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J209668

Resource Center Assistant / SEIU - D

Allegheny Health Network

  • Company AHN
  • Pittsburgh, PA - Allegheny General Hospital
  • Administrative Services
  • Full time
  • Day (United States of America)

Company :

Allegheny Health Network

Job Description : 

GENERAL OVERVIEW

Coordinates the clerical and administrative processes of utilization management and discharge arrangements. Completes any other tasks within department guidelines requested by the Care Management Coordinators and Social Workers.

 

ESSENTIAL RESPONSIBILITIES

  • Assists with utilization review by identifying patients to be completed and/or closed out; ensures timely transfer of pertinent patient information to third party payers; follows up with third party payers as needed; assists in the acquisition of authorizations for acute and post-acute services; appeal and denial process as needed. (35%)
  • Supports discharge plan implementation under direction of the care coordinator and social worker, which may include but not limited to: faxing to payers/post-acute providers; calling vendors, physician offices, clinics, etc.; arranging for durable medical equipment; facilitating transfers and transportation; coordinating and scheduling home health needs; identifying community resources; completing appropriate discharge documentation; identifying primary care physicians and scheduling PCP/specialty appointments as needed; updating patient demographic/billing data; assisting with placement process. (55%)
  • Collects/enters data as directed and performs other administrative duties as needed. (5%)
  • Adheres to the policies, procedures, rules, regulations, and laws of the hospital and all federal and state regulatory bodies. (5%)
  • Performs other duties as assigned or required.

 

QUALIFICATIONS

Minimum

  • At least 3 years of relevant experience, proficient computer skills with experience in: Microsoft office, internet navigation, clinically- based software, and financially-based software.
  • Knowledge of medical terminology required.
  • Requires interpersonal skills, communication skills (both personal and telephonic), and the ability to work without supervision when necessary.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. 

EEO is The Law

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity ( https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf )

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.

For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org

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