Customer Service Representative jobs at Community Veterinary Partners - 8096 jobs

A prominent healthcare institution in Boston is seeking a Prospect Management Analyst to join their Trust's team. This role is essential for managing CRM data, ensuring data integrity, and providing training to staff involved in fundraising activities. The ideal candidate will have a Bachelor's degree and at least three years of relevant experience. Proficiency in Blackbaud CRM is required. The position involves leading data practices, supporting gift officers, and developing policy documentation. Competitive compensation and opportunities for professional development are offered. #J-18808-Ljbffr

Job Title: Case Manager Department Name: JCMC Care Network Status: Salaried Shift: Day Pay Range: $57,000.00 - $90,000.00 per year Pay Transparency: The above reflects the anticipated annual salary range for this position if hired to work in New Jersey. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience.

Inspire health. Serve with compassion. Be the difference. Performs tasks of moderate to difficult complexity relating to both hospital and physician accounts. Handles a large volume of inbound calls. Responsible for also making outbound calls related to self-pay follow up on accounts. Assists patients with requests for information, complaints, and resolving issues. Responsible for data analysis and interpretation throughout all functions of revenue cycle, to determine reasons for denials, non-payment and overpayment, post/balance/correct electronic remittances, billing and follow-up of government payers and specialized accounts, analysis/correction of correct coding guidelines, preparation of accounts for appeal, review/analysis of insurance credit balances and analysis/movement of unapplied, unidentified, undistributed balances. Moderate to difficult levels of evaluation, analysis, decision making required in these roles. 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. Resolves billing concerns, addresses inquiries related to insurance concerns/matters, assist patients with MyChart while simultaneously establishing a rapport with our diverse field of patients. Reviews accounts to determine insurance coverage; obtains and corrects any missing or inaccurate information. Discusses patient responsibility, which includes educating patients on claim processing, deductible, coinsurance, and co-pays. Interacts with patients by making patients aware of payment options such as payment plans and financial assistance as well as how to apply for financial assistance if circumstance warrant. Ability to set up payment plans in MyChart based on patient's personal needs. Greets patients in a professional and courteous manner. Communicates clearly and professionally in both oral and written communication. Be clear and concise in all communication to ensure patients understand the information that is being communicated to them by the Customer Service Specialist. Maintains a high level of poise and professionalism in dealing with patients. Knows when to escalate a patient service issue real time. Research customer requests or issues, determines if further action is needed, forwards to appropriate party for resolution, and exercises good judgement to determine urgency of patient's need. Contacts payer and makes hard inquiries on account status if needed. Escalates problem accounts to the appropriate area(s). Documents billing activity on a patient's accounts according to departmental guidelines; ensures compliance with all applicable billing regulations and reports any suspected compliance issues to departmental leaders. Properly documents accounts clearly with indicators and activities so that tracking and trending can be prepared for any potential further analysis if needed. Ensures all work is compliant with privacy, HIPAA, and regulatory requirements. Participates in general or special assignments and attends all required training. Adheres to policies and procedures as required by Prisma Health and follows all compliant regulatory payer guidance. Answers all incoming calls from Prisma Health patients 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 OR post-high school diploma / highest degree earned Experience - Two (2) years billing, bookkeeping, and/or accounting experience In Lieu Of NA Required Certifications, Registrations, Licenses NA Knowledge, Skills and Abilities Knowledgeable of the job functions required for a A/R Follow-up Representative, Cash Posting Representative, Claims Clearinghouse Representative, Correspondence Representative, Credit Processing Specialist, Denial/Appeals Specialist, Payment Research Specialist and a Quality Assurance Specialist. Knowledgeable of the entire Revenue Cycle and Epic. Work Shift Day (United States of America) Location Patewood Outpt Ctr/Med Offices Facility 7001 Corporate Department 70019935 System Billing Office 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.

