Prisma Health

Prisma Health

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Prisma Health

Urgent Admission Specialist, FT, Days- Remote

Prisma HealthAnywherefull-time
View Job
Compensation$40K - 55K a year

Manage insurance verification, authorization, and documentation for inpatient admissions to ensure timely reimbursement. | High school diploma, 3 years experience in revenue cycle or patient access/billing, proficiency in medical terminology and basic computer skills. | Inspire health. Serve with compassion. Be the difference. Job Summary Responsible for communicating and providing information which meets the payor requirements for initial notification of Inpatient admissions and Observation, timely completion of insurance verification, and authorization related activities to financially secure patient accounts. This includes timely submission of appropriate documentation in order to meet third party payor requirements which helps ensure that Prisma Health receives timely and accurate reimbursement. Collaborates as appropriate with other departments to ensure efficient processes and facilitate problem solving. Accountabilities Full Time • Acts as the initial point of contact to all payors for Inpatient admissions and Observation. Includes timely submission of appropriate documentation as required by the payor(s) for the initial authorization/notification purposes. • Ensures appropriate statistical data is obtained for patients in assigned patient population areas; communicating with payors timely and accurately. • Updates and maintains authorization numbers and approved days in registration and/or other applicable systems as appropriate. Secures discharge dates for payers as assigned. • Verifies insurance coverage/benefits utilizing online eligibility or by telephone inquiry to the employer and/or third party payor. Information obtained through insurance verification must always be documented in the system. Ensures insurance priorities are correct based on third party requirements/COB. • Initiates pre-certification process as required according to departmental guidelines. • Interviews patients or representatives (in accordance with HIPAA and EMTALA Guidelines) to secure information relative to financial status, demographic data and employment information when necessary. Enters accurate information into computer database. Accesses Sovera to review ensure the most recent insurance card is on file. Follows up for incomplete and missing information. 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 - 3 years Revenue Cycle, Patient Access /Billing, Collections and/or Customer Service Required Certifications/Registrations/Licenses n/a In Lieu Of The Minimum Requirements Listed Above n/a Other Required Skills And Experience • Medical Terminology • Basic computer skills • Knowledge of office equipment • Proficient computer skills (word processing) • Data entry Work Shift Day (United States of America) Location 1200 Colonial Life Blvd Facility 7001 Corporate Department 70019073 PreAccess Services 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.

Medical Terminology
Insurance Verification
Data Entry
Customer Service
Basic Computer Skills
Word Processing
Verified Source
Posted 1 day ago
PH

Single Billing Office Customer Service Specialist, FT, Days, - Remote

Prisma HealthAnywherefull-time
View Job
Compensation$Not specified

The specialist performs tasks related to hospital and physician accounts, handling inbound calls to assist patients with billing inquiries and resolving issues. They also make outbound calls for self-pay follow-up and analyze data throughout the revenue cycle. | A high school diploma or equivalent is required, along with two years of billing, bookkeeping, or accounting experience. Knowledge of the revenue cycle and Epic is also necessary. | Inspire health. Serve with compassion. Be the difference. Job Summary Performs tasks of moderate to difficult complexity relating to both hospital and physician accounts. Handles a large volume of inbound calls assisting patients with requests for information, complaints, and resolving issues. Responsible for making outbound calls related to self-pay follow-up on accounts. Responsible for data analysis and interpretation throughout all functions of revenue cycle, to determine reasons for denials, non-payment and overpayment, post/balance/correct electronic remittances, billing and follow-up of government payers and specialized accounts, analysis/correction of correct coding guidelines, preparation of accounts for appeal, review/analysis of insurance credit balances, and analysis/movement of unapplied, unidentified, and undistributed balances. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Resolves billing concerns, addresses inquiries related to insurance concerns/matters, assist patients with MyChart while simultaneously establishing a rapport with our diverse field of patients. Reviews accounts to determine insurance coverage; obtains and corrects any missing or inaccurate information. Discusses patient responsibility, which includes educating patients on claim processing, deductible, coinsurance, and co-pays. Interacts with patients by making patients aware of payment options such as payment plans and financial assistance as well as how to apply for financial assistance if circumstance warrant. Ability to set up payment plans in MyChart based on patient's personal needs. Greets patients in a professional and courteous manner. Communicates clearly and professionally in both oral and written communication. Be clear and concise in all communication to ensure patients understand the information that is being communicated to them by the Customer Service Specialist. Maintains a high level of poise and professionalism in dealing with patients. Knows when to escalate a patient service issue real time. Research customer requests or issues, determines if further action is needed, forwards to appropriate party for resolution, and exercises good judgement to determine urgency of patient's need. Contacts payer and makes hard inquiries on account status if needed. Escalates problem accounts to the appropriate area(s). Documents billing activity on a patient's accounts according to departmental guidelines; ensures compliance with all applicable billing regulations and reports any suspected compliance issues to departmental leaders. Properly documents accounts clearly with indicators and activities so that tracking and trending can be prepared for any potential further analysis if needed. Ensures all work is compliant with privacy, HIPAA, and regulatory requirements. Participates in general or special assignments and attends all required training. Adheres to policies and procedures as required by Prisma Health and follows all compliant regulatory payer guidance. Answers all incoming calls from Prisma Health patients Performs other duties as assigned. Supervisory/Management Responsibilities This is a non-management job that will report to a supervisor, manager, director or executive. Minimum Requirements Education - High School diploma or equivalent OR post-high school diploma / highest degree earned Experience - Two (2) years billing, bookkeeping, and/or accounting experience In Lieu Of NA Required Certifications, Registrations, Licenses NA Knowledge, Skills and Abilities Knowledgeable of the job functions required for a A/R Follow-up Representative, Cash Posting Representative, Claims Clearinghouse Representative, Correspondence Representative, Credit Processing Specialist, Denial/Appeals Specialist, Payment Research Specialist and a Quality Assurance Specialist. Knowledgeable of the entire Revenue Cycle and Epic. Work Shift Day (United States of America) Location Patewood Outpt Ctr/Med Offices Facility 7001 Corporate Department 70019935 System Billing Office 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. Prisma Health is the largest not-for-profit health organization in South Carolina, serving more than 1.2 million patients annually. Our 32,000 team members are dedicated to supporting the health and well-being of you and your family. Our promise is to: Inspire health. Serve with compassion. Be the difference.

Customer Service
Billing
Data Analysis
Insurance Knowledge
Communication
Problem Solving
Payment Plans
Financial Assistance
HIPAA Compliance
Revenue Cycle
MyChart
Professionalism
Documentation
Escalation
Patient Interaction
Compliance
Direct Apply
Posted 2 days ago
PH

Patient Financial Services Analyst, FT, Days, Remote

Prisma HealthAnywherefull-time
View Job
Compensation$70K - 90K a year

Monitor and resolve high dollar, escalated accounts, analyze payer trends, collaborate with departments to resolve billing and denial issues, and support revenue cycle performance. | High school diploma or higher, 5+ years revenue cycle or accounting experience including billing, collections, and finance, with CRCA/CRCR certification preferred. | Inspire health. Serve with compassion. Be the difference. Job Summary Responsible for monitoring and/or resolution of high dollar, high profile, escalated accounts. Ensures timely and accurate posting, adjustments, correspondence, and/or denials. Ensures complete, accurate, and compliant processes resulting in optimal collection and customer service performance for the organization. Supports various special projects ensuring billing, AR, and denial prevention are optimal. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Monitors, research and/or resolves high dollar, high profile, and problem accounts, providing necessary information to various internal revenue cycle departments, clinical and corporate departments, and patients for resolution of account inquiries. Monitors, reviews and provides analysis of all assigned work queues, dashboards and watch lists, payer communications and analysis, identifying trends and working with other departments to resolve system issues. Demonstrates superior communication skills necessary for developing and maintaining positive professional relationships with team members, revenue cycle departments, clinical and corporate departments, payers, and industry organizations. Evaluates payer performance and payment trends to provide management with valuable statistics to facilitate improved payer relations and contracting criteria, identifies payer specific problem trends and works with clinical departments, outcomes management, managed care, reimbursement and PFS to rectify systematic issues. Facilitates, attends and/or participates in payer assigned meetings for improved payer relations and to identify and resolve payer processing, claims and denial issues. Assures timely communication of all meeting outcomes to appropriate PFS team members. Attends appropriate meetings and training seminars to assure awareness and understanding of all billing regulations, compliance policies, industry changes, and/or payer reimbursement guidelines. Maintains professional growth and development through seminars, workshops, in-service meetings, current literature and professional affiliations to keep abreast of latest trends in field of expertise. Recommends and assists in the development of regular training sessions with team members, to ensure highest quality and productivity standards are achievable. Assists in on boarding of new team members as well as providing ongoing support for all FS team members. Identifies payer specific trends and works with revenue cycle, clinical and corporate departments, managed care and reimbursement teams on resolution. Maintains strict adherence to department quality measures and timely and accurate completion of assigned responsibilities Responsible and accountable for reconciliation and accuracy of vendor invoices, vendor staff set up in EPIC, vendor collection and expense reports. Meets and exceeds the appropriate performance and productivity standards and key performance indications for the department. Demonstrates accurate and professional relationships with all Prisma Health patient accounts, ancillary departments and third party payers in accordance with Prisma Health Service Excellence, Standard of Behaviors and Compliance. Performs other duties as assigned. Supervisory/Management Responsibilities This is a non-management job that will report to a supervisor, manager, director or executive. Minimum Requirements Education - High School diploma or equivalent OR post high school diploma / highest degree earned Experience - Five (5) years revenue cycle, accounting experience including registration, billing, collections, credits, refunds, customer service, banking, finance, managed care or related area In Lieu Of NA Required Certifications, Registrations, Licenses CRCA preferred CRCR preferred Knowledge, Skills and Abilities NA Work Shift Day (United States of America) Location Colonial Life Building Facility 7001 Corporate Department 70019935 System Billing Office 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. Prisma Health is the largest not-for-profit health organization in South Carolina, serving more than 1.2 million patients annually. Our 32,000 team members are dedicated to supporting the health and well-being of you and your family. Our promise is to: Inspire health. Serve with compassion. Be the difference.

