, addressing any questions or concerns and helping the client to find the most appropriate coverage option available.
• Relay reporting information to billing manager regarding non-insured clients, daily.

Essential Qualifications:

• Two years of admissions and insurance verification experience, preferred;
• Must be culturally/linguistically sensitive to populations served;
• Knowledge of the Criminal Justice System, preferred
• Knowledge/Experience with Substance Abuse / Behavioral Health clientele, preferred
• Be able to multi-task;
• Advanced computer skills;
• Excellent documentation & communication skills;
• Must have the ability to pass a criminal history background screening, obtain CPR & First Aid Certification and an Annual Tuberculosis Test;

Education:

• High School Diploma or equivalent is required
• Two-years of college-level education is preferred.

During your tenure with WestCare there may be new requirements, including, but not limited to vaccinations that are issued by local, State, Federal, and/or Funders that WestCare may have to comply with. Should this occur Human Resources or appropriate personnel will inform you.

WestCare is an Equal Opportunity Drug Free Work Place Employer. Employment at WestCare is contingent upon successful completion of a pre-employment drug test, pre-employment physical and criminal background check.