The Member Support Representative is considered the “front line” of the ministry in assisting members with general inquiries by phone and email. This entry-level role is ideal for candidates who enjoy engaging with people, are servant-minded, and can provide compassionate and professional support. In addition to answering questions and resolving issues, the position also provides opportunities to minister to members through prayer and spiritual encouragement. WHAT WE OFFER Faith and purpose-based career opportunity! Fully paid health benefits Retirement and Life Insurance 12 paid holidays PLUS birthday Lunch is provided DAILY. Professional Development Paid Training ESSENTIAL JOB FUNCTIONS Respond to member inquiries via phone and email promptly, with time sensitivity and professionalism. Verify and update member information accurately in CHM's systems. Log and track all interactions in the member management system (Gift Manager or CRM). Follow standard operating procedures (SOPs) when handling common inquiries. Provide accurate information about CHM guidelines, membership, billing, and processes. Attract prospects by answering questions, giving suggestions, and making recommendations to obtain membership when appropriate. Review and assess member concerns, escalating to management when necessary. Handle escalated or emotional calls with empathy, offering prayer or spiritual encouragement when appropriate. Meet established performance standards (e.g., call volume, response time, member satisfaction). Participate in team meetings, training sessions, and development opportunities to stay current with CHM policies and systems. Protect member confidentiality and comply with HIPAA and organizational privacy standards. Thrive in a collaborative team environment and contribute positively to overall team goals. Uphold the mission, vision, values, and service standards of CHM in every interaction. Maintain a professional demeanor at all times. Perform other job duties as assigned by management. QUALIFICATIONS & EXPERIENCE REQUIREMENTS Required: High School Diploma or equivalent. Preferred: Some college coursework in business, communications, or related field; or 1-2 years of customer service experience. Proficiency in Microsoft Office programs (Word, Excel, Outlook). Ability to operate a PC and navigate information systems/applications (Gift Manager or similar CRM software). Experience using routine office equipment (fax, copier, printers, multi-line telephones, etc.). Strong verbal and written communication skills, with active listening ability. Strong organizational, analytical, and problem-solving skills. Ability to manage workload, multi-task, and adapt to changing priorities. Patience, empathy, and conflict-resolution skills for handling sensitive or difficult calls. CORE COMPETENCIES Interpersonal Communication Servant Leadership Mindset Teamwork & Collaboration Conflict Resolution Detail Orientation & Accuracy Adaptability & Flexibility PERFORMANCE EXPECTATIONS Maintain accuracy and efficiency in all member records updates. Meet or exceed department standards for call and email response times. Consistently achieve high member satisfaction scores. Demonstrate reliability, accountability, and professionalism in all duties. WORK ENVIRONMENT & PHYSICAL REQUIREMENTS Standard schedule: Monday-Friday, 9:00 AM-5:00 PM (with flexibility for ministry needs). Office-based environment with regular phone and computer use. Ability to sit at a desk and use a computer/phone for extended periods. Manual dexterity for typing and handling office equipment. About Christian Healthcare Ministries Founded in 1981, Christian Healthcare Ministries (CHM) is a health care sharing ministry for Christians. CHM is a nonprofit, voluntary cost-sharing ministry through which participating Christians meet each other's medical bills. The mission of CHM is to glorify God, show Christian love, and experience God's presence as Christians share each other's medical bills.

The Account Service Representative is responsible for delivering exceptional service to brokers, agencies, and employer groups. This role supports the full lifecycle of group accounts-renewals, enrollments, changes, claims support, quoting follow-ups, and carrier communication. The ASR works closely with the sales and operations team to ensure accuracy, timeliness, and high customer satisfaction What you'll be doing: Broker & Agency Support: Serve as the primary point of contact for agencies regarding group insurance questions, documentation, renewals, and service needs. Assist brokers with quoting requests, benefit summaries, enrollment materials, and onboarding documentation. Provide clear guidance on medical, dental, vision, GAP, and ancillary benefits. Group Account Management: Support new group onboarding, including application review, census validation, and carrier submissions. Assist with open enrollment meetings, renewal reviews, and plan comparison tools. Maintain accurate group records, policy details, and service notes. Track renewals, missing documents, billing issues, and enrollment updates. Carrier & Vendor Coordination: Communicate with carriers regarding applications, eligibility, billing discrepancies, and service issues. Facilitate resolution of escalated member and employer concerns. Ensure compliance with carrier guidelines and timelines. Administrative & Operational Tasks: Prepare service emails, renewal notices, spreadsheets, and standardized documents for agencies and employers. Maintain CRM activity logs, follow-up tasks, and documentation. Assist the Group Sales Director in tracking KPI metrics and service SLAs Requirements: Must know all carriers. Traditional group insurance Must have knowledge of working with a census Customer service experience 215 License required Reliable transportation Qualifications: Salesforce knowledge helpful Ichra knowledge helpful Business development experience 5-10 years of experience in health insurance, group benefits, or employee benefits administration (preferred). Knowledge of medical, dental, vision, GAP, and ancillary products. Strong communication skills-professional, clear, and customer focused. Ability to manage multiple priorities with attention to detail and deadlines. Proficient in Microsoft Office (Excel, Word, PowerPoint); CRM experience is a plus. Bilingual (English/Spanish) Salary range: $55-$75k + Commission Schedule: 9-5 with occasional weekend events. Hybrid/remote possible after 90 days. January start date