Accounts Receivable
Process Improvement
Data Analytics
Financial Reporting
Workflow Optimization
Cross-Functional Collaboration
Systems Automation
Performance Dashboards
Business Intelligence
Change Enablement
Direct Apply
Posted 2 days ago
PH

Patient Financial Services Analyst, FT, Days, Remote

Prisma HealthAnywherefull-time
View Job
Compensation$Not specified

Responsible for monitoring and resolving high dollar, high profile accounts while ensuring accurate posting and compliance. Supports special projects related to billing, accounts receivable, and denial prevention. | A high school diploma or equivalent is required, along with five years of experience in revenue cycle or related fields. Preferred certifications include CRCA and CRCR. | Inspire health. Serve with compassion. Be the difference. Job Summary Responsible for monitoring and/or resolution of high dollar, high profile, escalated accounts. Ensures timely and accurate posting, adjustments, correspondence, and/or denials. Ensures complete, accurate, and compliant processes resulting in optimal collection and customer service performance for the organization. Supports various special projects ensuring billing, AR, and denial prevention are optimal. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Monitors, research and/or resolves high dollar, high profile, and problem accounts, providing necessary information to various internal revenue cycle departments, clinical and corporate departments, and patients for resolution of account inquiries. Monitors, reviews and provides analysis of all assigned work queues, dashboards and watch lists, payer communications and analysis, identifying trends and working with other departments to resolve system issues. Demonstrates superior communication skills necessary for developing and maintaining positive professional relationships with team members, revenue cycle departments, clinical and corporate departments, payers, and industry organizations. Evaluates payer performance and payment trends to provide management with valuable statistics to facilitate improved payer relations and contracting criteria, identifies payer specific problem trends and works with clinical departments, outcomes management, managed care, reimbursement and PFS to rectify systematic issues. Facilitates, attends and/or participates in payer assigned meetings for improved payer relations and to identify and resolve payer processing, claims and denial issues. Assures timely communication of all meeting outcomes to appropriate PFS team members. Attends appropriate meetings and training seminars to assure awareness and understanding of all billing regulations, compliance policies, industry changes, and/or payer reimbursement guidelines. Maintains professional growth and development through seminars, workshops, in-service meetings, current literature and professional affiliations to keep abreast of latest trends in field of expertise. Recommends and assists in the development of regular training sessions with team members, to ensure highest quality and productivity standards are achievable. Assists in on boarding of new team members as well as providing ongoing support for all FS team members. Identifies payer specific trends and works with revenue cycle, clinical and corporate departments, managed care and reimbursement teams on resolution. Maintains strict adherence to department quality measures and timely and accurate completion of assigned responsibilities Responsible and accountable for reconciliation and accuracy of vendor invoices, vendor staff set up in EPIC, vendor collection and expense reports. Meets and exceeds the appropriate performance and productivity standards and key performance indications for the department. Demonstrates accurate and professional relationships with all Prisma Health patient accounts, ancillary departments and third party payers in accordance with Prisma Health Service Excellence, Standard of Behaviors and Compliance. Performs other duties as assigned. Supervisory/Management Responsibilities This is a non-management job that will report to a supervisor, manager, director or executive. Minimum Requirements Education - High School diploma or equivalent OR post high school diploma / highest degree earned Experience - Five (5) years revenue cycle, accounting experience including registration, billing, collections, credits, refunds, customer service, banking, finance, managed care or related area In Lieu Of NA Required Certifications, Registrations, Licenses CRCA preferred CRCR preferred Knowledge, Skills and Abilities NA Work Shift Day (United States of America) Location Colonial Life Building Facility 7001 Corporate Department 70019935 System Billing Office 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. Prisma Health is the largest not-for-profit health organization in South Carolina, serving more than 1.2 million patients annually. Our 32,000 team members are dedicated to supporting the health and well-being of you and your family. Our promise is to: Inspire health. Serve with compassion. Be the difference.

Revenue Cycle
Billing
Collections
Customer Service
Payer Relations
Compliance
Communication
Analysis
Problem Solving
Training
Professional Development
Team Support
Trend Identification
Meeting Facilitation
Vendor Management
Quality Assurance
Direct Apply
Posted 2 days ago
PH

Single Billing Office, Customer Service Specialist, FT, Days, - Remote

Prisma HealthAnywherefull-time
View Job
Compensation$Not specified

The Customer Service Specialist resolves billing concerns and assists patients with inquiries related to insurance and payment options. They handle a large volume of inbound and outbound calls while ensuring compliance with privacy and regulatory requirements. | A high school diploma or equivalent is required, along with two years of experience in billing, bookkeeping, or accounting. Knowledge of the revenue cycle and Epic is essential. | Inspire health. Serve with compassion. Be the difference. Job Summary Performs tasks of moderate to difficult complexity relating to both hospital and physician accounts. Handles a large volume of inbound calls. Responsible for also making outbound calls related to self-pay follow up on accounts. Assists patients with requests for information, complaints, and resolving issues. Responsible for data analysis and interpretation throughout all functions of revenue cycle, to determine reasons for denials, non-payment and overpayment, post/balance/correct electronic remittances, billing and follow-up of government payers and specialized accounts, analysis/correction of correct coding guidelines, preparation of accounts for appeal, review/analysis of insurance credit balances and analysis/movement of unapplied, unidentified, undistributed balances. Moderate to difficult levels of evaluation, analysis, decision making required in these roles. Essential Functions Resolves billing concerns, addresses inquiries related to insurance concerns/matters, assist patients with MyChart while simultaneously establishing a rapport with our diverse field of patients. Reviews accounts to determine insurance coverage; obtains and corrects any missing or inaccurate information. Discusses patient responsibility, which includes educating patients on claim processing, deductible, coinsurance, and co-pays. Interacts with patients by making patients aware of payment options such as payment plans and financial assistance as well as how to apply for financial assistance if circumstance warrant. Ability to set up payment plans in MyChart based on patient's personal needs. - 25% Greets patients in a professional and courteous manner. Communicates clearly and professionally in both oral and written communication. Be clear and concise in all communication to ensure patients understand the information that is being communicated to them by the Customer Service Specialist. Maintains a high level of poise and professionalism in dealing with patients. Knows when to escalate a patient service issue real time. Research customer requests or issues, determines if further action is needed, forwards to appropriate party for resolution, and exercises good judgement to determine urgency of patient's need. – 20% Contacts payer and makes hard inquiries on account status if needed. Escalates problem accounts to the appropriate area(s). Documents billing activity on a patient's accounts according to departmental guidelines; ensures compliance with all applicable billing regulations and reports any suspected compliance issues to departmental leaders. Properly documents accounts clearly with indicators and activities so that tracking and trending can be prepared for any potential further analysis if needed. – 10% Must be knowledgeable of the entire Revenue Cycle and Epic. – 10% Ensures all work is compliant with privacy, HIPAA, and regulatory requirements. - 10% Participates in general or special assignments and attends all required training. Adheres to policies and procedures as required by Prisma Health and follows all compliant regulatory payer guidance. - 10% Knowledgeable of the job functions required for a A/R Follow-up Representative, Cash Posting Representative, Claims Clearinghouse Representative, Correspondence Representative, Credit Processing Specialist, Denial/Appeals Specialist, Payment Research Specialist and a Quality Assurance Specialist. Should be cross trained and proficient to operate in any of these roles if the need arises. - 10% Answers all incoming calls from Prisma Health patients for both the Columbia and Greenville markets. - 5% Performs other duties as assigned. Supervisory/Management Responsibilities This is a non-management job that will report to a supervisor, manager, director or executive. Minimum Requirements Education - High School diploma or equivalent OR post-high school diploma / highest degree earned Experience - 2 years - Billing, bookkeeping, accounting In Lieu Of NA Required Certifications, Registrations, Licenses NA Knowledge, Skills and Abilities NA Work Shift Day (United States of America) Location Patewood Outpt Ctr/Med Offices Facility 7001 Corporate Department 70019935 System Billing Office 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. Prisma Health is the largest not-for-profit health organization in South Carolina, serving more than 1.2 million patients annually. Our 32,000 team members are dedicated to supporting the health and well-being of you and your family. Our promise is to: Inspire health. Serve with compassion. Be the difference.

