Director of Admissions and Financial Management - Bloomingdale Illinois

Company: The Alden Network
Location: Bloomingdale, Illinois
Posted On: 05/16/2024

TITLE: Director of Admissions and Financial Management

REPORTS TO: Administrator

I. JOB SUMMARY

To plan, organize, develop, and operate the Admission Department in accordance with current Federal, State, and local regulations, standards, guidelines, and facility policy.

To ensure that all resident referrals are properly screened, and eligibility is verified, prior to accepting the referral and admitting the patient.

To ensure all required agreements and forms are obtained and properly filled out/signed by the appropriate parties at time of admission to ensure contract and financial compliance. The Admission Director/designee is responsible for ensuring that accurate information and all required forms/agreements are maintained in the Electronic Medical Record system associated with patient/resident financial services.

To partner with the Corporate Accounts Receivable team to ensure timely collection of resident payments. Responsible for attending and participating in scheduled collection/financial meetings. Responsible for collaborating with the Corporate AR team to ensure payments are being collected and contribute to the facility performance through above duties, which result in a decrease or elimination of unnecessary bad debt.

Develop and maintain relationships with area community agencies and organizations. Responsible for driving and facilitating effect streams of communication related to the services of the facility.

II. QUALIFICATIONS

A. Bachelor's Degree in related field of study (marketing, finance, healthcare/business management).

B. Preferred knowledge of long-term care.

C. Communicates appropriately, is adaptable to changes in assignments and priorities, and can delegate tasks when appropriate.

D. Must have the ability to work independently and manage a wide variety of contact with outside agencies with tact and discretion.

E. Ability to multi-task, meet deadlines in a challenging environment, and be able to think analytically.

F. Always demonstrates positive customer service and a respectful attitude.

G. Technology oriented and must have working knowledge of Microsoft Excel and Microsoft Outlook, EMR systems with the ability to learn new software and systems.

H. Preferred experience with insurance portals.

III. PHYSICAL REQUIRMENTS

A. Ability to move intermittently throughout the workday and sit at a desk.

B. Ability to work in a fast paced and demanding environment

C. Ability to demonstrate emotional maturity to and work with ill, disabled, elderly, and emotional individuals.

D. Must be able to occasionally move and lift supplies and equipment.

E. Be in good general health; be subject to exposure to infectious waste, diseases, and other conditions, etc.

IV. ESSENTIAL FUNCTIONS

A. Resident Referral Process

1. Communicate effectively and efficiently with hospital and community agencies regarding admission referrals.

2. Prior to accepting a referral, carefully review the resident's Skilled Nursing Facility eligibility for Medicaid/Medicare/Insurance in the Eligibility portals. Ensure that only referrals that have SNF coverage are accepted.

3. Complete required identified offender registry verifications and initiate criminal background check requests per facility policy.

4. Ensure that any private pay residents are informed that a 1-month deposit and 1-month advance is due at time of admission unless deposit waiver is approved by the facility Vice President.

5. Review the referral and ensure that that all the resident and any resident representative, Power of Attorney, Guardian information is complete. If incomplete, work with the referral contact at the hospital to ensure the information is completed prior to admission.

6. Accept reservations for resident accommodations in an accurate and organized manner.

7. Collaborate with facility Interdisciplinary Team to analyze referrals to ensure facility can meet resident's medical and care needs adequately.

8. Notify referring agency timely with outcome.

9. Collaborate with Administrator and nursing department in assigning appropriate rooms to residents.

10. Communicate resident admissions, discharges, or room transfers to appropriate departments in a timely manner.

B. Admission Process

1. Implement process to ensure all new residents, upon admission, are greeted and escorted to the assigned resident room.

2. Explain facility philosophy, policies and procedures to potential residents,

new residents, and residents' representatives.

3. Maintain accurate census within the EMR, as per company policy.

4. Once a referral is approved for admission, schedule a time with family and/or resident to obtain admission agreement and any other required forms signed the day of admission or within 72 hours of admission. Ensure all necessary admission documents are uploaded and appropriately categorized/labeled in Point Click Care.

5. Assist other departments with obtaining required documents from residents or resident representatives when necessary.

C. Financial Performance

1. Responsible for carefully assessing the financial eligibility portion for each referral prior to approving the admission to guarantee that the facility will be able to be reimbursed for the care/services provided.

2. Responsible to partner with the corporate team to address any questions/concerns that may arise related to reimbursement prior to approving admission.

3. Partner with Corporate team members to effectively collect all resident payments.

4. Effectively work with the corporate team to coordinate financial services meetings with residents/POAs/Guardians to obtain payments and/or additional forms/financial information that may be required for payment/billing purposes.

5. Closely monitor the AR Aging report to ensure timely cash collections, immediate action is taken to address past due accounts, and that all collection issues are communicated to the corporate team.

D. Marketing

1. Analyze the Marketing data related to referrals, admissions, discharges, and resident case mix to collaborate in developing and implementing the marketing/census development program.

2. Maintain open lines of communication to act as a liaison between transferring agencies and the facility.

3. Promote ongoing customer service throughout the facility as outlined in the Ambassador Program.

V. OTHER DUTIES

A. Develop and participate in Quality Assurance Program Improvement initiatives as assigned.

B. Observe and implement facility policies and procedures.

C. Perform other duties as assigned. More...

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