Inspire health. Serve with compassion. Be the difference. Provides accurate and timely submission of claims for Prisma Health to various payer sources based on timely filing guidelines. Ensures specialty accounts are followed up on in a timely manner with increased focus on aged and high dollar accounts. Follows up and pursues identified payer variances after comparing expected to actual reimbursement received. Responsible for working with other departments when issues arise such as missing payments, payer delays, and technical denials. Ensures payment amount(s) from insurance carriers are correct and posted to accounts. Reviews accounts after payment posting to determine if balance needs moved to secondary payer or patient liability. Knowledge of payers and provides support to other team members as needed. Demonstrates exceptional relationships with external payers and internal departments in accordance with Prisma Health Standards of Behavior and Compliance. 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. Works and processes the billing functions, including resolving the discharged not final billed/stop bill errors that prevented the account from billing, the resolution of claim edits in order to submit to claims clearinghouse for electronic submission. Processes the daily paper claims submissions for primary and secondary claims. Follows up on specialty accounts receivable (AR) accounts assigned to determine if the claim has been accepted and processed for payment or denied. Reviews claim rejections and re-bills accounts when appropriate. Effectively and timely identifies the root cause of non-payment denials and works with the insurance company, the patient and Prisma Health departments to find resolution to claim denials, making all necessary claim and account corrections to ensure the full reimbursement of services rendered. Escalates accounts both at the payer and/or internally when appropriate, as well as involving the patient appropriately in accordance with the Prisma Health escalation guidelines in order to keep AR aging at acceptable levels for payer issues. Identifies system issues through trending and repetitive actions that require workflow review or changes to resolve compliant billing. Utilizes proper tools to communicate with Prisma Health department teams on specific errors for corrections related to their area of responsibility. Contacts insurance payers, patients or guarantors at established intervals to follow-up on status of delinquent accounts, determines the reason of delay and expedites payment. Meets daily performance productivity and quality goals.Identifies areas for improvements. Monitors quality levels, finds root cause of quality problems and owns/acts on quality problems. Contributes to department goals. Effectively utilizes time and resources, assisting co-workers as time allows. 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 OR post-high school diploma/highest degree earned Experience - Three (3) years in hospital claims and billing follow-up In Lieu Of Bachelor's degree and 2 years of hospital billing, follow-up/denials. Required Certifications, Registrations, Licenses CRCA preferred CRCR preferred Knowledge, Skills and Abilities Understanding of the hospital and physician claim forms Knowledge of payer guidelines. Maintains professional growth and development through seminars, workshops, in-service meetings, current literature and professional affiliations to keep abreast of latest trends in field of expertise. Understands, promotes and adheres to all matters of compliance with laws and regulations. Understands the Standards of Behaviors. Communication skills preferred Attention to details preferred. Work Shift Day (United States of America) Location Blount Memorial Hospital Facility 7001 Corporate Department 70019012 Patient Account Services 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.

At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience. Summary The Patient Financial Services Representative (PFSR) serves as the first point of contact in greeting patients and guarantors in the hospital, ambulatory or medical office setting. The PFSR engages with the patient or guarantor to obtain pertinent information and answer any questions in an effort to ensure that all required demographic, financial, and insurance eligibility information is gathered and verified. Ensures all required notices and consent forms are signed accordingly. Responsibilities Provides exceptional customer service and ensures all questions and concerns are addressed in a timely and courteous manner. May guide the patient to appropriate destination for services.Obtains pre-certification and authorization.Verifies insurance benefits including obtaining insurance card(s) and confirms coverage is active. Determines correct insurance filing order, if multiple insurance coverages are effective for that service.Explains polices including all regulatory and financial consent forms; secures all required signatures.May perform patient discharge functions including, but not limited to, review of after visit summary (AVS), future appointment scheduling, and referrals.Interviews patients and guarantors at the workstation or bedside to obtain all necessary information, including a copy of the patient or guarantor identification card.May confirm physician and prescription orders ensuring accuracy.May schedule walk-in appointments for services offered.Collects patient out-of-pocket responsibility per collection guidelines. Provides patient estimates as requested. Prepares and balances a daily deposit of all payment collections. Competencies ACCOUNTABILITY, ACCURACY & QUALITY, CUSTOMER SERVICE, EFFECTIVE COMMUNICATION, ORGANIZATION SKILLS, PATIENT AND FAMILY CENTERED CARE, PROBLEM SOLVING, PRODUCTIVITY, RESPONDING TO CHANGE, STANDARDS OF BEHAVIOR, TEAM WORK Education And Certification Requirements High School Diploma or Equivalent (Required) Additional Job Information Complexity of Work: Requires excellent communication skills, critical thinking skills, decisive judgment, and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Ability to work and build relationships collaboratively. Required Work Experience: No experience required. One (1) year of related hospital, medical office, or customer service experience preferred. Other Information: In Memorial Physician Group (specialty practices), additional responsibilities include: (1) obtain specialty authorizations (2) authorization denial and peer to peer process (3) patient care navigation ex: surgical and procedural coordination and scheduling for patient specific populations (4) handle all incoming calls and physician and hospital back line (5) obtain and confirm referrals In the Hospital, additional responsibilities include: (1) Upon validation of patient identity, place identification band on patient (2) obtain signatures for hospital specific regulatory forms not required in an ambulatory or office setting (3) obtain authorizations for walk-in appointments (4) determine when financial assistance is needed.In Memorial Primary Care, additional responsibilities include: (1) MIH-MPC program patient referral, payment collection and eligibility scheduling (2) process referral work-ques and same day access requests (3) work with Patient Access Center on real time patient requests (4) address prescription refill requests, patient advice requests through MyChart, and provider scheduling template. Working Conditions And Physical Requirements Bending and Stooping = 60% Climbing = 0% Keyboard Entry = 100% Kneeling = 0% Lifting/Carrying Patients 35 Pounds or Greater = 60% Lifting or Carrying 0 - 25 lbs Non-Patient = 80% Lifting or Carrying 2501 lbs - 75 lbs Non-Patient = 40% Lifting or Carrying > 75 lbs Non-Patient = 0% Pushing or Pulling 0 - 25 lbs Non-Patient = 80% Pushing or Pulling 26 - 75 lbs Non-Patient = 80% Pushing or Pulling > 75 lbs Non-Patient = 0% Reaching = 80% Repetitive Movement Foot/Leg = 0% Repetitive Movement Hand/Arm = 80% Running = 0% Sitting = 80% Squatting = 80% Standing = 80% Walking = 80% Audible Speech = 80% Hearing Acuity = 80% Smelling Acuity = 0% Taste Discrimination = 0% Depth Perception = 80% Distinguish Color = 0% Seeing - Far = 80% Seeing - Near = 80% Bio hazardous Waste = 60% Biological Hazards - Respiratory = 60% Biological Hazards - Skin or Ingestion = 60% Blood and/or Bodily Fluids = 60% Communicable Diseases and/or Pathogens = 60% Asbestos = 0% Cytotoxic Chemicals = 0% Dust = 0% Gas/Vapors/Fumes = 60% Hazardous Chemicals = 60% Hazardous Medication = 60% Latex = 60% Computer Monitor = 100% Domestic Animals = 0% Extreme Heat/Cold = 0% Fire Risk = 0% Hazardous Noise = 0% Heating Devices = 0% Hypoxia = 0% Laser/High Intensity Lights = 0% Magnetic Fields = 0% Moving Mechanical Parts = 0% Needles/Sharp Objects = 60% Potential Electric Shock = 0% Potential for Physical Assault = 40% Radiation = 0% Sudden Decompression During Flights = 0% Unprotected Heights = 0% Wet or Slippery Surfaces = 40% Shift Primarily for office workers - not eligible for shift differential Disclaimer: This job description is not intended, nor should it be construed to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with the job. It is intended to indicate the general nature and level of work performed by employees within this classification. Wages shown on independent job boards reflect market averages, not specific to any employer. We encourage candidates to talk to their Memorial Healthcare System recruiter to discuss actual pay rates, during the hiring process. Memorial Healthcare System is proud to be an equal opportunity employer committed to workplace diversity. Memorial Healthcare System recruits, hires and promotes qualified candidates for employment opportunities without regard to race, color, age, religion, gender, gender identity or expression, sexual orientation, national origin, veteran status, disability, genetic information, or any factor prohibited by law. We are proud to offer Veteran's Preference to former military, reservists and military spouses (including widows and widowers). You must indicate your status on your application to take advantage of this program. Employment is subject to post offer, pre-placement assessment, including drug testing. If you need reasonable accommodation during the application process, please call ************ (M-F, 8am-5pm) or email *******************************