Customer Service
Billing
Data Analysis
Insurance Knowledge
Communication
Problem Solving
MyChart
Payment Plans
Financial Assistance
HIPAA Compliance
Revenue Cycle
Documentation
Escalation
Professionalism
Decision Making
Cross Training
Direct Apply
Posted 2 days ago
PH

Urgent Admission Specialist, FT, Days- Remote

Prisma HealthAnywherefull-time
View Job
Compensation$Not specified

Responsible for communicating and providing information to meet payor requirements for inpatient admissions and observation. Collaborates with other departments to ensure efficient processes and facilitate problem solving. | Minimum education requirement is a high school diploma or equivalent. Three years of experience in Revenue Cycle, Patient Access/Billing, Collections, or Customer Service is required. | Inspire health. Serve with compassion. Be the difference. Job Summary Responsible for communicating and providing information which meets the payor requirements for initial notification of Inpatient admissions and Observation, timely completion of insurance verification, and authorization related activities to financially secure patient accounts. This includes timely submission of appropriate documentation in order to meet third party payor requirements which helps ensure that Prisma Health receives timely and accurate reimbursement. Collaborates as appropriate with other departments to ensure efficient processes and facilitate problem solving. Accountabilities Full Time Acts as the initial point of contact to all payors for Inpatient admissions and Observation. Includes timely submission of appropriate documentation as required by the payor(s) for the initial authorization/notification purposes. Ensures appropriate statistical data is obtained for patients in assigned patient population areas; communicating with payors timely and accurately. Updates and maintains authorization numbers and approved days in registration and/or other applicable systems as appropriate. Secures discharge dates for payers as assigned. Verifies insurance coverage/benefits utilizing online eligibility or by telephone inquiry to the employer and/or third party payor. Information obtained through insurance verification must always be documented in the system. Ensures insurance priorities are correct based on third party requirements/COB. Initiates pre-certification process as required according to departmental guidelines. Interviews patients or representatives (in accordance with HIPAA and EMTALA Guidelines) to secure information relative to financial status, demographic data and employment information when necessary. Enters accurate information into computer database. Accesses Sovera to review ensure the most recent insurance card is on file. Follows up for incomplete and missing information. 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 - 3 years Revenue Cycle, Patient Access /Billing, Collections and/or Customer Service Required Certifications/Registrations/Licenses n/a In Lieu Of The Minimum Requirements Listed Above n/a Other Required Skills and Experience Medical Terminology Basic computer skills Knowledge of office equipment Proficient computer skills (word processing) Data entry Work Shift Day (United States of America) Location 1200 Colonial Life Blvd Facility 7001 Corporate Department 70019073 PreAccess Services 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. Prisma Health is the largest not-for-profit health organization in South Carolina, serving more than 1.2 million patients annually. Our 32,000 team members are dedicated to supporting the health and well-being of you and your family. Our promise is to: Inspire health. Serve with compassion. Be the difference.

Medical Terminology
Basic Computer Skills
Knowledge Of Office Equipment
Proficient Computer Skills
Data Entry
Direct Apply
Posted 2 days ago
PH

Single Billing Office Customer Service Specialist, FT, Days, - Remote

Prisma HealthAnywherefull-time
View Job
Compensation$Not specified

The specialist performs tasks related to hospital and physician accounts, handling inbound calls to assist patients with billing inquiries and resolving issues. They also make outbound calls for self-pay follow-up and analyze data to address denials and payment discrepancies. | A high school diploma or equivalent is required, along with two years of experience in billing, bookkeeping, or accounting. Knowledge of the revenue cycle and Epic is also necessary. | Inspire health. Serve with compassion. Be the difference. Job Summary Performs tasks of moderate to difficult complexity relating to both hospital and physician accounts. Handles a large volume of inbound calls assisting patients with requests for information, complaints, and resolving issues. Responsible for making outbound calls related to self-pay follow-up on accounts. Responsible for data analysis and interpretation throughout all functions of revenue cycle, to determine reasons for denials, non-payment and overpayment, post/balance/correct electronic remittances, billing and follow-up of government payers and specialized accounts, analysis/correction of correct coding guidelines, preparation of accounts for appeal, review/analysis of insurance credit balances, and analysis/movement of unapplied, unidentified, and undistributed balances. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Resolves billing concerns, addresses inquiries related to insurance concerns/matters, assist patients with MyChart while simultaneously establishing a rapport with our diverse field of patients. Reviews accounts to determine insurance coverage; obtains and corrects any missing or inaccurate information. Discusses patient responsibility, which includes educating patients on claim processing, deductible, coinsurance, and co-pays. Interacts with patients by making patients aware of payment options such as payment plans and financial assistance as well as how to apply for financial assistance if circumstance warrant. Ability to set up payment plans in MyChart based on patient's personal needs. Greets patients in a professional and courteous manner. Communicates clearly and professionally in both oral and written communication. Be clear and concise in all communication to ensure patients understand the information that is being communicated to them by the Customer Service Specialist. Maintains a high level of poise and professionalism in dealing with patients. Knows when to escalate a patient service issue real time. Research customer requests or issues, determines if further action is needed, forwards to appropriate party for resolution, and exercises good judgement to determine urgency of patient's need. Contacts payer and makes hard inquiries on account status if needed. Escalates problem accounts to the appropriate area(s). Documents billing activity on a patient's accounts according to departmental guidelines; ensures compliance with all applicable billing regulations and reports any suspected compliance issues to departmental leaders. Properly documents accounts clearly with indicators and activities so that tracking and trending can be prepared for any potential further analysis if needed. Ensures all work is compliant with privacy, HIPAA, and regulatory requirements. Participates in general or special assignments and attends all required training. Adheres to policies and procedures as required by Prisma Health and follows all compliant regulatory payer guidance. Answers all incoming calls from Prisma Health patients Performs other duties as assigned. Supervisory/Management Responsibilities This is a non-management job that will report to a supervisor, manager, director or executive. Minimum Requirements Education - High School diploma or equivalent OR post-high school diploma / highest degree earned Experience - Two (2) years billing, bookkeeping, and/or accounting experience In Lieu Of NA Required Certifications, Registrations, Licenses NA Knowledge, Skills and Abilities Knowledgeable of the job functions required for a A/R Follow-up Representative, Cash Posting Representative, Claims Clearinghouse Representative, Correspondence Representative, Credit Processing Specialist, Denial/Appeals Specialist, Payment Research Specialist and a Quality Assurance Specialist. Knowledgeable of the entire Revenue Cycle and Epic. Work Shift Day (United States of America) Location Patewood Outpt Ctr/Med Offices Facility 7001 Corporate Department 70019935 System Billing Office 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. Prisma Health is the largest not-for-profit health organization in South Carolina, serving more than 1.2 million patients annually. Our 32,000 team members are dedicated to supporting the health and well-being of you and your family. Our promise is to: Inspire health. Serve with compassion. Be the difference.

