[Hiring] Support Specialist at Prisma Health

Job Summary

Job Profile 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.

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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

Corporate – Columbia – Taylor at Marion

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.