Back to Search Results Patient Service Representative I Hospital Huntersville, NC, United States Shift: 1st Job Type: Regular Share: mail

Inspire health. Serve with compassion. Be the difference. Responsible for aspects of front office management and operation as assigned. 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. Responsible for complete and accurate patient registration, pre-certification, charge capture and accurately coding diagnoses given by physicians. Responsible for posting all payments and balancing with the computer reports at day end. Requires a high level of public contact and excellent interpersonal skills. Arranges for patient pre-payments and enforces financial agreements prior to providing service. Gathers charge information, codes, enters into database, completes billing process, distributes billing information. Files insurance claims and assists patients in completing insurance forms. Processes unpaid accounts by contacting patients and third-party payers. Liaison between patient and medical support staff.Greets patients and visitors in a prompt, courteous, and helpful manner.Checks in patients, verifies and updates necessary insurance information in the patient accounting system.Obtains signatures on all forms and documents as required.Assists patients with ambulatory difficulties.Maintains appointment book and follows office scheduling policies.Provides front office phone support as needed and outlined throughcross trainingprogram.Screens visitors and responds to routine requests for information.Responsible for gathering, accurately coding and posting outpatient charges.Processes vouchers and private payments, to include updating registration screens based on information on checks.Research address verification as needed.Helps to process mail return statements and outgoing statements.Acquires billing information for all doctors for all patients seen in practice.Performs cashiering functions including monitoring and balancing cash drawer daily. Prepares daily cash deposits.Receives payments from patients and issues receipts. Codes and posts payments and maintains required records, reports and files.Works with patients in securing prepayment sources or financial agreements prior to providing service.Participates with other staff to achieve account resolution. Assists with outpatient coding and error resolution. Processes edits and Customer Service and Collection Request for resolution within specified time frames.Identify trends and communicates problems to management.Updates patient account database.Maintains and updates current information on physician's schedules.Schedules surgeries, ancillary services and follow-up outpatient appointments and admissions as requested.Answers questions regarding patient appointments and testing.Assembles patients' charts for next day visit.Updates profiles on all patients, ensuring completeness and accuracy.Oversees waiting area, coordinates patient movement, reports problems or irregularities. Assists patients with questions on insurance claims, obtaining disability insurance benefits, home health care, medical equipment, surgical care, etc. Processes benefit correspondence, signature, and insurance forms to expedite payment of outstanding claims.Assists patients in completing all necessary forms to obtain hospitalization or Surgical pre-certification from insurance companies.Follows-up with insurance companies ensuring that coverage is approved.Posts all actions and maintains permanent record of patient accounts.Answers patient questions and inquiries regarding their accounts.Confirms all workers' compensation claims with employees.Prepares disability claims in a timely manner.Follows-up with insurance companies ensuring that claims are paid as directed.Maintains files with referral slips, medical authorizations, and insurance slips. Researches all information needed to complete outpatient billing process including getting charge information from physicians.Codes information about procedures performed and diagnosis on charge.Keys charge information into on-line entry program. Processes and distributes copies of billings according to clinic policies.Assists with outpatient coding and error resolution.Pulls charts for scheduled appointments in advance.Delivers, transports, sorts and files returned charts.Picks up lab reports, dictations, X-rays, and correspondence.Continually checks for misfiled charts and refiles according to filing system. Maintains orderly files.Files all medical reports. Purges obsolete records and files in storage.Destroys outdated records following established procedures for retention and destruction.Makes up new patient charts. Repairs damaged charts. Assists in locating and filing records.Works with medical assistants and other staff to route patient charts to proper location.Follows medical records policies and procedures. - Collects payments at time of service for daily outpatient visit services.Reviews each account via computer to ensure patient's account(s) are being paid on a timely basis.Performs collection actions including contacting patients by telephone and resubmitting claims to third party reimburses.Evaluates patient financial status and establishes budget payment plans.Reviews accounts for possible assignment to collection agency, makes recommendation to Clinical Dept. Practice Manager.Identifies and resolves patient billing complaints.Participates with other staff to follow up on accounts until zero balance or turned over for collection. Participates in educational activities.Gathers and verifies superbills for specified practice on a daily basis.Enters all charge and same day payment information for patient visits and hospital patients, verifying accuracy of coding, charging and patient insurance status.Prints daily reports, verifying charge entry balancing at day end.Backs up and closes computer files on a daily basis, logging as appropriate (i.e. closing all batches in accordance with policy).Registers new patients after verifying patient status on computer inquiry. Updates financial information as indicated. Maintains strictest confidentiality.Participates in educational activities.Performs related work as required.As representative of Prisma Health Clinical Department, is expected to maintain neat and professional appearance, demonstrate commitment to serve at all times and uphold guidelines set forth in office manual. - 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 or equivalent OR Post-high school diploma. Associate degree in technical specialty program of 18 months minimum in length preferred Experience - No previous experience required. Multi-specialty group practice setting experience preferred In Lieu Of NA Required Certifications, Registrations, Licenses NA Knowledge, Skills and Abilities Basic understanding of ICD-9 and CPT coding preferred Work Shift Day (United States of America) Location Clemson-Seneca Pediatrics Facility 1089 Clemson-Seneca Pediatrics - Clemson Department 10896820 Rural Health 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.

