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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\u00A0\u00A0\u00A0
Work Shift
Day (United States of America)Location
RichlandFacility
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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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\u00A0\u00A0\u00A0
Work Shift
Day (United States of America)Location
RichlandFacility
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.