Admissions and Authorizations Specialist - REMOTE

ScionHealth - Las Vegas, NV

Full-time

Remote - Las Vegas, NV

Hospitals

About the position

The position is responsible for managing the entire admission process for patients, ensuring effective communication and coordination with internal referral sources and various departments within the hospital. The role emphasizes accountability in program development, quality improvement, and productivity enhancement, while serving as a liaison between marketing, business office, and administration. The individual will facilitate patient admissions, manage pre-admission activities, and ensure compliance with clinical guidelines and insurance requirements.

Responsibilities

• Coordinate the patient admission functions in alignment with the hospital's mission and vision.
• Facilitate the admission of patients from referral sources.
• Apply appropriate clinical guidelines to pre-admission data.
• Identify and communicate specific patient needs for equipment, supplies, Pharmacy, and consult services.
• Complete initial review of referral for clinical and financial approval and escalate to leadership if necessary.
• Verify admission insurance benefits and handle pre-certification requirements.
• Manage the denial process, including coordinating Peer to Peer and initiating expedited appeals for insurance denials.
• Provide the hospital team with necessary information on pending and new admissions.
• Coordinate bed availability with the nurse manager and expedite transfers.
• Participate in continuing education and professional development activities.
• Communicate and demonstrate a professional image and attitude for patients, families, clients, coworkers, and others.
• Adhere to policies and practices of Scion Health.
• Learn and develop full knowledge of the Central Admissions Department (CAD) admission process.
• Understand scheduling and pre-register routines in Meditech and referral platform.
• Ensure data integrity and proper admission through the referral manager.

Requirements

• Graduate of a bachelor's degree program with a healthcare-related area of concentration or equivalent experience.
• Healthcare professional licensure preferred, including Registered Nurse, LPN/LVN, Respiratory Therapist, Physical Therapist, Occupational Therapist, or Social Worker.
• Experience in a healthcare-related area is preferred.
• Work experience with an adult geriatric disabled population is desirable.
• Excellent oral and written communication and interpersonal skills.
• Strong computer skills with both standard and proprietary applications.
• Good and regular attendance.