Position Title: Upfront Processing / Admission Coordinator
Summary: This position will be responsible for the coordination and management of resident information upon admission/readmission to the pharmacy system.
Educational/Work Experience
- Associate degree in health related field or 4 years direct work experience in health related field
- Previous work experience in health related field performing resident/patient admitting procedures preferred
- General knowledge of Medicare/Medicaid/Insurance Pay types, medical terminology, and brand/generic drugs needed
- Working knowledge of Microsoft Word and Excel, or like applications
- Previous long term care pharmacy experience, preferably 1-2 years
Other Qualifications
- Demonstrate superior customer service skills, both face-to-face and via the telephone
- Ability to interact with all levels of department representatives both internally and externally
- Ability to exhibit effective verbal and written communication skills
Essential Duties and Responsibilities include the following. Other duties may be assigned.
- Admission/Readmission of residents to Pharmacy System
- Process new admission/readmission information for residents being serviced by Skilled Care which includes:
- Review admission/re-admission and enter correct pay type information into RESCOT, contacting facility to obtain missing information
- Responsible for prevention of duplication of account within same facility or different facility
- Responsible for obtaining correct admission history and discharging appropriate previous information as well as pulling and canceling of potential anniversary medications to eliminate duplicate processing
- Retrieval of demographic information from facilities regarding resident insurance/discount insurance, Hospice, social security number, Medicare number, guarantor information, room number, date of birth, etc.
- Retrieval of missing facility information such as, Nursing Station, allergies, diagnosis, verifies patient medication needs, etc.
- Entering Hospice formulary when applicable as well as listing diagnosis
- Verifies Insurance/Medicaid/Hospice eligibility through Third Party Providers
- Reviews admission/re-admission and enters correct drug/ancillary profile information into RESCOT which requires the analysis, interpretation, and understanding of medication directions to ensure accuracy
- Identifies orders that can not be processed due to coverage issues, missing information, or inability to read/understand
- Completes appropriate paperwork/forms, communicating order exceptions to other SCP team members
- Coordinates forwarding fax transmissions to appropriate team members for assigned facilities
- Meets on a daily basis with appropriate team members to discuss issues surrounding new/admit residents
II. Assist Operations in Completing Daily Workflow
- Perform prescription processing duties necessitating the interpretation of brand/generic medications and the accurate entry of this information
- Perform communication related duties consisting of calling facilities with questions surrounding profiles
- Perform health information services duties that may include monthly updating, daily PTO completion, and/or report generation
- Perform basic pharmacy technician duties that may include filling prescriptions, final check scanning, and/or bagging
PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to use hands to finger, handle, or feel and reach with hands and arms. The employee frequently is required to sit and talk or hear. The employee is occasionally required to stand; walk; climb or balance; and stoop, kneel, crouch, or crawl. The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, color vision, and ability to adjust focus.
WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is occasionally exposed to moving mechanical parts, fumes or airborne particles, and risk of electrical shock. The noise level in the work environment is usually moderate.