Customer Service
Billing
Data Analysis
Insurance Knowledge
Communication
Problem Solving
MyChart
Payment Plans
Financial Assistance
HIPAA Compliance
Revenue Cycle
Account Management
Professionalism
Documentation
Escalation
Compliance
Direct Apply
Posted 2 days ago
PH

Single Billing Office, Customer Service Specialist, FT, Days, - Remote

Prisma HealthAnywherefull-time
View Job
Compensation$Not specified

The Customer Service Specialist handles a large volume of inbound and outbound calls related to hospital and physician accounts, assisting patients with billing inquiries and resolving issues. They are responsible for data analysis and interpretation throughout the revenue cycle, ensuring compliance with regulations and documenting billing activities. | Candidates must have a high school diploma or equivalent and at least 2 years of experience in billing, bookkeeping, or accounting. Knowledge of the revenue cycle and proficiency in Epic is also required. | Inspire health. Serve with compassion. Be the difference. Job Summary Performs tasks of moderate to difficult complexity relating to both hospital and physician accounts. Handles a large volume of inbound calls. Responsible for also making outbound calls related to self-pay follow up on accounts. Assists patients with requests for information, complaints, and resolving issues. Responsible for data analysis and interpretation throughout all functions of revenue cycle, to determine reasons for denials, non-payment and overpayment, post/balance/correct electronic remittances, billing and follow-up of government payers and specialized accounts, analysis/correction of correct coding guidelines, preparation of accounts for appeal, review/analysis of insurance credit balances and analysis/movement of unapplied, unidentified, undistributed balances. Moderate to difficult levels of evaluation, analysis, decision making required in these roles. Essential Functions Resolves billing concerns, addresses inquiries related to insurance concerns/matters, assist patients with MyChart while simultaneously establishing a rapport with our diverse field of patients. Reviews accounts to determine insurance coverage; obtains and corrects any missing or inaccurate information. Discusses patient responsibility, which includes educating patients on claim processing, deductible, coinsurance, and co-pays. Interacts with patients by making patients aware of payment options such as payment plans and financial assistance as well as how to apply for financial assistance if circumstance warrant. Ability to set up payment plans in MyChart based on patient's personal needs. - 25% Greets patients in a professional and courteous manner. Communicates clearly and professionally in both oral and written communication. Be clear and concise in all communication to ensure patients understand the information that is being communicated to them by the Customer Service Specialist. Maintains a high level of poise and professionalism in dealing with patients. Knows when to escalate a patient service issue real time. Research customer requests or issues, determines if further action is needed, forwards to appropriate party for resolution, and exercises good judgement to determine urgency of patient's need. – 20% Contacts payer and makes hard inquiries on account status if needed. Escalates problem accounts to the appropriate area(s). Documents billing activity on a patient's accounts according to departmental guidelines; ensures compliance with all applicable billing regulations and reports any suspected compliance issues to departmental leaders. Properly documents accounts clearly with indicators and activities so that tracking and trending can be prepared for any potential further analysis if needed. – 10% Must be knowledgeable of the entire Revenue Cycle and Epic. – 10% Ensures all work is compliant with privacy, HIPAA, and regulatory requirements. - 10% Participates in general or special assignments and attends all required training. Adheres to policies and procedures as required by Prisma Health and follows all compliant regulatory payer guidance. - 10% Knowledgeable of the job functions required for a A/R Follow-up Representative, Cash Posting Representative, Claims Clearinghouse Representative, Correspondence Representative, Credit Processing Specialist, Denial/Appeals Specialist, Payment Research Specialist and a Quality Assurance Specialist. Should be cross trained and proficient to operate in any of these roles if the need arises. - 10% Answers all incoming calls from Prisma Health patients for both the Columbia and Greenville markets. - 5% Performs other duties as assigned. Supervisory/Management Responsibilities This is a non-management job that will report to a supervisor, manager, director or executive. Minimum Requirements Education - High School diploma or equivalent OR post-high school diploma / highest degree earned Experience - 2 years - Billing, bookkeeping, accounting In Lieu Of NA Required Certifications, Registrations, Licenses NA Knowledge, Skills and Abilities NA Work Shift Day (United States of America) Location Patewood Outpt Ctr/Med Offices Facility 7001 Corporate Department 70019935 System Billing Office 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. Prisma Health is the largest not-for-profit health organization in South Carolina, serving more than 1.2 million patients annually. Our 32,000 team members are dedicated to supporting the health and well-being of you and your family. Our promise is to: Inspire health. Serve with compassion. Be the difference.

Customer Service
Billing
Data Analysis
Insurance Knowledge
Communication
Problem Solving
MyChart
Payment Plans
Financial Assistance
HIPAA Compliance
Revenue Cycle
Documentation
Cross Training
Account Management
Professionalism
Decision Making
Direct Apply
Posted 2 days ago
Prisma Health

Financial Analyst - Planning & Analysis Corporate, FT, Day, Remote

Prisma HealthAnywherefull-time
View Job
Compensation$70K - 90K a year

Prepare monthly financial reports, develop operating budgets, analyze productivity and reimbursement trends, and support financial operations for healthcare departments. | Bachelor's degree (finance, business, accounting or related) plus 3 years finance/accounting experience or equivalent MBA/MHA; proficiency in MS Office; ability to work independently and accurately. | Inspire health. Serve with compassion. Be the difference. Job Summary Supports assigned service line(s) and/or assigned hospital. Interacts with all levels of management to provide analysis and recommendations that support the organization’s financial goals and strategic plan. Works with Administration and Finance leaders. Remote work can be considered for this position. Essential Functions • All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. • Prepares monthly Internal Financial Review. Prepares monthly financials, including current period performance, in-depth financial trend, variance analysis, and P&L analysis for Administration. • Develops the annual operating budget including volumes, revenue, FTEs, salary, supply, and other expenses in accordance with system profitability targets. Reviews and monitors budget input and spread to minimize budget error. • Works closely with Administrator/Director and departmental leadership to provide financial support in identifying issues pertinent to department financial operations. • Monitors charge capture and analyzes reimbursement trends to determine the impact to net collections and causes for variance. • Analyze bi-weekly productivity metrics to ensure staffing levels are appropriate. • Partners with leadership on special projects, including proformas, process improvement initiatives and strategic planning. • Performs other duties as assigned. Supervisory/Management Responsibilities • This is a non-management job that will report to a supervisor, manager, director or executive. Minimum Requirements • Education - Bachelor's degree in Finance, Business, Accounting or related field of study. • Experience - Three (3) years of finance, accounting, or related experience In Lieu Of • In lieu of the education and experience requirements noted above, the following combination of education, training and/or experience will be considered an equivalent substitution: Bachelor’s degree can be in a discipline other than Finance, Business or Accounting if candidate has an MBA, MHA, or CPA. Required Certifications, Registrations, Licenses • None Knowledge, Skills or Abilities • Ability to work with minimum supervision while prioritizing workloads to meet deadlines. • Ability to critically review information and complete assignments with high accuracy. • Proficient in MS Word, Excel, and PowerPoint. Work Shift Day (United States of America) Location Corporate Facility 7001 Corporate Department 70019014 Financial Planning & Analysis 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.

Financial analysis
Budget development
Variance analysis
Data analysis
Excel proficiency
Healthcare administration
Business analysis
Verified Source
Posted 4 days ago
PH

Financial Analyst - Planning & Analysis Corporate, FT, Day, Remote

Prisma HealthAnywherefull-time
View Job
Compensation$70K - 90K a year

Prepare monthly financial reports, develop and monitor budgets, analyze productivity and reimbursement trends, and support leadership with financial insights and special projects. | Bachelor's degree in Finance or related field with 3+ years finance/accounting experience, proficiency in MS Office, and ability to work independently and accurately. | Inspire health. Serve with compassion. Be the difference. Job Summary Supports assigned service line(s) and/or assigned hospital. Interacts with all levels of management to provide analysis and recommendations that support the organization’s financial goals and strategic plan. Works with Administration and Finance leaders. Remote work can be considered for this position. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Prepares monthly Internal Financial Review. Prepares monthly financials, including current period performance, in-depth financial trend, variance analysis, and P&L analysis for Administration. Develops the annual operating budget including volumes, revenue, FTEs, salary, supply, and other expenses in accordance with system profitability targets. Reviews and monitors budget input and spread to minimize budget error. Works closely with Administrator/Director and departmental leadership to provide financial support in identifying issues pertinent to department financial operations. Monitors charge capture and analyzes reimbursement trends to determine the impact to net collections and causes for variance. Analyze bi-weekly productivity metrics to ensure staffing levels are appropriate. Partners with leadership on special projects, including proformas, process improvement initiatives and strategic planning. Performs other duties as assigned. Supervisory/Management Responsibilities This is a non-management job that will report to a supervisor, manager, director or executive. Minimum Requirements Education - Bachelor's degree in Finance, Business, Accounting or related field of study. Experience - Three (3) years of finance, accounting, or related experience In Lieu Of In lieu of the education and experience requirements noted above, the following combination of education, training and/or experience will be considered an equivalent substitution: Bachelor’s degree can be in a discipline other than Finance, Business or Accounting if candidate has an MBA, MHA, or CPA. Required Certifications, Registrations, Licenses None Knowledge, Skills or Abilities Ability to work with minimum supervision while prioritizing workloads to meet deadlines. Ability to critically review information and complete assignments with high accuracy. Proficient in MS Word, Excel, and PowerPoint. Work Shift Day (United States of America) Location Corporate Facility 7001 Corporate Department 70019014 Financial Planning & Analysis 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. Prisma Health is the largest not-for-profit health organization in South Carolina, serving more than 1.2 million patients annually. Our 32,000 team members are dedicated to supporting the health and well-being of you and your family. Our promise is to: Inspire health. Serve with compassion. Be the difference.

