Support Specialist FT, Day Job Listing at Prisma Health in Columbia, SC (Job ID R1096256)

Description

Inspire health. Serve with compassion. Be the difference.

Job Summary

Support the Hospital Care 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.

Accountabilities

• 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.
• 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 Responsibility

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

Minimum Requirements

High School diploma, GED or higher.

1 year of Unit Secretary, physician practice, health insurance or related healthcare facility experience.

Required Certifications/Registrations/Licenses

N/A

In Lieu Of The Above Minimum Requirements

N/A

Other Required Skills and Experience

Strong organizational, time management, problem solving and critical thinking skills required

Medical Terminology course/knowledge preferred   

Work Shift

Day (United States of America)

Location

Richland

Facility

7001 Corporate

Department

70017535 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.

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