Admissions Specialist Acute

• Ability to verify benefits information for assigned facility.
• Experience monitoring and processing patient referrals (may include fax referrals).
• Respond to inquiries about facilities within policy timeframes.
• Support Acadia Healthcare admissions departments throughout the country.

• Manage Referral Management Portals
• Monitor all faxed referrals
• Monitor all webforms and call center handoffs/rollover referrals
• Utilize facility admissions/exclusionary criteria to process incoming types of referrals
• Respond to inquiries about the facility within facility policy timeframes.
• Document calls inside of Salesforce and follow-up as needed
• Complete Prior Authorization
• Pre-Admit the patients in billing system
• Coordinate with local admissions department regarding bed availability
• Facilitate intake, admissions, and utilization review process for incoming patients.
• Perform insurance benefit verifications, disseminating the information to appropriate internal staff.
• Collaborate with other facility medical and psychiatric personnel to ensure appropriate recommendations for referrals.
• Coordinate admission and transfer between levels of care within the facility.
• Communicate projected admissions to designated internal representative in a timely manner.
• Ensure all medical admission documentation is gathered from external sources prior to patient admission and secure initial pre-authorization for treatment and admission.

• Complies with organizational policies, procedures, performance improvement initiatives and maintains organizational and industry policies regarding confidentiality.
• Communicate clearly and effectively to person(s) receiving services and their family members, guests and other members of the health care team.

• Bachelor’s or Master’s degree in Behavioral Science, Social Work, Sociology, Nursing, or a related field; in some states, RN, LVN/LPN
• Knowledge of admission/referral processes, techniques, and tools
• Familiarity with behavioral health issues and services
• Solid understanding of financial principles and insurance reimbursement practices
• Knowledge and proficiency with Salesforce.com (or other CRM application), Concur, and MS Office application.

• Licensure, as required for the area of clinical specialty, i.e., RN license, CAC or other clinical counseling or therapy license, as designated by the state in which the facility operates.

Acadia Healthcare