Medical University of South Carolina - MUSC

Title: Credit Processor - Remote Location: Charleston, SC United States Job Description: Job Description Summary The Credit Processor diligently follows the workflows established to properly research, analyze and resolve undistributed and credit transactions within the EPIC system. Process all levels of transactions needed for resolution (transfers, posting, offsets, refunds, etc.). Will use available resources: Workflows, Email, Excel, Word, Fee Schedules etc. to verify insurance, patient, and guarantor information. Review websites, contact insurance carriers and/or guarantors and update demographics, coverage and/or claim information accordingly. Note accounts with actions taken. The ability to be accountable, adaptable and flexible to changes to processes, assigned tasks and meet set deadlines. Entity Medical University Hospital Authority (MUHA) Worker Type Employee Worker Sub-Type Regular Cost Center CC005226 SYS - HB Support Services Pay Rate Type Hourly Pay Grade Health-20 Scheduled Weekly Hours 40 Work Shift Job Description Entity/Organization: MUSC Physicians (MUSCP) Hours per week: 40 Scheduled Work Hours/Shift: Monday - Friday 8:00am - 5:00pm Pay Basis/FLSA: Hourly/Non-Exempt Remote Option: This position offers a remote work schedule Job Summary/Purpose: The Credit Processor diligently follows the workflows established to properly research, analyze and resolve undistributed and credit transactions within the EPIC system. Process all levels of transactions needed for resolution (transfers, posting, offsets, refunds, etc.). Will use available resources: Workflows, Email, Excel, Word, Fee Schedules etc. to verify insurance, patient, and guarantor information. Review websites, contact insurance carriers and/or guarantors and update demographics, coverage and/or claim information accordingly. Note accounts with actions taken. The ability to be accountable, adaptable and flexible to changes to processes, assigned tasks and meet set deadlines. Required Minimum Training and Education: High school diploma and one-year revenue cycle work experience required. Prior account analysis, credit resolution, billing and/or insurance follow up experience in a hospital or physician office setting preferred with working knowledge of insurance payor remittances, and Epic system knowledge helpful. Must have excellent organizational, analytical, and communication skills. Desired candidates are dependable; team focused, goal-oriented individuals with a strong work ethic and positive attitude. Degree of Supervision: Must be able to work independently under the direction of the Department Supervisor and Manager. Required Licensure, Certifications, Registrations: N/A Job Duties and Responsibilities: - Undistributed/Overposted (credit) transactions. Process undistributed and credit transactions through assigned work queues or reports according to department's workflows. Process all levels of transactions needed for resolution (transfers, posting, offsets, refunds, etc). Use available resources: Workflows, Email, Excel, Word, Fee Schedules etc. Verify insurance, patient, and guarantor information. Review websites, contact insurance carriers and/or guarantors and update demographics, coverage and/or claim information accordingly. Note accounts with actions taken. - Completed Contribution Average. Maintain department's current Completed Account Contribution totals daily, weekly, monthly. (Productivity) - Audits. Maintain >=97% accuracy rate on audit reviews. - HPF Insurance Refund Request Letters WQs. Review and process weekly to ensure resolution is met prior to deadlines stated in the request letters and/or set workflows and regulations. - Returned Refunds-Credit Processors will review; verify information pertaining to the reason of the return and/or consult with other departments when their refunds are returned for resolution. Process the cancelations to repost, reissue, and apply to escheatment or MISC Income for resolution. Physical Requirements: Continuous requirements are to perform job functions while standing, walking and sitting. Ability to bend at the waist, kneel, climb stairs, reach in all directions, fully use both hands and legs, possess good finger dexterity, perform repetitive motions with hands/wrists/elbows and shoulders, reach in all directions. Maintain 20/40 vision corrected, see and recognize objects close at hand and at a distance, work in a latex safe environment and work indoors. Frequently lift and/or carry objects weighing 20 lbs (+/-) unassisted. Lift from 36" to overhead 15 lbs. Infrequently work in dusty areas and confined/cramped spaces. Additional Job Description High school diploma and one-year revenue cycle work experience required. Prior account analysis, credit resolution, billing and/or insurance follow up experience in a hospital or physician office setting preferred with working knowledge of insurance payor remittances, and Epic system knowledge helpful. Must have excellent organizational, analytical, and communication skills. Desired candidates are dependable; team focused, goal-oriented individuals with a strong work ethic and positive attitude. If you like working with energetic enthusiastic individuals, you will enjoy your career with us! The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need. Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees.

