Prisma Health
Support Specialist, Hospital Care Management, Full Time, Days
Prisma Health, Greenville, South Carolina, us, 29610
Inspire health. Serve with compassion. Be the difference.Job SummarySupport the department by performing as a liaison for payer communication, assisting with patient's transitions of care, and delivery of required regulatory documents. Effective communication skills to engage collaboratively with case management staff, patients/family members, and all other healthcare professionals.
Essential FunctionsAll team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference.
Support patient throughput by performing transition of care activities (e.g., referrals and placement for post-acute services, providing notification letters to patient/family regarding regulatory rights, maintaining consistent communication with Post-Acute Providers and Care Management staff).
Manages all payer communications, including faxes and voice mails from payors for authorizations and denials.
Communicates with payors regarding discharge dates and dispositions.
Manages the authorization fields in the EMR and work accounts timely to ensure that billing is processed efficiently.
Interacts with patients and facilitate communication between care team members.
Documents communications in the EMR with payors, delivery of forms, and interactions with patients and care team members, as appropriate.
Performs other duties as assigned.
Supervisory/Management ResponsibilityThis is a non-management job that will report to a supervisor, manager, director, or executive.
Minimum RequirementsEducation - High School diploma, GED or higher.
Experience - One (1) year of unit secretary, physician practice, health insurance or related healthcare facility experience.
In Lieu OfN/A
Required Certifications, Registrations, LicensesN/A
Knowledge, Skills and AbilitiesStrong organizational, time management, problem solving, and critical thinking skills required
Medical Terminology course/knowledge preferred
Work ShiftDay (United States of America)
LocationGreenville Memorial Med Campus
Facility1008 Greenville Memorial Hospital
Department10087517 GMH Hospital Care Mgmt
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
Essential FunctionsAll team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference.
Support patient throughput by performing transition of care activities (e.g., referrals and placement for post-acute services, providing notification letters to patient/family regarding regulatory rights, maintaining consistent communication with Post-Acute Providers and Care Management staff).
Manages all payer communications, including faxes and voice mails from payors for authorizations and denials.
Communicates with payors regarding discharge dates and dispositions.
Manages the authorization fields in the EMR and work accounts timely to ensure that billing is processed efficiently.
Interacts with patients and facilitate communication between care team members.
Documents communications in the EMR with payors, delivery of forms, and interactions with patients and care team members, as appropriate.
Performs other duties as assigned.
Supervisory/Management ResponsibilityThis is a non-management job that will report to a supervisor, manager, director, or executive.
Minimum RequirementsEducation - High School diploma, GED or higher.
Experience - One (1) year of unit secretary, physician practice, health insurance or related healthcare facility experience.
In Lieu OfN/A
Required Certifications, Registrations, LicensesN/A
Knowledge, Skills and AbilitiesStrong organizational, time management, problem solving, and critical thinking skills required
Medical Terminology course/knowledge preferred
Work ShiftDay (United States of America)
LocationGreenville Memorial Med Campus
Facility1008 Greenville Memorial Hospital
Department10087517 GMH Hospital Care Mgmt
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.