Support Specialist

Location

United States

Posted

5 days ago

Salary

0

Seniority

Mid Level

No structured requirement data.

Job Description

Support Specialist

Prisma Health

Role Description 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. - 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 facilitates 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. Qualifications - Education - High School diploma, GED or higher. - Experience - One (1) year of unit secretary, physician practice, health insurance or related healthcare facility experience. Requirements - 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

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