Patient Transition Specialist

1 week ago


Greenville, South Carolina, United States Prisma Health Full time

Job Summary

We are seeking a skilled Healthcare Liaison to join our team at Prisma Health. As a key member of our Hospital Care Management Department, you will play a vital role in supporting patient throughput and ensuring seamless transitions of care.

Key Responsibilities

  • Support patient transitions by performing activities such as referrals and placement for post-acute services, providing notification letters to patients and families regarding regulatory rights, and maintaining consistent communication with post-acute providers and care management staff.
  • Efficiently manage all payer communications, including faxes and voice mails from payors for authorizations and denials.
  • Communicate with payors regarding discharge dates and dispositions.
  • Manage the authorization fields in the EMR and work accounts timely to ensure that billing is processed efficiently.
  • Interact with patients and facilitate communication between care team members.
  • Document communications in the EMR with payors, delivery of forms, and interactions with patients and care team members, as appropriate.

Requirements

  • High School diploma, GED or higher.
  • 1 year of Unit Secretary, physician practice, health insurance or related healthcare facility experience.

Preferred Qualifications

  • Strong organizational, time management, problem solving and critical thinking skills.
  • Medical Terminology course/knowledge.

Work Environment

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

Prisma Health

Our vision is to transform healthcare for the benefit of the communities we serve. We are committed to delivering high-quality patient care and improving health outcomes through innovative and collaborative approaches.



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