Acadia Healthcare·Franklin, Tennessee
Manage patient referrals and insurance benefit verifications for acute behavioral health facilities. Coordinate admissions, pre-authorizations, and communication between medical personnel and external sources.
Essential Functions Manage Referral Management Portals Monitor all faxed referrals Monitor all webforms and call center handoffs/rollover referrals Utilize facility admissions/exclusionary criteria to process incoming types of referrals Respond to inquiries about the facility within facility policy timeframes. Document calls inside of Salesforce and follow-up as needed Complete Prior Authorization Pre-Admit the patients in billing system Coordinate with local admissions department regarding bed availability Facilitate intake, admissions, and utilization review process for incoming patients. Perform insurance benefit verifications, disseminating the information to appropriate internal staff Collaborate with other facility medical and psychiatric personnel to ensure appropriate recommendations for referrals Coordinate admission and transfer between levels of care within the facility Communicate projected admissions to designated internal representative in a timely manner Ensure all medical admission documentation is gathered from external sources prior to patient admission and secure initial pre-authorization for treatment and admission Complies with organizational policies, procedures, performance improvement initiatives and maintains organizational and industry policies regarding confidentiality Communicate clearly and effectively to person(s) receiving services and their family members, guests and other members of the health care team
Education/Experience/Skill Requirements Bachelor’s or Master’s degree in Behavioral Science, Social Work, Sociology, Nursing, or a related field; in some states, RN, LVN/LPN Knowledge of admission/referral processes, techniques, and tools Familiarity with behavioral health issues and services Solid understanding of financial principles and insurance reimbursement practices Knowledge and proficiency with Salesforce.com (or other CRM application), Concur, and MS Office application. Licenses/Designations/Certifications Licensure, as required for the area of clinical specialty, i.e., RN license, CAC or other clinical counseling or therapy license, as designated by the state in which the facility operates. Supervisory Requirements This position is an Individual Contributor We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual’s characteristics protected by applicable state, federal and local laws. AHCORP #LI-TB1
Requires a Bachelor's or Master's degree in Behavioral Science, Nursing, or a related field. Proficiency in Salesforce and knowledge of insurance reimbursement practices are essential.
Market context
Behavioral-health roles in Tennessee are often tied to schools, community programs, and outpatient settings serving children and adolescents, so employers usually look for candidates with direct youth mental-health experience. This type of role can be competitive because the posting asks for a specific degree-and-experience mix, plus prior work with children and adolescents; the listed requirements and benefits are AI-summarized from the original job description to save you research time. Before applying, match your resume to the exact experience path and highlight any youth-focused interventions, crisis support, or family engagement work.
