Support Specialist, Hospital Care Management, PRN, Weekends at Prisma Health

Greenville, South Carolina, United States -

Full Time

Start Date

Immediate

Expiry Date

26 Jun, 26

Salary

0.0

Posted On

28 Mar, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Organizational Skills, Time Management Skills, Problem Solving Skills, Critical Thinking Skills, Communication Skills, Payer Communication, Case Management, Patient Throughput, Regulatory Compliance, EMR Management

Industry

Hospitals and Health Care

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 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 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 NA Required Certifications, Registrations, Licenses NA Knowledge, Skills and Abilities Organizational skills Time management skills Problem solving skills Critical thinking skills Medical Terminology course/knowledge preferred Work Shift Weekend Shift (United States of America) Location Greenville Memorial Med Campus Facility 1008 Greenville Memorial Hospital Department 10087517 GMH Hospital Care Mgmt Share 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.

Responsibilities

This role supports patient throughput by managing transitions of care, including post-acute placements and regulatory document delivery, while also serving as the primary liaison for payer communications regarding authorizations and denials.