Administrative Coordinator
Pacer Group
Job Title: Administrative Coordinator
Location: Los Angeles, CA 90017
Duration: 13 Weeks ( Part-Time, weekends (Saturday and Sunday), with a possibility of some weekdays if employee is available.)
XXXX: XXXXXXXXXXX/hr
Shift: Day 2x8 Hours || 8:00 - 16:30 ***Candidate will be required to complete orientation and training during the week until done. Must be available M-F until training is completed. Position Summary:
Provides clerical support for Case Management team, assisting team with problem solving and facilitating inpatient and post hospitalization care. Duties And Responsibilities:
Location: Los Angeles, CA 90017
Duration: 13 Weeks ( Part-Time, weekends (Saturday and Sunday), with a possibility of some weekdays if employee is available.)
XXXX: XXXXXXXXXXX/hr
Shift: Day 2x8 Hours || 8:00 - 16:30 ***Candidate will be required to complete orientation and training during the week until done. Must be available M-F until training is completed. Position Summary:
Provides clerical support for Case Management team, assisting team with problem solving and facilitating inpatient and post hospitalization care. Duties And Responsibilities:
- Safeguards and preserves the confidentiality of patient's protected health information in accordance with State and Federal (HIPAA) regulatory requirements, hospital and departmental policies.
- Ensures a safe patient environment and adherence to safety practices per policy.
- With consideration to age, employee utilizes the approved process to resolve biophysical, psychological, educational and environmental needs of patient/significant other when administering care.
- Discharge Planning
- Actively participates in daily Case Management team meetings.
- Follows up with phone calls and necessary paperwork to ensure seamless referrals to outside agencies.
- Collects information to facilitate assessment of financial resources available for post-acute care.
- Make arrangements for procuring and delivering DME and medications for post discharge care.
- Arranges timely transportation for discharge according to plan.
- Performs all clerical functions, such as, faxing, copying and telephoning as necessary to expedite patient discharge.
- Ensures all discharge plans are followed through to resolution or requests assistance as needed.
- Financial Assessment
- Ensures insurance verification and obtains benefits to ensure adequate coverage to meet the need of the discharge plan.
- Refers patients to financial counselors for information and/or to implement financial assistance forms.
- Maintains knowledge of common reimbursement methods.
- Communicates reimbursement information to patients and families as directed.
- Works collaboratively with RN and SW Case Manager to issue continued stay documents and denial information.
- Initiates disability applications.
- Accesses computer system to obtain updated financial information and benefits.
- Completes MAC paperwork and assists with county transfers.
- Maintains awareness of payor / reimbursement practices and regulations that may impact patients' plan of care.
- Psychosocial Coordination
- Completes mandated legal reporting as appropriate.
- Reports all observations/information to the Case Management team.
- Screens all cases for advanced directives documentation.
- Assist patient's families with education or completing paperwork for healthcare decisions under the direction of the SW/RN Case Manager.
- Clinical Case Coordination
- Helps ensure appropriate test results are available in a timely manner for physician review.
- Assists with coordination of Case Management paperwork for admissions, transfers and discharges.
- Monitors patients for frequent admissions and alerts Case Managers.
- Assists with obtaining appropriate resources as directed.
- Team Support Functions
- Follows up on pre-certification activities
- Coordinates admission notifications to third party payors with Admitting department.
- Maintains awareness of current managed care contract requirements for UR.
- Communicates pertinent information received from payors to Case Managers.
- Facilitates timely transmissions of concurrent and retroactive utilization reviews with insurance companies in coordination with RN Case Manager.
- Assists with Medi-Cal review process, copying patient records and assists with TAR completion.
- Supports process for insurance denials and appeal processes.
- Collects and enters data on avoidable delays/days.
- Basic computer knowledge
- Medical terminology
- Strong verbal and written communication skills
- Critical thinking skill
- High School diploma or equivalent
- LA City Fire Card within 6 months of employment (PHGSH only)
- Previous experience in a medical setting
- Bachelor's degree preferred
Vacancy posted 1 day ago
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