Inspire health. Serve with compassion. Be the difference. Provides direct care as assigned in a participant's home, contracted facility, or at the PACE Center. Responsible for the collection of data related to participant status; ADL support under the direction of a PACE Homecare Coordinator; ongoing collection and documentation of participant data; assistance with treatments and procedures; and assistance with maintenance of patient care equipment. Assists with a variety of recreation programs and services to meet participant needs for social, physical, and cognitive functioning. Responsible for assisting therapists with skilled therapy and some independent restorative maintenance care of the participants. 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. Assists with eating Assists with bathing (bed bath, bench shower, sink bath) Assists with personal grooming and dressing Provides personal hygiene assistance Assists in applying skin care products (lotion, oil, etc.) Assists with meal planning and preparation Assists participants in and out of bed Repositions participants as necessary Assists with ambulation Assists with toileting and maintaining continence Handles laundry duties Assists with shopping Ensures home safety Runs errands Observes vital signs like temperature, pulse rate, and respiratory rate Reminds participants to take prescribed medication as directed by their physician Provides escort services as needed, and transportation when included in the participant's Service Plan/Authorization (transportation provision may vary based on provider policy). Helps participants with communication, including placing the phone within reach and assisting with its use, as well as providing orientation to daily events. 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. Completion of a Nursing Assistant or Patient Care Tech program is preferred. Experience - One (1) year experience working with the frail or elderly population. In Lieu Of NA Required Certifications, Registrations, Licenses A valid driver's license; an acceptable motor vehicle record, as defined by the Acceptable Motor Vehicle Record (MVR) Chart; and proof of auto insurance. Driving is required for this position using the employee's personally owned vehicle. Employee must have reliable transportation and will be expected to adhere to the Prisma Health Driver Safety Policy and specific department driving policies. Employee must pass driver training. Knowledge, Skills and Abilities Basic computer skills Knowledge of office equipment (fax/copier) Work Shift Variable (United States of America) Location Centennial Way Practices Facility 1039 SeniorCare PACE - Upstate Department 10399035 Administrative and General 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.

Inspire health. Serve with compassion. Be the difference. Coordinates the scheduling of patients requiring diagnostic procedures. Gathers correct patient demographics, clinical and initial financial/insurance information. Coordinates appointment with appropriate clinical information and documents accordingly. 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. Coordinates the scheduling of patients requiring procedures. Gathers correct patient demographics, clinical and initial financial insurance information. Coordinates appointment with appropriate clinical information/documents and schedules accordingly. Utilizes work Que and referrals to schedule patients. Coordinates appointments with the insurance carrier to provide ample time for the pre-authorization process. Communicates with referring office staff members to correctly code ordered procedure for proper revenue stream. Evaluates each study with correct IC10 coding to ensure proper information for the pre-authorization department. Coordinates procedures with physician's schedule when necessary. Follows set protocols for same-day scheduling with emergent cases and rescheduling. Greets all patient and visitors with AIDET. Assists with directions and explanations of patient preps. Assists in clinical departments as needed for patient screening and care. Communicates with physician office representatives in a helpful, efficient and professional manner. Ensures that all daily schedules have precertification completed and that exams are in the ready to perform status. 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 Experience - No experience required. Scheduling experience preferred In Lieu Of NA Required Certifications, Registrations, Licenses NA Knowledge, Skills and Abilities Customer service skills Basic computer/data entry skills Knowledge of EMR preferred Knowledge of CPT coding preferred Knowledge of ICD10 preferred Work Shift Day (United States of America) Location Blount Memorial Hospital Facility 8001 Blount Memorial Hospital, Inc. Department 80047115 Radiology Administration - ETMG 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.

