Hospice Specialist - Intake

Responsible for processing referrals and scheduling admission visits per Hospice of NGMC policies and procedures. Interacts with physicians, administration, payer sources, supervisors and staff as a resource for referrals, admissions requirements, payors and community services. Obtains complete and accurate information and completes requirements to maximize the likelihood of reimbursement. Coordinates initial hospice patient referral and follow-up obtaining appropriate orders, checking information such as verification of benefits, assisting with arrangements for a patient consult or admission and ensuring the accurate completion of the admission chart and closing out past non-admissions. Excellent customer service skills are required in answering the Access Center telephone and triaging calls and navigating the computer and obtaining required information from the hospice's and hospital's software system. Trains and directs Hospice Secretary II position.

Responsibilities

Process referrals and schedule admission visits per Hospice of NGMC policies and procedures; Coordinate initial hospice patient referral and follow-up, obtaining orders and verifying benefits; Assist with arrangements for patient consults or admissions and ensure accurate completion of admission charts; Answer the Access Center telephone and triage calls; Obtain thorough medical and demographic information on referrals; Verify benefits and precertification requirements for commercial insurance clients; Enter referrals and intake information into the clinical information system; Develop and maintain the database to ensure orders are accepted only from licensed physicians; Coordinate admission demographics and billing information with the Billing Supervisor; Coordinate Weekly Fast Rounds to review referrals, admissions, and non-admits; Train and direct the Hospice Secretary II position

Requirements

State of Georgia Registered Nurse or LPN License; High School Diploma or GED; Minimum two (2) years of healthcare experience for RN or five (5) years healthcare experience for LPN; Knowledge of state and federal regulations regarding care and reimbursement; Excellent customer service and communication skills, both verbal and written; Excellent critical thinking and organizational skills; Ability to collaborate with patients/families, admission staff, physicians, and providers, and handle multiple tasks; Computer skills including Microsoft Windows and Word, Excel

Nice to have

Bachelor's Degree; Experience in hospice, oncology, or home health; Hospice-specific knowledge; Database knowledge