Financial Analysis
Budgeting
Variance Analysis
Process Improvement
Data Analytics
MS Excel
PowerPoint
Stakeholder Collaboration
Direct Apply
Posted 5 days ago
PH

Financial Analyst - Planning & Analysis Corporate, FT, Day, Remote

Prisma HealthAnywherefull-time
View Job
Compensation$Not specified

The Financial Analyst supports assigned service lines and interacts with management to provide financial analysis and recommendations. This role involves preparing financial reports, developing budgets, and monitoring financial operations. | A bachelor's degree in Finance, Business, Accounting, or a related field is required, along with three years of relevant experience. Candidates with an MBA, MHA, or CPA may substitute for the degree requirement. | Inspire health. Serve with compassion. Be the difference. Job Summary Supports assigned service line(s) and/or assigned hospital. Interacts with all levels of management to provide analysis and recommendations that support the organization’s financial goals and strategic plan. Works with Administration and Finance leaders. Remote work can be considered for this position. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Prepares monthly Internal Financial Review. Prepares monthly financials, including current period performance, in-depth financial trend, variance analysis, and P&L analysis for Administration. Develops the annual operating budget including volumes, revenue, FTEs, salary, supply, and other expenses in accordance with system profitability targets. Reviews and monitors budget input and spread to minimize budget error. Works closely with Administrator/Director and departmental leadership to provide financial support in identifying issues pertinent to department financial operations. Monitors charge capture and analyzes reimbursement trends to determine the impact to net collections and causes for variance. Analyze bi-weekly productivity metrics to ensure staffing levels are appropriate. Partners with leadership on special projects, including proformas, process improvement initiatives and strategic planning. Performs other duties as assigned. Supervisory/Management Responsibilities This is a non-management job that will report to a supervisor, manager, director or executive. Minimum Requirements Education - Bachelor's degree in Finance, Business, Accounting or related field of study. Experience - Three (3) years of finance, accounting, or related experience In Lieu Of In lieu of the education and experience requirements noted above, the following combination of education, training and/or experience will be considered an equivalent substitution: Bachelor’s degree can be in a discipline other than Finance, Business or Accounting if candidate has an MBA, MHA, or CPA. Required Certifications, Registrations, Licenses None Knowledge, Skills or Abilities Ability to work with minimum supervision while prioritizing workloads to meet deadlines. Ability to critically review information and complete assignments with high accuracy. Proficient in MS Word, Excel, and PowerPoint. Work Shift Day (United States of America) Location Corporate Facility 7001 Corporate Department 70019014 Financial Planning & Analysis 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. Prisma Health is the largest not-for-profit health organization in South Carolina, serving more than 1.2 million patients annually. Our 32,000 team members are dedicated to supporting the health and well-being of you and your family. Our promise is to: Inspire health. Serve with compassion. Be the difference.

Financial Analysis
Budgeting
Variance Analysis
P&L Analysis
Trend Analysis
Charge Capture
Reimbursement Trends
Productivity Metrics
Process Improvement
Strategic Planning
MS Word
MS Excel
MS PowerPoint
Collaboration
Attention to Detail
Time Management
Direct Apply
Posted 5 days ago
Prisma Health

Pharmacist, Epic Informatics, FT, Days, - Remote, (Patient Safety Pharmacist)

Prisma HealthAnywherefull-time
View Job
Compensation$80K - 110K a year

Manage and improve medication safety processes using Epic and other systems, ensure regulatory compliance, analyze data for safety improvements, and provide training to healthcare staff. | Bachelor's degree or PharmD, pharmacist license or intern certificate pending licensure, Epic certification, and preferably pharmacy informatics or analytics experience. | Inspire health. Serve with compassion. Be the difference. Job Summary This position involves facilitating in the development/analysis/maintenance of the Epic information/technology system and other integrated systems within the GHS network and directly involved with the medication management process. The role is required to track regulatory compliance and coordinate activities deemed to be safety-related, including reporting, process analyses, and implementation of intervention strategies. Collaboration with multiple disciplines/committees to ensure patient safety is required. The position also requires provision of high quality comprehensive pharmaceutical care appropriate to the age of the patient which contributes to positive patient outcomes. This position also acts as a mentor to facilitate learning among pharmacy students and residents. Essential Functions • All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference • Evaluates and assess levels of safety at each step of the medication-use process to ensure adherence to safety measures and assess the need for process change. Maintain high risk/high alert medication list and guidance in Epic and any other appropriate systems. Collaborate with clinical leaders to implement and adapt new technologies vital to patient safety. Evaluate and reduce workarounds that may create patient harm. Follows trends for adherence to organizational defined use of technology. Works in collaboration with other healthcare providers/committees to evaluate efficacy, safety, cost effectiveness, and reimbursement and quality of care. Actively participates in the development of policy and procedure as needed. • Serves as the institution expert for Joint Commission and/or CMS regulation standards and other regulatory bodies as deemed appropriate. Reports deficiencies to the Director of Pharmacy and Information Services Manager to help determine appropriate actions to correct. • Creates and analyzes data output from internal and external information systems to determine areas of opportunity and compliance. Provides data/analysis to persons/committees/departments where necessary. • Develops and provides training materials for pharmacy, nurses, physicians and other healthcare professionals as needed. • Performs other duties as assigned. Supervisory/Management Responsibilities • This is a non-management job that will report to a supervisor, manager, director or executive. Minimum Requirements • Education - Bachelor's degree or PharmD • Experience - No previous experience required. Pharmacy Informatics experience, analytics experience, Integrated EHR and/or Epic experience, and/or report writing experience preferred. In Lieu Of • In lieu of an active Pharmacist license, may be a graduate of an ACPE accredited US college of Pharmacy with an intern certificate pending initial licensure or have completed requirements for reciprocity pending board of pharmacy interview for licensure. Required Certifications, Registrations, Licenses • RPH - REG PHARMACIST • Required to obtain and maintain Epic Module Certification(s) as required by this position. Knowledge, Skills and Abilities • NA Work Shift Day (United States of America) Location Greenville Memorial Med Campus Facility 7001 Corporate Department 70019687 ITS Pharmacy Systems 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.

Pharmacy Informatics
Epic System
Medication Management
Regulatory Compliance
Data Analysis
Report Writing
Training Development
Verified Source
Posted 6 days ago
PH

Single Billing Office, Customer Service Specialist, FT, Days, - Remote

Prisma HealthAnywherefull-time
View Job
Compensation$Not specified

The Customer Service Specialist handles a large volume of inbound and outbound calls related to hospital and physician accounts, assisting patients with billing inquiries and resolving issues. They are responsible for data analysis, ensuring compliance with regulations, and documenting billing activities. | Candidates must have a high school diploma or equivalent and at least two years of experience in billing, bookkeeping, or accounting. Knowledge of the revenue cycle and familiarity with Epic software is also required. | Inspire health. Serve with compassion. Be the difference. Job Summary Job Profile Summary Performs tasks of moderate to difficult complexity relating to both hospital and physician accounts. Handles a large volume of inbound calls. Responsible for also making outbound calls related to self-pay follow up on accounts. Assists patients with requests for information, complaints, and resolving issues. Responsible for data analysis and interpretation throughout all functions of revenue cycle, to determine reasons for denials, non-payment and overpayment, post/balance/correct electronic remittances, billing and follow-up of government payers and specialized accounts, analysis/correction of correct coding guidelines, preparation of accounts for appeal, review/analysis of insurance credit balances and analysis/movement of unapplied, unidentified, undistributed balances. Moderate to difficult levels of evaluation, analysis, decision making required in these roles. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Resolves billing concerns, addresses inquiries related to insurance concerns/matters, assist patients with MyChart while simultaneously establishing a rapport with our diverse field of patients. Reviews accounts to determine insurance coverage; obtains and corrects any missing or inaccurate information. Discusses patient responsibility, which includes educating patients on claim processing, deductible, coinsurance, and co-pays. Interacts with patients by making patients aware of payment options such as payment plans and financial assistance as well as how to apply for financial assistance if circumstance warrant. Ability to set up payment plans in MyChart based on patient's personal needs. Greets patients in a professional and courteous manner. Communicates clearly and professionally in both oral and written communication. Be clear and concise in all communication to ensure patients understand the information that is being communicated to them by the Customer Service Specialist. Maintains a high level of poise and professionalism in dealing with patients. Knows when to escalate a patient service issue real time. Research customer requests or issues, determines if further action is needed, forwards to appropriate party for resolution, and exercises good judgement to determine urgency of patient's need. Contacts payer and makes hard inquiries on account status if needed. Escalates problem accounts to the appropriate area(s). Documents billing activity on a patient's accounts according to departmental guidelines; ensures compliance with all applicable billing regulations and reports any suspected compliance issues to departmental leaders. Properly documents accounts clearly with indicators and activities so that tracking and trending can be prepared for any potential further analysis if needed. Ensures all work is compliant with privacy, HIPAA, and regulatory requirements. Participates in general or special assignments and attends all required training. Adheres to policies and procedures as required by Prisma Health and follows all compliant regulatory payer guidance. Answers all incoming calls from Prisma Health patients Performs other duties as assigned. Supervisory/Management Responsibilities This is a non-management job that will report to a supervisor, manager, director or executive. Minimum Requirements Education - High School diploma or equivalent OR post-high school diploma / highest degree earned Experience - Two (2) years billing, bookkeeping, and/or accounting experience In Lieu Of NA Required Certifications, Registrations, Licenses NA Knowledge, Skills and Abilities Knowledgeable of the job functions required for a A/R Follow-up Representative, Cash Posting Representative, Claims Clearinghouse Representative, Correspondence Representative, Credit Processing Specialist, Denial/Appeals Specialist, Payment Research Specialist and a Quality Assurance Specialist. Knowledgeable of the entire Revenue Cycle and Epic. Work Shift Day (United States of America) Location Patewood Outpt Ctr/Med Offices Facility 7001 Corporate Department 70019935 System Billing Office 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. Prisma Health is the largest not-for-profit health organization in South Carolina, serving more than 1.2 million patients annually. Our 32,000 team members are dedicated to supporting the health and well-being of you and your family. Our promise is to: Inspire health. Serve with compassion. Be the difference.

