Discharge Assistant - Central Resource Center

Carilion Clinic · United States

Employment Status: Full time Shift: Day (United States of America) Facility: 1906 Belleview Ave SE - Roanoke Requisition Number: R162010 Discharge Assistant - Central Resource Center (Open) How You’ll Help Transform Healthcare: The Throughput and Discharge Assistant supports efficient, high-quality, and cost-effective patient throughput and discharge operations across Carilion Clinic. Coordinates discharge-related administrative processes by scheduling peer-to-peer (P2P) reviews, gathering and distributing clinical and demographic information, maintaining payer documentation, and facilitating communication among providers, payers, and care teams. The Throughput and Discharge Assistant

• Prioritizes daily workflow to support efficient patient throughput and discharge operations, including managing faxes, voicemails, correspondence, and distribution of incoming communications.
• Coordinates P2P reviews by scheduling discussions between providers and payors, documenting determinations, communicating authorization decisions, and obtaining required demographic and clinical information.
• Supports utilization management and appeals processes by coordinating denial and appeal documentation, communicating with payors, Carilion billing, and care management teams, and assisting with insurance, benefits, and coverage inquiries.
• Processes health plan referral requirements, including prior authorizations, denial and appeal activities, and P2P requests related to admissions and patient progression.
• Performs federally mandated regulatory activities, including supporting Medicare Important Message (IM), Lifetime Reserve (LTR), Status Change, Code 44, and Notice of Medicare Non-Coverage (NOMNC) workflows. Coordinates required documentation, distributes notifications, and records delivery in the electronic medical record.
• Maintains Epic work queues, databases, spreadsheets, and departmental records to ensure accurate tracking, reporting, production, and distribution of utilization management and throughput activities.
• Researches and resolves administrative issues affecting patient progression and discharge to facilitate timely care transitions.
• Serves as a liaison among payors, providers, billing, patients, and care management staff by responding to inquiries regarding authorizations, approvals, denials, benefits, coverage, and insurance-related matters.
• Coordinates the timely collection of required documentation, signatures, and correspondence from internal and external stakeholders to support efficient discharge planning.
• Provides administrative support to utilization management physicians, nurses, and care management staff while assisting with departmental workflows and special projects.
• Travels between regional facilities and provides virtual and telephonic support across enterprise Care Management locations to meet operational and patient throughput needs.
• Maintains confidential records, prepares correspondence, manages office systems and equipment, and utilizes Microsoft Office applications and other software to support departmental operations.
• Communicates effectively with leadership, clinical staff, patients, visitors, vendors, and external agencies while maintaining excellent customer service in a fast-paced environment with frequently changing priorities.
• Maintains required competencies through continuing education, staff meetings, in-service training, and completion of required certifications.

DANA JOHNSON

• Comprehensive Medical, Dental, & Vision Benefits
• Employer Funded Pension Plan, vested after five years (Voluntary 403B)
• Paid Time Off (accrued from day one)
• Onsite fitness studios and discounts to our Carilion Wellness centers
• Access to our health and wellness app, Personify Health
• Discounts on childcare
• Continued education and training