Administrative Coordinator Social Services- FT- Days- Pennsylvania Hospital- BSW Required!

Responsibilities:

• Provides support and assistance to the Case Managers and Social Workers
• Answers phones in a prompt and courteous manner directing calls and messages to the appropriate individual.
• Collaborates with Business Office, Patient Access and PATHS to ensure accuracy of patient information. 
• Communicates updated information to all appropriate parties in a timely manner.
• Collects, copies and transmits pertinent patient demographic and clinical information required to complete referrals for post-acute care and/or placement, as directed by the Case Manager or Social Worker. 
• Documents per department procedure in EPIC.
• Communicates timely, relevant and accurate information to the Case Managers and Social Workers involved in their assigned patients’ care. 
• Documents per department procedure in EPIC
• Documents all approvals, denials, updates and other pertinent information in relevant applications for post-acute services.
• Effectively communicates all forms of clinical information to all payers when requesting authorization for post-acute services.
• Ensures payer and customer satisfaction through effective communication and positive customer service skills at all times.
• Keeps supervisor informed of changes in workload.
• Keeps supervisor informed of Third-Party Payer patterns and trends.
• Maintains confidentiality of patient information.
• Maintains routine and frequent communication with Case Managers/Social Workers on the status of their referral requests and other assigned tasks.
• Obtains authorization for appropriate level of post-acute care from third party payers.
• Proactively communicates any change in payer information to Supervisor/Manager and Business Office and documents changes appropriately.
• Provides updates to the Case Manager or Social Worker if there are “pending” post-acute service approvals and additional clinical information is needed for the third-party payer to make a determination regarding post-acute services.
• Provides prompt feedback regarding adverse determinations and denials for post-acute services to appropriate staff.
• On a daily basis and throughout the shift, organizes and creates a priority work list to ensure patients’ discharge expectations are met. 
• Works with Case Managers and Social Workers to prioritize competing requests.
• Maintains working knowledge of agency and community resources as required.
• Obtains patient signatures on the Important Message from Medicare within 48 hours of patient discharge
• Delivers MOON form and MCSN form to patients as requested by CM/SW.
• Assists with contacting Liaisons to deliver referral requests.
• Follows up with facilities to determine the status of submitted referrals to determine acceptance/denial and documents per department procedure in EPIC.
• Arranges transports to facilities or home at the direction of the Case Manager or Social Worker.
• Assists with arranging lunch and learns with outside agencies and vendors

Education or Equivalent Experience:

• H.S. Diploma/GED (Required)
• And 3+ years Related administrative support experience
• Bachelor of Arts or Science (Required)
• Education Specialization: Bachelors of Social Work