Support Specialist PRN, Day Remote

Inspire health. Serve with compassion. Be the difference.

Job Summary

Job Profile 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.

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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

Day (United States of America)

Location

Corporate - Columbia - Taylor at Marion

Facility

7001 Corporate

Department

70017535 Utilization Management

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.