Title: Licensed Master Social Worker (LMSW) - Primary Care Location: South Carolina, United States Job Description: - R-0000059747 - Remote - Social Work - Clinical & Research Support Services - Full Time - MUSC Health Partners (MHP) Job Description Summary The role of the Primary Care Licensed Master Social Worker, as part of the primary care treatment team, triages and manages select patients with medical and social needs. Entity Carolina Family Care, Inc. (CFC) Worker Type Employee Worker Sub-Type​ Regular Cost Center CC000101 CFC PC Care Coordination Pay Rate Type Salary Pay Grade Health-27 Scheduled Weekly Hours 40 Work Shift Job Description Location: This position is remote with occasional on-site work in the greater Charleston area. Schedule: Full-Time, Monday - Friday, approximately 8:30 am - 4:30 pm, Required Education and Licensure: - Master's degree in a social work or social welfare program accredited by the Council on Social Work Education. - Licensed Master Social Worker (LMSW) licensure by the South Carolina Board of Social Work Examiners. - Certification in case management preferred. Job Duties Conducts patient contact and appointments to provide education, support, and resources - Ability to work with patients via direct contact and telephonically - Ability to make prompt and accurate clinical and psychosocial assessments of mental health conditions, determine patient needs and barriers, identify the appropriate provider to meet the need, and develop creative solutions to patient barriers - Develop, coach, and support effective patient/family relationships for successful patient navigation Resource to providers, clinical staff, and care coordinators - Ability to work effectively as a team interacting with patients, primary care providers, site staff, and primary care team - Act as healthcare and community resource liaison/advocate for the patient/family - High level of comfort working with primary care providers using a consultative style. Administrative duties to include: - Facilitate appropriate patient referrals to other healthcare providers and community resources - Act as navigator for patient referrals with healthcare providers and community resources (i.e. complete Medicaid/Medicare forms) - Develop and maintain relationship with healthcare and community resource providers - Develop and maintain healthcare and community resource/service guide (i.e. housing needs, transportation, financial assistance, meals) Additional Job Description Physical Requirements: Ability to perform job functions in an upright position. (Frequent). Ability to perform job functions in a seated position. (Frequent) Ability to perform job functions while walking/mobile. (Frequent) Ability to climb stairs. (Infrequent) Ability to work indoors. (Continuous) Ability to work outdoors in all weather and temperature extremes. (Infrequent) Ability to perform job functions from kneeling positions. (Infrequent) Ability to bend at the waist. (Infrequent) Ability to twist at the waist. (Infrequent) Ability to reach in all directions. (Frequent) Ability to move objects, up to 15 lbs., from floor level to height of 36 inches, unassisted. (Frequent) Ability to lower objects, up to 15 lbs., from height of 36 inches to floor level, unassisted. (Frequent) Ability to maintain 20/40 vision, corrected. (Continuous) Ability to see and recognize objects close at hand. (Continuous) Ability to see and recognize objects at a distance. (Continuous) Ability to match or discriminate between colors. (Continuous) Ability to determine distance/relationship between objects; depth perception. (Continuous) Ability to maintain hearing acuity, with correction. (Continuous) Ability to hear and/or understand whispered conversations at a distance of 3 feet. (Continuous) Ability to perform gross motor functions with frequent fine motor movements. (Continuous) If you like working with energetic enthusiastic individuals, you will enjoy your career with us! The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need. Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees