Support Specialist, Hospital Care Management

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.

• 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.

• This is a non-management job that will report to a supervisor, manager, director, or executive.

• 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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• Organizational skills

• Time management skills

• Problem solving skills

• Critical thinking skills

• Medical Terminology course/knowledge preferred

Day (United States of America)

Greenville Memorial Med Campus

1008 Greenville Memorial Hospital

GMH Hospital Care Mgmt

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