Customer Service
Billing
Data Analysis
Insurance Knowledge
Problem Solving
Communication
Financial Assistance
MyChart
Compliance
HIPAA
Decision Making
Patient Interaction
Account Review
Payment Plans
Documentation
Revenue Cycle
Direct Apply
Posted about 2 months ago
Prisma Health

Single Billing Office, Customer Service Specialist, FT, Days, - Remote

Prisma HealthAnywherefull-time
View Job
Compensation$40K - 55K a year

Manage inbound and outbound calls related to hospital and physician account billing, resolve patient insurance and payment issues, perform data analysis on revenue cycle accounts, and ensure compliance with billing regulations. | High school diploma or equivalent, 2 years of billing/bookkeeping/accounting experience, knowledge of revenue cycle functions and Epic system. | Inspire health. Serve with compassion. Be the difference. Job Summary Job Profile Summary Performs tasks of moderate to difficult complexity relating to both hospital and physician accounts. Handles a large volume of inbound calls. Responsible for also making outbound calls related to self-pay follow up on accounts. Assists patients with requests for information, complaints, and resolving issues. Responsible for data analysis and interpretation throughout all functions of revenue cycle, to determine reasons for denials, non-payment and overpayment, post/balance/correct electronic remittances, billing and follow-up of government payers and specialized accounts, analysis/correction of correct coding guidelines, preparation of accounts for appeal, review/analysis of insurance credit balances and analysis/movement of unapplied, unidentified, undistributed balances. Moderate to difficult levels of evaluation, analysis, decision making required in these roles. Essential Functions • All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. • Resolves billing concerns, addresses inquiries related to insurance concerns/matters, assist patients with MyChart while simultaneously establishing a rapport with our diverse field of patients. Reviews accounts to determine insurance coverage; obtains and corrects any missing or inaccurate information. Discusses patient responsibility, which includes educating patients on claim processing, deductible, coinsurance, and co-pays. Interacts with patients by making patients aware of payment options such as payment plans and financial assistance as well as how to apply for financial assistance if circumstance warrant. Ability to set up payment plans in MyChart based on patient's personal needs. • Greets patients in a professional and courteous manner. Communicates clearly and professionally in both oral and written communication. Be clear and concise in all communication to ensure patients understand the information that is being communicated to them by the Customer Service Specialist. Maintains a high level of poise and professionalism in dealing with patients. Knows when to escalate a patient service issue real time. Research customer requests or issues, determines if further action is needed, forwards to appropriate party for resolution, and exercises good judgement to determine urgency of patient's need. • Contacts payer and makes hard inquiries on account status if needed. Escalates problem accounts to the appropriate area(s). Documents billing activity on a patient's accounts according to departmental guidelines; ensures compliance with all applicable billing regulations and reports any suspected compliance issues to departmental leaders. Properly documents accounts clearly with indicators and activities so that tracking and trending can be prepared for any potential further analysis if needed. • Ensures all work is compliant with privacy, HIPAA, and regulatory requirements. • Participates in general or special assignments and attends all required training. Adheres to policies and procedures as required by Prisma Health and follows all compliant regulatory payer guidance. • Answers all incoming calls from Prisma Health patients • Performs other duties as assigned. Supervisory/Management Responsibilities • This is a non-management job that will report to a supervisor, manager, director or executive. Minimum Requirements • Education - High School diploma or equivalent OR post-high school diploma / highest degree earned • Experience - Two (2) years billing, bookkeeping, and/or accounting experience In Lieu Of • NA Required Certifications, Registrations, Licenses • NA Knowledge, Skills and Abilities • Knowledgeable of the job functions required for a A/R Follow-up Representative, Cash Posting Representative, Claims Clearinghouse Representative, Correspondence Representative, Credit Processing Specialist, Denial/Appeals Specialist, Payment Research Specialist and a Quality Assurance Specialist. • Knowledgeable of the entire Revenue Cycle and Epic. Work Shift Day (United States of America) Location Patewood Outpt Ctr/Med Offices Facility 7001 Corporate Department 70019935 System Billing Office 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.

Revenue Cycle Management
Billing and Claims Processing
Customer Service
Data Analysis
Insurance Verification
Payment Plan Setup
HIPAA Compliance
Epic System Knowledge
Verified Source
Posted about 2 months ago
PH

Trauma Registry Analyst FT, Day-Remote

Prisma HealthAnywherefull-time
View Job
Compensation$Not specified

The Trauma Registry Analyst is responsible for identifying trauma patients, abstracting clinical data, coding diagnoses and procedures, and entering data into the Trauma Registry. They also perform data analysis and write reports to support the Trauma Program's activities. | An Associate Degree in Health Information Management or a related field is required, along with two years of medical record coding or relevant clinical experience. Certifications such as RHIT, RHIA, CCS, or CSTR are preferred or eligible. | Inspire health. Serve with compassion. Be the difference. Job Summary All employees are expected to be knowledgeable and compliant with Prisma Health’s values of compassion, dignity, excellence, integrity and teamwork. This job is responsible for the identification of trauma patients meeting registry inclusion criteria, abstracting clinical and outcomes data from the medical record, coding diagnoses, procedures, and injuries utilizing ICD-10 coding, AIS coding, E-Codes, and entering data into the Trauma Registry per National Standards and State Standards/State Trauma Regulations published by the American College of Surgeons (ACS), National Trauma Data Bank (NTDB) and SC Department of Health and Environmental Control (DHEC). Performs data analysis on Trauma Registry data for monitoring data quality and performs data analysis and writes reports to support the activities of the Trauma Program such as performance improvement, research, administrative and medical staff meetings, injury prevention, and Trauma Center Designation/Verification process. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Maintains professional development and current in coding principles. Maintains current knowledge of and complies with National standards published by the ACS, State Standards published by DHEC and State Trauma Regulations. Maintains registry within the standards and dataset of NTDB, State Trauma Registry Data Dictionary, and PHR Trauma Program. Accurately identifies patients meeting Trauma Registry inclusion criteria per SC Trauma Registry Data Dictionary, NTDB and ACS standards for inclusion into the Trauma Registry. Accurately abstracts clinical data from pre-hospital EMS database and the in-patient medical record including demographics, co-morbidities, diagnoses, injuries, ED data, operations, procedures, complications, outcomes, performance improvement, and financial data per SC Trauma Registry Data Dictionary, NTDB and ACS standards, and PHR Trauma Program. Accurately codes procedures, diagnoses, and injuries using ICD-10 coding, AIS injury coding, E-codes and other appropriate coding schemes, and accurately enters into Trauma Database within departmental guidelines. Participates in performance improvement monitoring by gathering data on performance metrics, identifying and reporting complications, and performing analysis of registry data in support of clinical process improvement initiatives. Prepares reports pertinent to Trauma performance improvement and reports issues and trends identified to PI Coordinator and TPM. Prepares, processes and submits Trauma Registry records to State Trauma Registry quarterly per State Trauma Regulations and annually to the National Trauma Data Bank within established timeframe. Ensures compliance of registry with Palmetto Health HIPPA regulations. Responsible for report writing from the Trauma Registry Database for information requests by trauma administration, physicians, other PHR departments, and outside entities to support coding, billing, trauma research, injury prevention, performance improvement, Trauma Center Designation/Verification process, and other activities of the Trauma Program. Ensures compliance with Palmetto Health HIPPA and IRB research policies. Performs data analysis and data validation on Trauma Registry Data on a routine basis for data quality and errors and omissions to maintain registry integrity. Attends and participates in Multi-disciplinary Trauma Patient Care Conference, Multi-disciplinary Trauma Committee, and Trauma Association of South Carolina. Participates at the State level in all activities involving Trauma Registry. Independently works with Trauma Registry software vendor and PHR information technology on NTDB and State data submissions, upgrades, data imports, and all enhancements involving Trauma Registry. Performs other duties as assigned. Supervisory/Management Responsibilities This is a non-management job that report to a supervisor, manager, director or executive. Minimum Requirements Education - Associate Degree in Health Information Management or related field of study. Experience - Two (2) years in medical record coding or relevant clinical experience. In Lieu Of In Lieu of the education and experience requirements noted above, the following combination of education, training and/or experience will be considered an equivalent substitution: An AHIMA, AAPC coding certification, CSTR and/or CAISS, or other healthcare related licensure. Required Certifications, Registrations, Licenses RHIT, RHIA, CCS, or CSTR (Certified Specialist in Trauma Registry) preferred or eligible. Requires AAAM course certification (AIS coding) and Trauma Registry Course within one (1) year. Knowledge, Skills and Abilities Extensive knowledge of ICD-10 coding, AIS coding, E-codes, anatomy, physiology, medical terminology and disease processes. Computer literate and be proficient in keyboarding, spreadsheets, word processing, and databases. Ability to analyze and report registry data to support the activities of the Trauma Program. Ability to work independently and have a strong aptitude for detail. Work Shift Day (United States of America) Location Richland Facility 1510 Richland Hospital Department 15106579 Trauma/Neuro Administration 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. Prisma Health is the largest not-for-profit health organization in South Carolina, serving more than 1.2 million patients annually. Our 32,000 team members are dedicated to supporting the health and well-being of you and your family. Our promise is to: Inspire health. Serve with compassion. Be the difference.