Inspire health. Serve with compassion. Be the difference. Responsible for aspects of front office management and operation as assigned. 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. Responsible for complete and accurate patient registration, pre-certification, charge capture and accurately coding diagnoses given by physicians. Responsible for posting all payments and balancing with the computer reports at day end. Requires a high level of public contact and excellent interpersonal skills. Arranges for patient pre-payments and enforces financial agreements prior to providing service. Gathers charge information, codes, enters into database, completes billing process, distributes billing information. Files insurance claims and assists patients in completing insurance forms. Processes unpaid accounts by contacting patients and third-party payers. Liaison between patient and medical support staff.Greets patients and visitors in a prompt, courteous, and helpful manner.Checks in patients, verifies and updates necessary insurance information in the patient accounting system.Obtains signatures on all forms and documents as required.Assists patients with ambulatory difficulties.Maintains appointment book and follows office scheduling policies.Provides front office phone support as needed and outlined throughcross trainingprogram.Screens visitors and responds to routine requests for information.Responsible for gathering, accurately coding and posting outpatient charges.Processes vouchers and private payments, to include updating registration screens based on information on checks.Research address verification as needed.Helps to process mail return statements and outgoing statements.Acquires billing information for all doctors for all patients seen in practice.Performs cashiering functions including monitoring and balancing cash drawer daily. Prepares daily cash deposits.Receives payments from patients and issues receipts. Codes and posts payments and maintains required records, reports and files.Works with patients in securing prepayment sources or financial agreements prior to providing service.Participates with other staff to achieve account resolution. Assists with outpatient coding and error resolution. Processes edits and Customer Service and Collection Request for resolution within specified time frames.Identify trends and communicates problems to management.Updates patient account database.Maintains and updates current information on physician's schedules.Schedules surgeries, ancillary services and follow-up outpatient appointments and admissions as requested.Answers questions regarding patient appointments and testing.Assembles patients' charts for next day visit.Updates profiles on all patients, ensuring completeness and accuracy.Oversees waiting area, coordinates patient movement, reports problems or irregularities. Assists patients with questions on insurance claims, obtaining disability insurance benefits, home health care, medical equipment, surgical care, etc. Processes benefit correspondence, signature, and insurance forms to expedite payment of outstanding claims.Assists patients in completing all necessary forms to obtain hospitalization or Surgical pre-certification from insurance companies.Follows-up with insurance companies ensuring that coverage is approved.Posts all actions and maintains permanent record of patient accounts.Answers patient questions and inquiries regarding their accounts.Confirms all workers' compensation claims with employees.Prepares disability claims in a timely manner.Follows-up with insurance companies ensuring that claims are paid as directed.Maintains files with referral slips, medical authorizations, and insurance slips. Researches all information needed to complete outpatient billing process including getting charge information from physicians.Codes information about procedures performed and diagnosis on charge.Keys charge information into on-line entry program. Processes and distributes copies of billings according to clinic policies.Assists with outpatient coding and error resolution.Pulls charts for scheduled appointments in advance.Delivers, transports, sorts and files returned charts.Picks up lab reports, dictations, X-rays, and correspondence.Continually checks for misfiled charts and refiles according to filing system. Maintains orderly files.Files all medical reports. Purges obsolete records and files in storage.Destroys outdated records following established procedures for retention and destruction.Makes up new patient charts. Repairs damaged charts. Assists in locating and filing records.Works with medical assistants and other staff to route patient charts to proper location.Follows medical records policies and procedures. - Collects payments at time of service for daily outpatient visit services.Reviews each account via computer to ensure patient's account(s) are being paid on a timely basis.Performs collection actions including contacting patients by telephone and resubmitting claims to third party reimburses.Evaluates patient financial status and establishes budget payment plans.Reviews accounts for possible assignment to collection agency, makes recommendation to Clinical Dept. Practice Manager.Identifies and resolves patient billing complaints.Participates with other staff to follow up on accounts until zero balance or turned over for collection. Participates in educational activities.Gathers and verifies superbills for specified practice on a daily basis.Enters all charge and same day payment information for patient visits and hospital patients, verifying accuracy of coding, charging and patient insurance status.Prints daily reports, verifying charge entry balancing at day end.Backs up and closes computer files on a daily basis, logging as appropriate (i.e. closing all batches in accordance with policy).Registers new patients after verifying patient status on computer inquiry. Updates financial information as indicated. Maintains strictest confidentiality.Participates in educational activities.Performs related work as required.As representative of Prisma Health Clinical Department, is expected to maintain neat and professional appearance, demonstrate commitment to serve at all times and uphold guidelines set forth in office manual. - 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 or equivalent OR Post-high school diploma. Associate degree in technical specialty program of 18 months minimum in length preferred Experience - No previous experience required. Multi-specialty group practice setting experience preferred In Lieu Of NA Required Certifications, Registrations, Licenses NA Knowledge, Skills and Abilities Basic understanding of ICD-9 and CPT coding - Preferred Work Shift Day (United States of America) Location Family Medicine - Walhalla Facility 1081 Family Medicine Walhalla Department 10816820 Rural Health 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.

