Admissions Manager
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Job Location:
Pleasanton, CA - USA
Hourly Salary:
$ 29 - 34
Posted on:
2 days ago
Vacancies:
1 Vacancy
Job Summary
Our Company
Rehab Without Walls Neuro Rehabilitation
Overview
Admissions Manager Pleasanton CA (Full-Time)
Rehab Without Walls Neuro Rehabilitation
We are seeking a dedicated and experiencedAdmissions Managerto serve as a compassionate knowledgeable and results-driven advocate for our patients and their families as they begin their rehabilitation journey.
About the Role
As the Admissions Manager you will be the primary point of contact for individuals recovering frombrain injuries spinal cord injuries and other complex conditions. Your expertise in navigating benefits payers and care coordination will help ensure that patients receive the services they need efficiently accurately and with exceptional care.
Who Were Looking For
You may be a great fit if you:
- Are passionate about supporting patients and families during a vulnerable and life-changing time.
- Have extensive experience withmedical insurance verification including commercial insurance andworkers compensation.
- Possess strong skills in communicating with payers understanding benefit structures and resolving authorization challenges.
- Are comfortable interpretinglocal payer landscapesand navigating insurance processes specific to the Pleasanton area.
- Excel in a fast-paced environment juggling multiple priorities while maintaining accuracy and compassion.
- Demonstrate strongcritical thinking follow-through and a proactive results-oriented approach.
- Understandlocal geographyand can partner effectively with clinical teams to support scheduling and patient flow.
- Thrive within a collaborative healthcare environment and enjoy working closely with clinicians referral sources and families.
What You Will Receive
- Competitive compensation and comprehensive benefits
- Opportunities for career growth and professional development
- Work-life balance and schedule flexibility
- A mission-driven environment where your work truly makes an impact
Responsibilities
Receives/responds to incoming calls from referral sources/potential clients and exchanges information to identify the clients needs and consults with Director of Clinical Management to determine the Companys ability to meet them.
Completes all viable referrals by setting up and carrying out pre-screening assessments completion of pre-screening reports preparation of case proposals and other related pre-admission paperwork (i.e. obtains authorization for payment coordinates availability of an appropriate treatment team).
Oversees directs and supervises field staff assigned in assisting with pre-screening process.
Accesses national/state/company account information including the account names and terms of contracts or other past payer agreements as appropriate.
Consults with third party representatives regarding client benefit coverage client financial responsibility company service authorization and specific reimbursement procedures. Presents companys services interprets potential reimbursement options and negotiates reimbursement levels with third party payer.
Contacts referral sources to advise them of case acceptance and provides information on the clinical team responsible for clients case.
Develops/maintains a working knowledge of all services/resources provided by the Company and services available within the community. Assists in identifying alternative community service sources when company solutions are not appropriate or available.
Maintains relationships with standard referral sources and payer case managers. Contacts identified referral sources and seeks referrals as appropriate. Records outcome of calls and keeps the SAR informed. May assist CRM in other sales/marketing activities.
Monitors/tracks referral sources satisfaction levels tracks/reports on conversion ratios and provides summary reports to management at requested intervals.
Participates in performance improvement activities. Ensures the collection of data for improvement analysis and prepares reports for management as needed.
Implements/maintains with the up-line management operational processes to ensure compliance with Company policies legal requirements and regulatory mandates.
Adheres to and participates in Companys mandatory HIPAA privacy program / practices and Business Ethics and Compliance programs / practices.
Participates in quarterly growth planning meetings/activities including discussions around staffing and recruitment needs.
Performs all duties inherent in a supervisory role for any direct reports.
Participates in special projects and performs other duties as assigned.
Qualifications
Bachelors Degree in Nursing or health care field. Related admissions and medical insurance work experience of at least 5 years will be considered in place of degree.
Minimum of 3-years experience working in rehabilitation or healthcare setting
Strong knowledge of rehabilitation operations and third-party payer reimbursement
Proficient data entry and computer skills including Microsoft Word and Excel
Excellent negotiation organization problem-solving decision making and communication skills also required.
Able to function in position with minimal supervision
Effective and professional interpersonal verbal and written communication skills
About our Line of Business
Salary Range
Required Experience:
Manager
Key Skills
- Culinary Experience
- Sales Experience
- Time Management
- Marketing
- Public Relations
- Customer Service
- Computer Skills
- Microsoft Outlook
- Basecamp
- Salesforce
- Inside Sales
- Recruiting
About Company
Welcome to SpringHealth Behavioral Health & Integrated Care where we assist those we serve in reaching their highest level of independence.
