Discharge Assistant - Central Resource Center
Core
Coordinates utilization management and discharge-related administrative processes, including scheduling peer-to-peer reviews, managing payer documentation, and facilitating communication among providers, payers, and care teams.
Role type
Administrative support specialist (utilization management)
Builds
Efficient patient throughput and discharge operations
Domain
Healthcare administration / Utilization management
Deliverable
dashboards & analysis
Required skills
Data collection, P2P review coordination, denial/appeal documentation, Epic EHR management, regulatory workflow support, stakeholder liaison, Microsoft Office proficiency
Preferred skills
Virginia MLTSS/UAI certification, experience in data analysis
Technologies
Epic, Microsoft Office, spreadsheets
Responsibilities
Schedule peer-to-peer reviews between providers and payors; coordinate denial and appeal documentation; process health plan referral requirements and prior authorizations; support Medicare regulatory activities (IM, LTR, NOMNC); maintain Epic work queues and databases; resolve administrative issues affecting patient progression; collect documentation and signatures from stakeholders.
Seniority
Entry-level to Mid-level