Support Specialist-HCM PRN, Day
6 months ago
Inspire health. Serve with compassion. Be the difference.
Job Summary
Support the Hospital Care Management Department by performing as a liaison for payer communication, assisting with patient's transitions of care, and delivery of required regulatory documents. Effective communication skills to engage collaboratively with case management staff, patients/family members, and all other healthcare professionals.Accountabilities
Support patient throughput by performing transition of care activities, e.g., referrals and placement for post-acute services, providing notification letters to patient/family regarding regulatory rights, maintaining consistent communication with Post-Acute Providers and Care Management staff. Efficiently and effectively manage all payer communications, including faxes and voice mails from payors for authorizations and denials. Communicate with payors regarding discharge dates and dispositions. Manage the authorization fields in the EMR and work accounts timely to ensure that billing is processed efficiently. Interact with patients and facilitate communication between care team members. Document communications in the EMR with payors, delivery of forms, and interactions with patients and care team members, as appropriate.Supervisory/Management Responsibility
This is a non-management job that will report to a supervisor, manager, director, or executive.
Minimum Requirements
High School diploma, GED or higher.
1 year of Unit Secretary, physician practice, health insurance or related healthcare facility experience.
Required Certifications/Registrations/Licenses
N/A
In Lieu Of The Above Minimum Requirements
N/A
Other Required Skills and Experience
Strong organizational, time management, problem solving and critical thinking skills required
Medical Terminology course/knowledge preferred
Work Shift
Day (United States of America)Location
Greenville Memorial Med CampusFacility
7001 CorporateDepartment
70017535 Utilization ManagementShare your talent with us Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
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