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