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Role Description

Acadia Healthcare is seeking remote Admissions Services Specialists to support our Acute Behavioral Health Facilities from coast to coast. This position is 100% remote.

• Ability to verify benefits information for assigned facility.
• 1 weekend day shift Friday, Saturday, Sunday.
• 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.

As one of the nation's leaders in treating individuals with acute co-occurring mood, addiction, and trauma, Acadia Healthcare places a strong emphasis on our admissions & intake functions to allow us to help every possible person in need. This person will be supporting Acadia Acute Admissions departments around the country in a remote capacity.

Responsibilities

ESSENTIAL FUNCTIONS:

• 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.

STANDARD EXPECTATIONS:

• 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.

Qualifications

• 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.

Requirements

• 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.

Company Description