Prisma Health

Compensation

Full Description

Inspire health. Serve with compassion. Be the difference. Job Summary Support the department by performing as a liaison for payer communication, assisting with patient's transitions of care, and delivery of required regulatory documents. Effective communication skills to engage collaboratively with case management staff, patients/family members, and all other healthcare professionals. Essential Functions • All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference. • Supports patient throughput by performing transition of care activities (e.g., referrals and placement for post-acute services, providing notification letters to patient/family regarding regulatory rights, maintaining consistent communication with Post-Acute Providers and Care Management staff). • Manages all payer communications, including faxes and voice mails from payors for authorizations and denials. • Communicates with payors regarding discharge dates and dispositions. • Manages the authorization fields in the EMR and work accounts timely to ensure that billing is processed efficiently. • Interacts with patients and facilitate communication between care team members. • Documents communications in the EMR with payors, delivery of forms, and interactions with patients and care team members, as appropriate. • Performs other duties as assigned. Supervisory/Management Responsibility • This is a non-management job that will report to a supervisor, manager, director, or executive. Minimum Requirements • Education - High School diploma, GED or higher. • Experience - One (1) year of unit secretary, physician practice, health insurance or related healthcare facility experience. ​ In Lieu Of • NA Required Certifications, Registrations, Licenses • NA Knowledge, Skills and Abilities • Organizational skills • Time management skills • Problem solving skills • Critical thinking skills • Medical Terminology course/knowledge preferred Work Shift Day (United States of America) Location Greenville Memorial Med Campus Facility 7001 Corporate Department 70017535 Utilization Management Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.