Job Details

Sunday-Thursday, 0800-1630

Education & Experience:
One year of experience in a medical office setting, including high-volume direct patient contact, scheduling of appointments and may require experience obtaining managed care
authorizations (dependent on position description).
OR one and a half years of work
experience in a high-volume direct public contact position and 6 months experience in a medical office setting.
Inpatient hospital experience
Insurance knowledge

Job Related Knowledge, Skills and Abilities (Competencies):
Demonstrated excellent written and verbal communication skills.
Basic keyboarding skills
Strong customer service.
Successful experience working with patients and their families.
Flexible, self-motivated, proficient at multitasking, accustomed to frequent interruptions, and comfortable with change.
Proficient with Excel data entry.
Ability to create simple Word documents.
Ability to problem solve without support
Demonstrate respect at the workplace& commitment to my coworkers
EPIC software.
Knowledgeable of medical terminology and patient discharge process.
Conflict resolution

POSITION SUMMARY:
The PAS Resource Specialist in Care Management is a vital member of the interdisciplinary team. This role involves assisting and supporting the Care Management team by providing patients and their families with necessary forms that explain their rights as patients. Additionally, the PAS Resource Specialist aids the Care Management and Social Work teams by assisting with discharge tasks and maintaining discharge resources. This position operates under the direct supervision of the Administrative Supervisor and requires face-to-face interaction with patients and their families in hospital rooms. The PAS Resource Specialist serves as a resource for Important Medicare Messages (IMM), CC44, and discharge appeal processes, ensuring compliance with all regulations.

Admission and Continued Stay
a. Deliver, explain, and obtain signatures on Observation notifications to patients as required by the Centers for Medicare and Medicaid Services (CMS). This may include printing a copy for the patient if desired and scanning the copy into the patient's chart via Epic Scanner or using a tablet to obtain an electronic signature.
b. Deliver, explain, and obtain signatures on Condition Code 44 notices. This includes printing a copy for the patient if desired and scanning the copy into the patient's chart via Epic Scanner or using a tablet to obtain an electronic signature.
c. Performs other tasks as assigned

Hospital Discharge
a. Educate patients about the Medicare Important Message process & discharge appeals.
b. Educate the Care Management teams on the Medicare Important Message processes and update teams on the outcomes/next steps.
c. Deliver to patients and obtain a signature on the second Medicare Important Message. This includes printing copies for patients if desired and scanning copies into patients' charts via Epic Scanner or using tablets to obtain electronic signatures.
d. Ensure compliance by connecting with all Medicare/MedAdvantage inpatients.
e. Deliver to patients and scan all Detailed Notice of Discharge forms for Medicare discharge appeals. Includes making a copy for pt after signed.
f. Data entry for UR Committee Case determinations.
g. Create packets under the direction of the Case Manager or CIS
h. Schedule discharge transportation under the direction of the Case Manager or Care Integration Specialist (CIS)
i. Performs other tasks as assigned

Administrative Support
a. Order and restocking supplies and resources for various Care Management programs
b. Triage incoming faxes and process them appropriately by scanning and uploading documents or distributing them to others.
c. E-mail SNF and home-health availability information by forwarding any e-mailed information and transcribing any faxed information to e-mail.
d. Reconcile P-Card monthly
e. Performs other tasks as assigned