Support Specialist, Hospital Care Management, Full Time, Days

Prisma Health
United States, South Carolina, Greenville
300 East McBee Avenue (Show on map)
Nov 05, 2024
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 1008 Greenville Memorial Hospital Department 10087517 GMH Hospital Care Mgmt 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.