Weekend Admissions Specialist - South Bend, United States - Beacon Health System

Beacon Health System
Beacon Health System
Verified Company
South Bend, United States

4 days ago

Mark Lane

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Mark Lane

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Description
Reports to the Admissions Manager. Utilizes clinical expertise to perform assessments of patients potentially requiring mental health services.
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MISSION, VALUES and SERVICE GOALS:


  • MISSION: We deliver outstanding care, inspire health, and connect with heart.
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VALUES: Trust. Respect. Integrity. Compassion.
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SERVICE GOALS: Personally connect. Keep everyone informed. Be on their team.


Performs initial assessment of patient and coordinates patient care throughout the entire continuum of care by:

  • Performing psychiatric assessments.
  • Obtains initial authorization if applicable.
  • Consulting with physicians and other health care providers to assure effective implementation of patients' plans of care.
  • Communicating treatment recommendations made by the doctor, which may include coordination of community services, followup care, and education.
  • Ensure completeness and accuracy of the medical record.
  • Reporting patient outcome information to the manager.

Participates in continuous quality improvement by:

  • Compiling and analyzing data to generate reports which accurately represent utilization trends and patterns.

Registers patients in order to obtain demographic, physician and insurance information in accordance with established departmental policies and procedures by:

  • Interviewing patients/obtaining collateral information via telephone for pre-admission or for admission upon presentation in the intake area or patient room.
  • Obtaining identification, demographic, physician and insurance information from patients and accurately entering this information into the Hospital financial system.
  • Updating the system after validation of the new patients financial information.
  • Precertify with the patients insurance carrier in order to ensure maximum coverage to the limits of the insureds insurance policy.
  • Requesting copies of the insurance card(s) and drivers license or other government picture ID to confirm insurance benefits and identification.
  • Providing the Medicare letter for Medicare patients; also completing the Medicare Secondary Payor Questionnaire (MSP) and Advance Beneficiary Notice (ABN).
  • Referring the patient to the Patient Account Liaison (PAL) if they are unable to secure satisfactory payment arrangements. Also assisting the PAL in obtaining additional patient information, copies of insurance card(s) and church information.
  • Obtaining all required signatures for the "consent to treat" and assignment of insurance benefits forms.

Coordinates both the Verification of Benefits (VOB) and Pre-certification/documentation (PA) processes for patients by:

  • Verifying insurance coverage by calling the insurance company or using online eligibility systems to determine the patients benefits under the insurance plan.
  • Obtaining precertification information from the insurance company's precertification unit (i.e., whether precertification is required, if the ordering physician has completed it, etc.).

Notifies the appropriate area of the patients arrival and ensures that the patient is escorted to the appropriate location by:

  • Notifying the assigned Unit of the patients arrival.
  • Preparing the patients chart, ID band and labels for the medical record.
  • Arranging for an escort to assist the patient to the assigned unit (by wheelchair or by walking with the patient).
  • Assists with Social Work services on the inpatient units as needed.

Performs other functions to maintain personal competence and contribute to the overall effectiveness of the department by:

  • Completing other job-related assignments and projects as directed.

ORGANIZATIONAL RESPONSIBILITIES:


Associate complies with the following organizational requirements:

  • Attends and participates in department meetings and is accountable for all information shared.
  • Completes mandatory education, annual competencies and department specific education within established timeframes.
  • Completes annual employee health requirements within established timeframes.
  • Maintains license/certification, registration in good standing throughout fiscal year.
  • Direct patient care providers are required to maintain current BCLS (CPR) and other certifications as required by position/department.
  • Consistently utilizes appropriate universal precautions, protective equipment, and ergonomic techniques to protect patient and self.
  • Adheres to regulatory agency requirements, survey process and compliance.
  • Complies with established organization and department policies.
  • Available to work overtime in addition to working additional or other shifts and schedules when required.

Commitment to Beacon's six-point Operating System, referred to as The Beacon Way:

  • Leverage innovation everywhere.
  • Cultivate human talent.
  • Embrace performance improvement.
  • Build greatness through accountability.
  • Use information to improve and advance.
  • Communicate clearly and continuously.
**Education and Experien
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