Inspire health. Serve with compassion. Be the difference. Responsible for aspects of front office management and operation as assigned. This job requires regional travel across all Prisma Health sites. 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. Responsible for complete and accurate patient registration, precertification, charge capture and accurately coding diagnoses given by physicians. Responsible for posting all payments and balancing with the computer reports at dayend. Requires a high level of public contact and excellent interpersonal skills. Arranges for patient pre-payments and enforces financial agreements prior to providing service. Gathers charge information, codes, enters intodatabase, completes billing process, distributes billing information. Files insurance claims and assists patients incompleting insurance forms. Processes unpaid accounts by contacting patients and third-partypayers. Serves as a liaison between patient and medical support staff. Greets patients and visitors in a prompt, courteous, and helpful manner. Checks in patients, verifies and updates necessary insurance information in the patient accounting system (online registration). Obtains signatures on all forms and documents. Assists patients with ambulatory difficulties. Maintains appointment book and follows office scheduling policies. Provides front office phone support as needed and outlined through cross training program. Responsible for gathering, accurately coding and posting outpatient charges to superbills. Processes vouchers and private payments, to include updating registration screens based on information on checks. Helps to process mail return statements and outgoing statements. Performs cashiering functions including monitoring and balancing cash drawer daily. Prepares daily cashpayments Receives payments from patients and issues receipts. Codes and posts payments and maintains required records, reports and files. Processes edits and Customer Service and Collection Request for resolution within specified time frames. Maintains and updates current information on physician's schedules. Schedules surgeries, ancillary services and follow-up outpatient appointments and admissions Oversees waiting area, coordinates patient movement, reports problems or irregularities. Research all information needed to complete outpatient billing process including getting charge information from physicians. Codes information about procedures performed and diagnosis on charge. Keys charge information into on-line entry program. Processes and distributes copies of billings according to clinic policies. Delivers, transports, sorts and files returned charts. Picks up lab reports, dictations, X-rays, and correspondence. Files all medical reports. Purges obsolete records and files in storage. Destroys outdated records following established procedures for retention and destruction. Makes up new patient charts. Repairs damaged charts. Assists in locating and filing records. Works with medical assistants and other staff to route patient charts to proper location. Assist patients with questions on insurance claims, obtaining disability insurance benefits, home health care, medical equipment, surgical care, etc. Processes benefit correspondence, signature, and insurance forms to expedite payment of outstanding claims. Assists patients in completing all necessary forms to obtain hospitalization or Surgical pre-certification frominsurance companies. Follows-up with insurance companies ensuring that coverage is approved. Posts all actions and maintains permanent record of patient accounts. Answers patient questions and inquiries regarding their accounts Confirms all workers' compensation claims with employees. Prepares disability claims in a timely manner. Maintains files with referral slips, medical authorizations, and insurance slips. Collects payments at time of service for daily outpatient visit services. Performs collection actions including contacting patients by telephone and resubmitting claims to third partyreimburses. Evaluates patient financial status and establishes budget payment plans. Reviews accounts for possible assignment to collection agency, makes recommendation to Clinical Dept. Practice Manager. Participates with other staff to follow up on accounts until zero balance or turned over for collection. Enters all charge and same day payment information for patient visits and hospital patients, verifying accuracy of coding, charging and patient insurance status. Backs up and closes computer files on a daily basis, logging as appropriate (i.e. closing all batches in accordance with policy). Registers new patients after verifying patient status on computer inquiry. Updates financial information as indicated. Maintains strictest confidentiality. Participates in educational activities. As representative of Prisma Health Clinical Department, is expected to maintain neat and professional appearance,demonstrate commitment to serve at all times and uphold guidelines set forth in office manual. 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; OR Post High School Diploma. Associate degree in technical specialty program of 18 months minimum in length preferred Experience - No previous experience required. Multi-specialty group practice setting experience preferred In Lieu Of NA Required Certifications, Registrations, Licenses NA Knowledge, Skills and Abilities Basic understanding of ICD-9 and CPT coding- Preferred Work Shift Day (United States of America) Location 1333 Taylor St Baptist Facility 7001 Corporate Department 70019600 Ambulatory Internal Resource Pool 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.