ICD-10 Coding
AIS Coding
E-Codes
Data Analysis
Medical Terminology
Anatomy
Physiology
Performance Improvement
Data Validation
Report Writing
Trauma Registry
HIPAA Compliance
Clinical Data Abstraction
Coding Procedures
Injury Prevention
Trauma Program Support
Direct Apply
Posted 2 months ago
Prisma Health

Epic Analyst, FT, Days, - Remote

Prisma HealthAnywherefull-time
View Job
Compensation$Not specified

The Epic Analyst provides analysis of workflow, recommends solutions, and implements application solutions to meet department needs. Responsibilities include assisting with design, development, system configuration, implementation, and support of assigned Epic applications for the organization. | A bachelor's degree in Information services, health administration, business administration, health sciences, or a related field is required, along with two years of Epic or integrated EMR experience. Alternative qualifications include an associate degree with four years of related IT experience or a high school diploma with seven years of related IT experience. | Inspire health. Serve with compassion. Be the difference. Job Summary Provides analysis of workflow, recommend solutions and implements application solutions to meet department needs. Translates department requirements into business functional requirements. Performs a variety of duties related to Epic and other information technology applications as assigned. Responsibilities include assisting with design, development, system configuration, implementation and support of assigned Epic applications for the organization. Also responsible for planning, training and evaluation of application functionality. Responsible for working with the team and key customers to ensure appropriate development of training and implementation of application functionality. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Performs in-depth analysis of workflows, data collection, report details, and other technical issues associated with Epic software. Investigates end users’ preferences while making build decisions and analyses business operations as they relate to build decision. Builds and maintains Epic application content as assigned by department lead/manager. Stays current with new application functionality and enhancements. Follows functional specification documents to create content within the Epic application. Completes thorough unit testing of all build prior to handoff for functional and/or integrated testing. Documents and reports system issues through internal chain of command; communication with vendor where appropriate. Populates databases during the initial system build with assistance from Epic. Collects information regarding potential system enhancements and functionality needs. Prepares details of specifications as needed. Analyzes data conversion needs and ensure that data coming across an interface into an Epic application meets the business need. Develops and documents project team procedures for implementing system changes and other tasks. Establishes change control processes and procedures for the system. Participates in training development and delivery to end users. Works with end users to troubleshoot problems and investigate questions from end users. Works with report writers to ensure that the application has the necessary reports. Prioritizes and implement requested changes to the system and analyze new functionality in releases to determine how it should be used. Maintains regular communication with Epic representatives and work with the Epic representatives and GHS' end user community to ensure the system meets the organization’s needs. Provides end user support during implementation; able to serve as an application expert to assist in application roll-out. Applies proven communication, analytical and problem-solving skills to help identify, communicate and resolve system issues to maximize system potential. Performs other duties as assigned. Supervisory/Management Responsibility This is a non-management job that will report to a supervisor, manager, director, or executive. Minimum Requirements Education - Bachelor's degree in Information services, health administration, business administration, health sciences or related field of study Experience - Two (2) years of Epic or integrated EMR experience ​ In Lieu Of In lieu of the educational and experience requirements listed above, an Associate degree in Computer Science or related field of study and four (4) years of related Information Technology experience in a Business Computer Science, or health care setting may be considered. In lieu of the educational and experience requirements listed above, a High School Diploma or equivalent and seven (7) years related Information Technology experience in a business, computer science, or health care setting may be considered. In lieu of the educational and experience requirements listed above, one (1) year of Epic build and/or support experience may be considered. Required Certifications, Registrations, Licenses Epic Module Certification as required by the position CPHIMS preferred ​ Knowledge, Skills and Abilities Presentation skills Communication skills Interpersonal skills Ability to multi-task Work Shift Day (United States of America) Location Colonial Life Building Facility 7001 Corporate Department 70019419 ITS Financial Billing Systems 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.

Communication Skills
Analytical Skills
Problem-Solving Skills
Presentation Skills
Interpersonal Skills
Multi-Tasking
Direct Apply
Posted 2 months ago
PH

Epic Analyst, FT, Days, - Remote

Prisma HealthAnywherefull-time
View Job
Compensation$Not specified

The Epic Analyst provides analysis of workflow, recommends solutions, and implements application solutions to meet department needs. Responsibilities include assisting with design, development, system configuration, implementation, and support of assigned Epic applications for the organization. | A bachelor's degree in Information services, health administration, business administration, health sciences, or a related field is required. Two years of Epic or integrated EMR experience is also required, with alternatives available based on education and experience. | Inspire health. Serve with compassion. Be the difference. Job Summary Provides analysis of workflow, recommend solutions and implements application solutions to meet department needs. Translates department requirements into business functional requirements. Performs a variety of duties related to Epic and other information technology applications as assigned. Responsibilities include assisting with design, development, system configuration, implementation and support of assigned Epic applications for the organization. Also responsible for planning, training and evaluation of application functionality. Responsible for working with the team and key customers to ensure appropriate development of training and implementation of application functionality. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Performs in-depth analysis of workflows, data collection, report details, and other technical issues associated with Epic software. Investigates end users’ preferences while making build decisions and analyses business operations as they relate to build decision. Builds and maintains Epic application content as assigned by department lead/manager. Stays current with new application functionality and enhancements. Follows functional specification documents to create content within the Epic application. Completes thorough unit testing of all build prior to handoff for functional and/or integrated testing. Documents and reports system issues through internal chain of command; communication with vendor where appropriate. Populates databases during the initial system build with assistance from Epic. Collects information regarding potential system enhancements and functionality needs. Prepares details of specifications as needed. Analyzes data conversion needs and ensure that data coming across an interface into an Epic application meets the business need. Develops and documents project team procedures for implementing system changes and other tasks. Establishes change control processes and procedures for the system. Participates in training development and delivery to end users. Works with end users to troubleshoot problems and investigate questions from end users. Works with report writers to ensure that the application has the necessary reports. Prioritizes and implement requested changes to the system and analyze new functionality in releases to determine how it should be used. Maintains regular communication with Epic representatives and work with the Epic representatives and GHS' end user community to ensure the system meets the organization’s needs. Provides end user support during implementation; able to serve as an application expert to assist in application roll-out. Applies proven communication, analytical and problem-solving skills to help identify, communicate and resolve system issues to maximize system potential. Performs other duties as assigned. Supervisory/Management Responsibility This is a non-management job that will report to a supervisor, manager, director, or executive. Minimum Requirements Education - Bachelor's degree in Information services, health administration, business administration, health sciences or related field of study Experience - Two (2) years of Epic or integrated EMR experience In Lieu Of In lieu of the educational and experience requirements listed above, an Associate degree in Computer Science or related field of study and four (4) years of related Information Technology experience in a Business Computer Science, or health care setting may be considered. In lieu of the educational and experience requirements listed above, a High School Diploma or equivalent and seven (7) years related Information Technology experience in a business, computer science, or health care setting may be considered. In lieu of the educational and experience requirements listed above, one (1) year of Epic build and/or support experience may be considered. Required Certifications, Registrations, Licenses Epic Module Certification as required by the position CPHIMS preferred Knowledge, Skills and Abilities Presentation skills Communication skills Interpersonal skills Ability to multi-task Work Shift Day (United States of America) Location Colonial Life Building Facility 7001 Corporate Department 70019419 ITS Financial Billing Systems 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. Prisma Health is the largest not-for-profit health organization in South Carolina, serving more than 1.2 million patients annually. Our 32,000 team members are dedicated to supporting the health and well-being of you and your family. Our promise is to: Inspire health. Serve with compassion. Be the difference.

