PAS Resource Specialist – Care Management

BizTek People, Inc. | APA International Placement Consultants•Portland, OR

4d•Onsite

About The Position

The PAS Resource Specialist supports the Care Management and Social Work teams with patient-facing and administrative responsibilities related to admission, continued stay, and hospital discharge. This role requires frequent face-to-face interaction with patients and their families in hospital rooms. The Specialist will help explain and obtain required patient notices, support discharge processes, maintain resources, and ensure appropriate documentation is completed in the electronic medical record.

Requirements

At least 1 year of experience in a medical office setting, including high-volume direct patient contact and appointment scheduling.
Experience obtaining managed care authorizations may also be required.
OR 1.5 years of experience in a high-volume, direct public-contact role plus at least 6 months of medical office experience.
Inpatient hospital experience
Insurance knowledge
EPIC experience
Knowledge of medical terminology and the patient discharge process
Excellent written and verbal communication skills
Strong customer service and patient interaction skills
Basic keyboarding and data-entry skills
Proficiency with Excel data entry and basic Microsoft Word
Ability to multitask effectively in a fast-paced environment with frequent interruptions
Strong problem-solving skills and ability to work independently
Professionalism and respect when working with patients, families, and coworkers
Conflict-resolution skills
Comfortable communicating directly with patients and families

Responsibilities

Deliver, explain, and obtain patient signatures for required Observation notifications.
Deliver, explain, and obtain signatures for Condition Code 44 notices.
Scan completed documentation into patient charts using EPIC or obtain electronic signatures via tablet.
Ensure documentation meets applicable CMS requirements.
Educate patients on Medicare Important Messages and the discharge appeal process.
Obtain signatures on Medicare Important Messages and ensure documentation is entered into the patient chart.
Assist with Detailed Notices of Discharge related to Medicare appeals.
Perform data entry for Utilization Review Committee case determinations.
Create discharge packets under the direction of Case Managers or Care Integration Specialists.
Schedule discharge transportation as directed.
Support Care Management teams with Medicare notification processes and next steps.
Order and restock supplies and resources for Care Management programs.
Triage incoming faxes and appropriately scan, upload, or distribute documents.
Communicate skilled nursing facility and home health availability information.
Assist with monthly P-Card reconciliation.
Perform additional duties as assigned.