The Mentor Network

About The Mentor Network

The MENTOR Network is a national network of local providers offering quality, community-based services to children, adults, and seniors with intellectual and developmental disabilities, brain and spinal cord injuries, and to youth with emotional and behavioral challenges as well as their families. Serving 30,000 individuals in 36 states, we offer meaningful work, come join our team today!

 

 

 

Job Category:

Marketing/Communication

Country:

United States

Postal Code:

92602

Approximate Salary:

Not Specified

Position Type:

Full Time

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Admissions Coordinator for Healthcare Company

The Mentor Network - Irvine, California

Posted: 07/20/2018

Description
Admissions Coordinator for Healthcare Company
Primary Location: CA-CAIrvine-163 Technology Dr
Function:Marketing/Communication

CareMeridian

CareMeridian is seeking the right fit for our corporate office in Irvine, CA who can coordinate prospective resident inquiries and resident admissions for CareMeridian’s programs and services while in a fast paced environment and facilitate communication to act as an effective hub for the operations team, marketing team, payer source, and patient/patient’s family.


For CareMeridian and The MENTOR Network, an Admissions Coordinator is critical to our success and exemplifies the wonderful mission driven work we do here every day.

 

Apply today!




Description Founded in 1989, CareMeridian provides a continuum of high quality, cost-effective post-acute care and rehabilitation options to people of all ages with brain, spinal cord and other life-altering injuries and medically-complex illnesses. Every person needs the support of others, but we look for very special people to support CareMeridian. With program locations throughout the Western United States, we serve individuals with spinal cord, brain injured, catastrophically ill and injured adults and children. As an Admissions Coordinator with CareMeridian you'll be one of those special people.
CareMeridian offers a distinctive service delivery model, merging an experienced and skilled health care and rehabilitation team with state-of-the-art technology in community-based program settings designed to meet each individual’s unique needs at every stage of recovery.  CareMeridian is seeking a Admissions Coordinator to market our programs regionally and to determine eligibility for program participation.

Every one needs the support of others, but we look for very special people to support our operations, patients; children and adults with medical complexities; and/or adults with brain injuries, spinal chord injuries or other such medically fragile and complex conditions. 

 

ESSENTIAL JOB FUNCTIONS

 

To perform this job successfully, an individual must be able to satisfactorilyperform each essential function listed below. Reasonable accommodationsmay be made to enable individuals with disabilities to perform the essentialfunctions.

 

1.   Handles prospective resident inquiries and provides information regarding CareMeridian’s programs and services. (Training is provided at length in this area).

2.   Manages the referral line phone calls and the web-site referral system inquiries.  Facilitates an immediate response by each region to caller’s requests.  Provides research and resources to outside and internal callers regarding programs and product lines.  

3.   Establishes and maintains relationships with potential referral sources

 

4.   Facilitates determination of potential residents’ financial viability. Identifies all types of funding possibilities including primary, secondary, and ancillary insurances, as well as any possible “red flags.” Verifies prospective residents’ health insurance coverage, completes all funding verification protocols, and informs evaluator and facility operations staff of benefits profile.  

5.   Facilitates determination of potential residents’ clinical viability. Works with facility operations staff to determine clinical aptness and appropriate level of care and justification based on the pre-admission evaluation and the payer contract terms.

6.   Contacts pre-certification and establishes exchange with payer case manager in order to obtain authorization to admit and to confirm the level of care and justification.  

7.   Works with payer, facility operations staff, evaluators, and family, as necessary, to ensure everything is in place prior to admission.

8.   Completes and processes intake form, notifies evaluator and sends documents for database input.  Distributes records and other documents to appropriate staff for clinical and medical approvals; tracks and documents status of clinical and medical approvals.

9.   Maintains and updates the patient database with prospective resident referrals and their statuses.

10. Inputs necessary admission information for all new residents into the   billing system.

11. Provides administrative assistance to VP of Managed Care and Payer   Contracting when needed.

12. Creates quarterly reports and monthly monitors concerning prospective   resident types and statuses, as part of the Performance Improvement   Program.

Performs other related duties and activities as the position is required.

Essential Job Functions
Founded in 1989, CareMeridian provides a continuum of high quality, cost-effective post-acute care and rehabilitation options to people of all ages with brain, spinal cord and other life-altering injuries and medically-complex illnesses. With program locations throughout the Western United States, CareMeridian offers a distinctive service delivery model, merging an experienced and skilled health care and rehabilitation team with state-of-the-art technology in community-based program settings designed to meet each individual’s unique needs at every stage of recovery.
Qualifications:

Requirements:

  • Experience in medical and/or marketing field (preferred - not required)

  • High School Diploma

Other Skills:

  • Strong analytical and problem solving skills

  • Excellent written and oral communication skills

  • Ability to work in a team-orientated environment   

  • Knowledge of Microsoft Office, Outlook, Word, Excel

  • Experience with database management preferred but not required

  • Experience and general knowledge regarding HMO/PPO insurance as it relates to the medical field

EOE/AAE

 

 

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