Prisma Health
Support Specialist FT, Day
Prisma Health, Greenville, South Carolina, us, 29610
Inspire health. Serve with compassion. Be the difference.Job SummarySupport the Hospital Case Management 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.
AccountabilitiesSupport 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 Case Management staff.Efficiently and effectively manage all payer communications, including faxes and voice mails from payors for authorizations and denials.Communicate with payors regarding discharge dates and dispositions.Manage the authorization fields in the EMR and work accounts timely to ensure that billing is processed efficiently.Interact with patients and facilitate communication between care team members.Document communications in the EMR with payors, delivery of forms, and interactions with patients and care team members, as appropriate.Supervisory/Management ResponsibilityThis is a non-management job that will report to a supervisor, manager, director, or executive.Minimum RequirementsHigh School diploma or equivalent1 year of Unit Secretary, physician practice, health insurance experience, healthcare facilityRequired Certifications/Registrations/LicensesN/AIn Lieu Of The Above Minimum RequirementsN/AOther Required Skills and ExperienceStrong organizational, time management, problem solving and critical thinking skills requiredMedical Terminology course/knowledge preferredWork ShiftDay (United States of America)
LocationGreenville Memorial Med Campus
Facility7001 Corporate
Department70017535 Utilization Management
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.
AccountabilitiesSupport 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 Case Management staff.Efficiently and effectively manage all payer communications, including faxes and voice mails from payors for authorizations and denials.Communicate with payors regarding discharge dates and dispositions.Manage the authorization fields in the EMR and work accounts timely to ensure that billing is processed efficiently.Interact with patients and facilitate communication between care team members.Document communications in the EMR with payors, delivery of forms, and interactions with patients and care team members, as appropriate.Supervisory/Management ResponsibilityThis is a non-management job that will report to a supervisor, manager, director, or executive.Minimum RequirementsHigh School diploma or equivalent1 year of Unit Secretary, physician practice, health insurance experience, healthcare facilityRequired Certifications/Registrations/LicensesN/AIn Lieu Of The Above Minimum RequirementsN/AOther Required Skills and ExperienceStrong organizational, time management, problem solving and critical thinking skills requiredMedical Terminology course/knowledge preferredWork ShiftDay (United States of America)
LocationGreenville Memorial Med Campus
Facility7001 Corporate
Department70017535 Utilization Management
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.