Support Specialist Hospital Care Management Full Time Days
110 prisma health-upstate
📍 greenville south carolina united states🕐 21d ago🔗 workday
Job Description
**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 Hospital
**Facility**
Greenville Memorial Hospital
**Department**
GMH Hospital Care Mgmt
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