Communication Skills
Interpersonal Skills
Presentation Skills
Analytical Skills
Problem-Solving Skills
Multi-Tasking
Training Development
Workflow Analysis
Data Collection
System Configuration
User Support
Project Management
Documentation
Change Control
Epic Software
Report Writing
Direct Apply
Posted 2 months ago
PH

Polysomnography Techno Advanced - FT Nights - Greenville Sleep Center

Prisma HealthAnywherefull-time
View Job
Compensation$50K-65K a year

Perform advanced polysomnographic testing and manage sleep-related therapies using various technologies to support patient diagnosis and treatment. | Minimum 2 years experience as a polysomnography technologist, certification in polysomnography, proficiency with sleep study equipment, strong patient care and communication skills, ability to work night shifts. | Job Title: Polysomnography Techno Advanced - FT Nights - Greenville Sleep Center Company Overview: Prisma Health is a leading healthcare organization dedicated to improving the health and well-being of the communities we serve. With a commitment to compassionate care and innovative medical practices, we strive to be a trusted partner in health for patients across the region. Role Overview: As a Polysomnography Techno Advanced at our Greenville Sleep Center, you will play a critical role in diagnosing and treating sleep disorders. You will perform advanced sleep studies and manage various testing technologies to support patient care and improve sleep health outcomes. What You'll Do: - You will perform basic and advanced polysomnographic testing procedures to monitor and record patient sleep patterns. - You will set up and initiate sleep-related therapies, including home sleep testing and actigraphy. - You will operate and maintain remote study technology to ensure accurate data collection. - You will collaborate with healthcare providers to interpret test results and recommend treatment plans. - You will educate patients on sleep study procedures and therapy compliance. - You will maintain detailed and accurate patient records in compliance with healthcare regulations. - You will troubleshoot technical issues with sleep study equipment to minimize downtime. - You will participate in ongoing training to stay current with advancements in sleep technology. What You Bring: - Minimum of 2 years of experience as a polysomnography technologist or in a related sleep study role. - Certification in Polysomnography (RPSGT) or equivalent credential. - Proficiency with sleep study equipment and remote monitoring technologies. - Strong understanding of sleep disorders and related therapies. - Excellent communication and patient care skills. - Ability to work night shifts and adapt to a flexible schedule. Bonus Points If You Have: - Experience with home sleep testing and actigraphy devices. - Additional certifications in sleep technology or respiratory therapy. - Familiarity with electronic medical records (EMR) systems. - Previous experience working in a hospital or clinical sleep center setting. What We Offer: - We offer competitive salary and comprehensive benefits including health, dental, and vision insurance. - We offer opportunities for professional development and continuing education. - We offer a supportive and collaborative work environment. - We offer flexible scheduling to promote work-life balance. - We offer access to cutting-edge sleep technology and resources. Ready to Apply? To join our team at Prisma Health and make a difference in patient sleep health, please submit your application through our careers portal or contact our HR department for more information.

Polysomnography
Sleep Study Equipment
Remote Monitoring Technology
Home Sleep Testing
Actigraphy
Patient Care
Communication Skills
Certification in Polysomnography
Posted 2 months ago
PH

Polysomnography Techno Advanced - FT Nights - Greenville Sleep Center

Prisma HealthAnywherefull-time
View Job
Compensation$50K-65K a year

Perform advanced polysomnographic testing and initiate sleep-related therapies using various technologies to support patient diagnosis and treatment. | Minimum 2 years experience in polysomnography, RPSGT certification, proficiency with sleep study and remote monitoring equipment, strong patient care and communication skills. | Job Title: Polysomnography Techno Advanced - FT Nights - Greenville Sleep Center Company Overview: Prisma Health is a leading healthcare organization committed to improving the health and well-being of the communities we serve. With a focus on innovation and compassionate care, we provide comprehensive medical services and advanced diagnostic technologies to ensure the best patient outcomes. Role Overview: As a Polysomnography Techno Advanced at our Greenville Sleep Center, you will play a critical role in diagnosing and treating sleep disorders. You will perform advanced sleep studies and manage various testing modalities to support patient care and improve sleep health. What You'll Do: - You will perform basic and advanced polysomnographic testing procedures accurately and efficiently. - You will set up and initiate sleep-related therapies, including home sleep testing and actigraphy. - You will operate and maintain remote study technology to monitor patient sleep patterns. - You will collaborate with healthcare providers to interpret test results and recommend treatment plans. - You will ensure compliance with all safety and regulatory standards during testing. - You will educate patients on sleep study procedures and therapy adherence. - You will document and maintain detailed patient records and test data. - You will participate in ongoing training to stay current with sleep technology advancements. What You Bring: - Minimum of 2 years of experience in polysomnography or related sleep technology field. - Certification as a Registered Polysomnographic Technologist (RPSGT) or equivalent. - Proficiency with sleep study equipment and remote monitoring technologies. - Strong understanding of sleep disorders and related therapies. - Excellent communication and patient care skills. - Ability to work night shifts and adapt to a dynamic clinical environment. Bonus Points If You Have: - Experience with home sleep testing and actigraphy devices. - Additional certifications in sleep technology or respiratory therapy. - Familiarity with electronic medical records (EMR) systems. - Previous experience working in a multidisciplinary sleep center. What We Offer: - We offer competitive salary and comprehensive health benefits. - We offer opportunities for professional development and continuing education. - We offer a supportive and collaborative work environment. - We offer flexible scheduling and paid time off. - We offer access to cutting-edge sleep technology and resources. Ready to Apply? To join our dedicated team at Prisma Health Greenville Sleep Center, please submit your resume and cover letter through our online application portal. We look forward to reviewing your application and exploring how you can make a difference in sleep health care.

Polysomnographic Testing
Sleep Study Equipment
Remote Monitoring Technology
Home Sleep Testing
Actigraphy
Patient Care
Communication Skills
Regulatory Compliance
Posted 2 months ago
PH

Polysomnography Techno Advanced - FT Nights - Greenville Sleep Center

Prisma HealthAnywherefull-time
View Job
Compensation$50K-65K a year

Perform polysomnographic testing and initiate sleep-related therapies using advanced technology to support patient diagnosis and treatment. | Minimum 2 years experience in polysomnography, RPSGT certification, strong technical and communication skills, and attention to detail. | Job Title: Polysomnography Techno Advanced - FT Nights - Greenville Sleep Center Company Overview: Prisma Health is a leading healthcare organization dedicated to improving the health and well-being of the communities it serves. With a commitment to compassionate care and innovative medical practices, Prisma Health offers a supportive and dynamic work environment for healthcare professionals. Role Overview: As a Polysomnography Techno Advanced, you will perform essential sleep diagnostic testing and initiate sleep-related therapies to support patient care. This role is critical in helping patients with sleep disorders receive accurate diagnoses and effective treatment plans. What You'll Do: - You will perform basic and advanced polysomnographic testing procedures to monitor and record sleep patterns. - You will set up and initiate various sleep-related therapies, including home sleep testing and actigraphy. - You will operate and maintain remote study technology to ensure accurate data collection. - You will collaborate with healthcare providers to interpret test results and recommend appropriate interventions. - You will educate patients on sleep study procedures and therapy compliance. - You will maintain detailed and accurate patient records in compliance with healthcare regulations. - You will troubleshoot technical issues with sleep study equipment to minimize disruptions. - You will participate in ongoing training to stay current with advancements in sleep technology. What You Bring: - You have at least 2 years of experience in polysomnography or a related field. - You hold a Registered Polysomnographic Technologist (RPSGT) certification or equivalent. - You possess strong technical skills with sleep study equipment and remote monitoring technologies. - You have excellent communication skills to effectively interact with patients and healthcare teams. - You demonstrate attention to detail and strong organizational abilities. Bonus Points If You Have: - Experience with home sleep testing and actigraphy technologies. - Knowledge of sleep disorder treatments and therapies. - Familiarity with electronic medical records (EMR) systems. - Additional certifications in sleep technology or respiratory therapy. What We Offer: - We offer competitive salary and comprehensive benefits including health, dental, and vision insurance. - We offer opportunities for professional development and continuing education. - We offer a supportive work environment with a focus on work-life balance. - We offer access to cutting-edge sleep technology and resources. - We offer employee wellness programs and community engagement initiatives. Ready to Apply? Submit your application through the Prisma Health careers portal or contact our HR department for more information.

Polysomnographic Testing
Sleep Study Equipment
Remote Monitoring Technology
Home Sleep Testing
Actigraphy
Patient Education
Data Recording
Technical Troubleshooting
Communication Skills
Organizational Skills
Posted 2 months ago

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