Support Specialist, Hospital Care Management, Full Time, Days

Inspire health. Serve with compassion. Be the difference.

Job Summary

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.

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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

Location

Facility

Department

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.