Support Specialist, Hospital Care Management, PRN, Weekends

Prisma Health • Greenville, SC

27d

About The Position

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.

Requirements

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

Nice To Haves

• Medical Terminology course/knowledge preferred

Responsibilities

• 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.

What This Job Offers

• Job Type: Part-time
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees