About the job
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 values: Inspire health. Serve with compassion. Be the difference.
- Support patient throughput by performing transition of care activities (e.g., referrals and placement for post-acute services, providing notification letters to patient/family regarding regulatory rights, maintaining consistent communication with Post-Acute Providers and Care Management staff).
- 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
- N/A
Required Certifications, Registrations, Licenses
- N/A
Knowledge, Skills And Abilities
- Strong organizational, time management, problem solving, and critical thinking skills required
- 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.
No comments:
Post a Comment