TRANSITION IN CARE – ADMINISTRATIVE ASSISTANT I

Job Purpose

The Transitions in Care - Administrative Assistant I is responsible for actively participating in all aspects of discharge planning after hospitalizations, and subacute rehabilitation stays. The role will ensure that they resolve requests in a timely and efficient way while in compliance with the relevant policies & procedures. The Transitions in Care - Administrative Assistant I will be expected to develop and maintain in strict confidence its findings from case investigations related to highly sensitive & confidential issues reported by participants and providers.

Job Responsibilities

• Manage all requests/issues received via phone calls / HHA eXchange communications / Emails from outlook from Interdisciplinary Team (IDT) and/or vendors etc., related to (but not limited to) transportation, DME orders, home health aide (HHA)/personal care aide (PCA), CDPAP scheduling/coordination for resumption of care from the hospital/subacute rehab for discharge planning.
• Document all transactions (examples: service plans, authorizations, encounters, coordination notes, grievances)
• Enter and record all transportation requests for hospital/ER or Subacute Rehab discharges (not limited to additions, cancellations, and changes prior to date of service).
• Outreach participants, providers, Transitions in Care team and/or vendors, etc., to keep them informed about their issues/request’s status or resolution.
• Track, refer, and monitor all remote patient monitoring referrals with Vendor.
• Respond to and delegate out tasks received from Vendor for remote patient monitoring follow-up needs.
• Complete assignments for Remote Patient monitoring vendor.
• Coordinate documents & follow up with staff in different department’s issues and/or request for resolutions. Examples: Appeals & Grievances, IDT/Transitions in Care Teams, Provider Relations, Claims, etc.
• Adhere to company and department policies and procedures.
• Participate in transitions in care team call meetings as needed and make any updates as needed.
• Performs other duties as assigned.
  

Weekly Hours: 40

Schedule: 8:30 AM - 5:30 PM

Qualifications

Education: Associate’s Degree in business, health care, or a related field. Bachelor’s degree preferred.

Experience: Two years experience in a managed care healthcare setting, preferable. Experience with Coding (ICD-10), Authorizations, Call Center setting, and provider relations is preferable.

Other Requirements

A typewriting Test must be taken. Results should be more than 40 WPM and “Good” or “Above” accuracy.

Ability to pass multi-tasking competency tests involving various screen navigation, listening to the customer, entering data about the interaction, and suggesting a resolution to the customer’s issue.

Bilingual: Spanish, Russian, Chinese, Korean, Albanian, or French Creole

• Proficient in computer programs such as Microsoft Office and Microsoft Excel.
• Knowledge of Access or other database programs is a plus.
• Excellent verbal and written communication skills.
• Excellent problem-solving and analytical skills.
• Accurate attention to detail with strong organizational skills.
• Demonstrated ability to manage multiple projects and be flexible.
• Able to travel to any of the 12 PACE Sites, as needed.
  

Salary Range (Min-Max)

$47,000.00 - $57,000.00