Inspire health. Serve with compassion. Be the difference.
Job Summary
Provides clerical and data management support. Collects and summarizes routine operational and productivity data. Collects and enters data for assigned patient populations. Obtains authorizations for treatment and makes referrals where appropriate. Assists with administrative duties.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.
Runs daily, weekly, monthly and quarterly reports
Obtains and submits appropriate clinical documentation to the payors. Responds to payor requests for additional documentation timely and accurately.
Updates and maintains authorization numbers and approved days in registration and/or case management systems
Obtains appropriate statistical data for patients in assigned patient population areas and communicates data to payors
Enters payor denial data into denial management or case management system
Answers, screens and prioritizes telephone calls, utilizing sound judgement regarding the urgency and content of the information
Processes faxes to and from payers for the Case Management team as assigned.
Secures discharge dates for payers.
Provides assistance with the discharge planning process including but not limited to sending information to receiving information from appropriate vendors/providers.
Ensures all data entry is completed timely and accurately.
Ensures payor communication is completed timely and accurately.
Performs other duties as assigned.
Supervisory/Management Responsibilities
This is a non-management job that will report to a supervisor, manager, director or executive.
Minimum Requirements
Education - High School diploma or equivalent. Associate degree in Business or Healthcare related field of study preferred
Experience - Two (2) 2 years clerical or administrative experience
In Lieu Of
NA
Required Certifications, Registrations, Licenses
NA
Knowledge, Skills and Abilities
Basic understanding of common medical and financial terminology - Preferred
Work Shift
Day (United States of America)Location
3 Medical Park Rd RichlandFacility
1510 Richland HospitalDepartment
15107180 EEG and Sleep Lab AdminShare 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.