We have an exciting opportunity to join our team as a Pre-Admissions Specialist.
In this role, the successful candidate Responsible for coordinating the flow of data, insurance verification, and patients referred for admission to the Rusk Institute of Rehabilitation Medicine
Collects and distributes necessary data by communicating and collaborating with Rusk Access registration staff and clinical liaisons, with Tisch and Rusk staff, with external referral sources, and with HJD Rehabilitation Services staff. Reviews all new and outstanding requests for Rusk admission daily, and ensures that they are assigned to Access registrars and clinical liaisons as necessary for insurance and clinical screening. Ensures referrals are logged, with data on the referral source, the outcome of screening, the assignment of a bed, and the outcome of bed assignment, including referral source and patient response, times for each step in the process, and any other data that will help evaluate and improve the outreach, referral and screening processes.
Manages and maintains the databases and logs but is not responsible for all data entry work associated with them. An intern or volunteer may be assigned to assist with data entry under the facilitators supervision. Data about referrals will be entered by a clinical specialist, facilitator, or Access registrars, whoever first gathers a piece of data needed for the database or log.
Coordinates and facilitates smooth and timely flow of admissions into Rusk, by facilitating communication with referral sources, insurance companies, and clinical liaison staff, and by scheduling and tracking admissions with the Rusk Access team and with Tisch and Rusk colleagues. Distributes referral for insurance verification, establishing priorities and distributing referrals in accordance with these priorities, in collaboration with Rusk Access colleagues and under the direction of Patient Access supervisors and directors.
Coordinates with Pre-Admitting or Verification, and Patient Access leadership, to ensure that rehab benefits are checked on or before admission whenever indicated by the Tisch admitting diagnosis, as per procedures established by Patient Access leadership. Coordinates insurance and clinical screening to ensure that Tisch referrals are cleared for transfer and assigned beds the night before the requested date of transfer whenever possible. Coordinates insurance and clinical screening to ensure that external referrals are cleared for transfer and assigned beds as soon as possible. Works with Access registrars to assign beds promptly, review expected Tisch transfers for the next day, schedule morning transfers and pre-assign tentative beds.
Pro-actively works toward goal of transferring patients from Tisch on the morning after a referral is made and cleared, and as promptly as possible. Works with Tisch referring staff (case managers, nurse practitioners, social workers, and others) to identify and propose solutions to communication and other referral issues. Ensures that status of referrals is communicated effectively to Tisch colleagues by the Rusk Access office. Works with external referring staff (case managers, nurse practitioners, social workers, and others) to identify and propose solutions to communication and other referral issues. Ensures that status of referrals is communicated effectively to external referral sources by the Rusk Access office.
Uses independent judgment and initiative to identify and resolve issues. Accepts responsibility for quality and quantity of performance. Identifies and resolves problems with minimal input from senior associate representative. Participates in department performance improvement activities and work. Volunteers assistance to others in completing intra-departmental workload. Seeks information necessary to accurately complete all aspects of the jobs requirements, and accepts new challenges and opportunities for learning beyond daily assignment.
Is knowledgeable of department and hospital goals, vision, and mission. Aligns work performance with institution goals, vision, and mission. Uses time-management skills effectively to complete all work assignments and adapts to work time/flow changes to meet the needs of the department and hospital. Makes decisions based on gathering and analyzing factual and objective data. Demonstrates alertness and adaptability of changing employee conditions, responds appropriately. Makes decisions in a timely, thought out manner. Identifies significant problems in intradepartmental and interdepartmental practices related to clinical criteria, financial criteria, and communications related to admissions, and proposes potential solutions.
Communicates and works as an effective team with all internal and external customers. Coordinates with other staff members and all shifts to effectively complete tasks cooperatively in a timely way, sharing workloads, and identifying and resolving problems as a team. Provides and accepts assistance and constructive feedback to promote continuous improvement for all employees. Cooperates and communicates ideas, problems, suggestions, and messages with department leadership, co-workers, and all Hospitals Center Staff in a timely, courteous, effective and professional manner. Answers telephones in a timely, courteous and professional manner. Learns and communicates the policies and procedures of the department and NYU Hospitals Center. Participates in and provides data for hospital committees and meetings as assigned.
Communicates verbally and in writing in an effective, clear, concise, and collegial manner. Works with bed coordinators, patient access staff, and other departments to promote improvements in communication, teamwork and admitting processes, and ensure appropriate bed assignments, staffing, and patient flow. Communicates issues, initiatives, and trends, and any problematic cases requiring administrative intervention, to department leadership.
Cooperates and communicates effectively and harmoniously with supervisors, peers, physicians, NYU Medical Center colleagues, patients, families, and the public in a courteous and professional manner. Coordinates with all shifts and Patient Access work areas to effectively complete tasks cooperatively in a timely way, sharing workloads and identifying and resolving problems as a team.
Performs other duties as assigned.
Minimum Qualifications: To qualify you must have a Bachelor's Degree in Business or related field Bachelor's Degree. Minimum of five years experience in insurance or health care environment. Knowledge of regulatory and reimbursement issues affecting Patient Access. Evidence of excellent interpersonal skills, effective communication skills and creative problem solving. Computer skills, with Windows and ADT, financial systems experience (preferably HIS, Eagle)
Preferred Qualifications: Prior experience in Patient Access or one of its constituent work areas (Admitting, Outpatient Registration, Pre-Admission Clinical Evaluation, Pre-Admission Testing)
NYU Langone Health provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you'll feel good about devoting your time and your talents.
NYU Langone Health is an equal opportunity and affirmative action employer committed to diversity and inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, gender, gender identity or expression, sex, sexual orientation, transgender status, gender dysphoria, national origin, age, religion, disability, military or veteran status, marital or parental status, citizenship status, genetic information or any other factor which cannot lawfully be used as a basis for an employment decision. We require applications to be completed online.
NYU Langone Medical Center, a world-class patient-centered integrated academic medical center, is one of the nation's premier centers for excellence in clinical care, biomedical research, and medical education. Located in the heart of Manhattan, NYU Langone is composed of four hospitals – Tisch Hospital, its flagship acute care facility; Rusk Rehabilitation; the Hospital for Joint Diseases, one of... only five hospitals in the nation dedicated to orthopaedics and rheumatology; and Hassenfeld Children's Hospital, a comprehensive pediatric hospital supporting a full array of children's health services across the medical center – plus the NYU School of Medicine, which since 1841 has trained thousands of physicians and scientists who have helped to shape the course of medical history. The medical center's tri-fold mission to serve, teach, and discover is achieved 365 days a year through the seamless integration of a culture devoted to excellence in patient care, education and research. For more information, go to www.NYULMC.org.