Admissions Director - St Camillus Residential Health : Job Details

Become Rooted in Caring for Life at St. Camillus!We are currently seeking a Full Time Director of Admissions and Contract Management!Responsibilities:This position manages the admissions process from resident screening to completion of all required admission paperwork, with a focus on maintaining resident census and desired payer mix. This position will also serve as the primary negotiator for payer contracting for the facility.

• Oversee admissions staff operations, business planning and budget developing.
• Oversee the referral process to ensure all potential admissions are reviewed and screened appropriately to support facility occupancy and payer mix targets.
• Oversee the intake process to ensure that all patients/residents, for all facility programs, are admitted with accuracy in a timely, professional and efficient manner; and that the admission process provides the appropriate front-end support for billing as well as the overall revenue cycle.
• Responsible for maintaining updated department procedures including census reporting, admission agreements, various admission forms, reliable insurance verification, and accurate data entry to the computerized financial records.
• Ensure that the inpatient census is prepared in an accurate and timely manner each day.
• Prepare month end reports related to census, admissions, discharges, length of stay and payer mix.
• Ensure the efficient flow of information between intake, nursing, case management, social work, medical records, billing and other ancillary departments.
• Ensure department protocols are in compliance with facility, state and federal regulations.
• Work closely with Privacy and Security Officers with regard to HIPAA regulations. Ensures that appropriate procedures are in place and all staff are properly trained to ensure compliance with HIPAA.
• Work closely with IT to troubleshoot problems, investigate system issues and to determine needs of future system development projects.
• Build and maintain relationships with hospitals, physicians, social workers, discharge planners and other referral sources. Market the facility to referral sources, when appropriate, to gain new business.
• Maintain current knowledge of Medicare and Medicaid regulations.
• Serve as the primary contact and negotiator for payer contracts, (insurance companies, managed care organizations, third party administrators and others). Reviews proposed contracts with legal counsel and senior management.
• Communicates final payer contract terms to relevant departments to assure compliance with operational and billing requirements.
• Works closely with senior leadership in analyzing ongoing business operations and planning for new opportunities.
• Remains knowledgeable of government regulations, procedures and rate formulae affecting reimbursement.
• Responsible for employee injury prevention, follows safety rules, and addresses safety issues with supervisor.
• All other duties as assigned by supervisor.

Qualifications:

• A bachelor's degree or higher, with at least 5 years related experience in a healthcare facility
• 5 or more years of supervisory or management experience
• Strong verbal, written, computer and leadership skills required
• RN License is preferred

Employee Benefits:

• No Mandated Shifts
• Daily Pay
• Generous PTO Structure for Full Time employees
• Health/Health Reimbursement Account/Dental/Vision Plans available
• Company Provided Life Insurance for Full Time employees
• Retirement Plans
• Tuition Reimbursement
• On the Centro Bus Line
• Free parking

Why work at St. Camillus? Our Mission: St. Camillus is a non-denominational, not-for-profit organization dedicated to caring for life through a broad range of health care services.Our Vision: To be the provider of choice for compassionate and innovative care.If you are interested in joining a team of professionals who are committed to providing high quality services in a caring environment, we want to hear from you!To learn more information about St. Camillus, visit our website at: EOE/Affirmative Action Employer