Prisma Health Job - 41030781 | CareerArc
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Company: Prisma Health
Location: Greenville, SC
Career Level: Associate
Industries: Healthcare, Pharmaceutical, Biotech

Description

Inspire health. Serve with compassion. Be the difference.

Job Summary

This position ensures accurate and complete physician referrals to be processed in timely manner. This position works closely with management, nursing, physicians, to capture all incoming and out going referrals. Maintains customer service and teamwork goals within the department. Can assume decision making responsibilities as directed by manager/supervisor. Requires a high level of public contact and excellent interpersonal skills.

Accountabilities

  • Obtain and/or assign referrals for new patients coming into the office as well as maintaining referrals for existing patients.
  • Participate in insurance training sessions to increase knowledge and maintain compliance with guidelines. Learn insurance rules and regulations as it relates to federal, state, and managed care payers in multiple states.
  • Maintain and/or request and receive authorizations for patients for procedures in office and for those procedures that are referred outside the office.
  • Provide documentation when needed to support procedures referred out. 

  • Answers telephone, screens calls, takes messages and provides information promptly and courteously to patients and providers offices.

  • Assist patients and visitors in a prompt, courteous and helpful manner

  • Schedules in office & out going procedure appointments.

  • Maintains appointment schedules in accordance with established policies

  • Supports front desk & Unit Secretary as needed

  • Supports Admissions counselor & Accounts Specialist as needed.

Supervisory/Management Responsibilities

This is a non-management job that report to a supervisor, manager, director or executive.

Minimum Requirements

Education - High School diploma or equivalent

Experience - 2 years - Experience required in any of the following: admissions, physician office, billing company or insurance company. Medical Terminology required. 

Required Certifications/Registrations/Licenses

n/a

In Lieu Of The Minimum Requirements Listed Above

n/a

Other Required Skills and Experience

  • Previous experience with Epic preferred
  • Previous experience with referral via electronic medical records preferred
  • Basic computer skills
  • Knowledge of office equipment
  • Proficient computer skills (word processing, spreadsheets, database)
  • Data entry
  • Mathematical skills

Work Shift

Day (United States of America)

Location

Cross Creek Medical Campus

Facility

1008 Greenville Memorial Hospital

Department

10367503 Social Work-CPM

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.


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