Inspire health. Serve with compassion. Be the difference. Incumbents are responsible for aspects of Physician Practice front office management and operation as assigned. May be responsible for some or all front office functions as detailed in the next section. 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. Responsible for complete and accurate patient registration, pre-certification, charge capture and accurately coding diagnoses given by physicians. Responsible for posting all payments and balancing with the computer reports at day end. Requires a high level of public contact and excellent interpersonal skills. Arranges for patient pre-payments and enforces financial agreements prior to providing service. Gathers charge information, codes, enters into database, completes billing process, distributes billing information. Files insurance claims and assists patients in completing insurance forms. Processes unpaid accounts by contacting patients and third-party payers. Liaison between patient and medical support staff.Greets patients and visitors in a prompt, courteous, and helpful manner.Checks in patients, verifies and updates necessary insurance information in the patient accounting system.Obtains signatures on all forms and documents as required.Assists patients with ambulatory difficulties.Maintains appointment book and follows office scheduling policies.Provides front office phone support as needed and outlined throughcross trainingprogram.Screens visitors and responds to routine requests for information.Responsible for gathering, accurately coding and posting outpatient charges.Processes vouchers and private payments, to include updating registration screens based on information on checks.Research address verification as needed.Helps to process mail return statements and outgoing statements.Acquires billing information for all doctors for all patients seen in practice.Performs cashiering functions including monitoring and balancing cash drawer daily. Prepares daily cash deposits.Receives payments from patients and issues receipts. Codes and posts payments and maintains required records, reports and files.Works with patients in securing prepayment sources or financial agreements prior to providing service.Participates with other staff to achieve account resolution. Assists with outpatient coding and error resolution. Processes edits and Customer Service and Collection Request for resolution within specified time frames.Identify trends and communicates problems to management.Updates patient account database.Maintains and updates current information on physician's schedules.Schedules surgeries, ancillary services and follow-up outpatient appointments and admissions as requested.Answers questions regarding patient appointments and testing.Assembles patients' charts for next day visit.Updates profiles on all patients, ensuring completeness and accuracy.Oversees waiting area, coordinates patient movement, reports problems or irregularities. Assists patients with questions on insurance claims, obtaining disability insurance benefits, home health care, medical equipment, surgical care, etc. Processes benefit correspondence, signature, and insurance forms to expedite payment of outstanding claims.Assists patients in completing all necessary forms to obtain hospitalization or Surgical pre-certification from insurance companies.Follows-up with insurance companies ensuring that coverage is approved.Posts all actions and maintains permanent record of patient accounts.Answers patient questions and inquiries regarding their accounts.Confirms all workers' compensation claims with employees.Prepares disability claims in a timely manner.Follows-up with insurance companies ensuring that claims are paid as directed.Maintains files with referral slips, medical authorizations, and insurance slips. Researches all information needed to complete outpatient billing process including getting charge information from physicians.Codes information about procedures performed and diagnosis on charge.Keys charge information into on-line entry program. Processes and distributes copies of billings according to clinic policies.Assists with outpatient coding and error resolution.Pulls charts for scheduled appointments in advance.Delivers, transports, sorts and files returned charts.Picks up lab reports, dictations, X-rays, and correspondence.Continually checks for misfiled charts and refiles according to filing system. Maintains orderly files.Files all medical reports. Purges obsolete records and files in storage.Destroys outdated records following established procedures for retention and destruction.Makes up new patient charts. Repairs damaged charts. Assists in locating and filing records.Works with medical assistants and other staff to route patient charts to proper location.Follows medical records policies and procedures. - Collects payments at time of service for daily outpatient visit services.Reviews each account via computer to ensure patient's account(s) are being paid on a timely basis.Performs collection actions including contacting patients by telephone and resubmitting claims to third party reimburses.Evaluates patient financial status and establishes budget payment plans.Reviews accounts for possible assignment to collection agency, makes recommendation to Clinical Dept. Practice Manager.Identifies and resolves patient billing complaints.Participates with other staff to follow up on accounts until zero balance or turned over for collection. Participates in educational activities.Gathers and verifies superbills for specified practice on a daily basis.Enters all charge and same day payment information for patient visits and hospital patients, verifying accuracy of coding, charging and patient insurance status.Prints daily reports, verifying charge entry balancing at day end.Backs up and closes computer files on a daily basis, logging as appropriate (i.e. closing all batches in accordance with policy).Registers new patients after verifying patient status on computer inquiry. Updates financial information as indicated. Maintains strictest confidentiality.Participates in educational activities.Performs related work as required.As representative of Prisma Health Clinical Department, is expected to maintain neat and professional appearance, demonstrate commitment to serve at all times and uphold guidelines set forth in office manual. - 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 or equivalent OR Post-high school diploma. Associate degree in technical specialty program of 18 months minimum in length preferred Experience - No previous experience required. Multi-specialty group practice setting experience preferred In Lieu Of NA Required Certifications, Registrations, Licenses NA Knowledge, Skills and Abilities Basic understanding of ICD-9 and CPT coding - Preferred Work Shift Day (United States of America) Location 1079 Dutch Fork Rd Irmo Facility 3307 Family Medicine 1079 Dutch Fork Department 33071000 Family Medicine 1079 Dutch Fork-Practice Operations 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.

Inspire health. Serve with compassion. Be the difference. Responsible for aspects of front office management and operation as assigned. 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. Responsible for complete and accurate patient registration, pre-certification, charge capture and accurately coding diagnoses given by physicians. Responsible for posting all payments and balancing with the computer reports at day end. Requires a high level of public contact and excellent interpersonal skills. Arranges for patient pre-payments and enforces financial agreements prior to providing service. Gathers charge information, codes, enters into database, completes billing process, distributes billing information. Files insurance claims and assists patients in completing insurance forms. Processes unpaid accounts by contacting patients and third-party payers. Liaison between patient and medical support staff.Greets patients and visitors in a prompt, courteous, and helpful manner.Checks in patients, verifies and updates necessary insurance information in the patient accounting system.Obtains signatures on all forms and documents as required.Assists patients with ambulatory difficulties.Maintains appointment book and follows office scheduling policies.Provides front office phone support as needed and outlined throughcross trainingprogram.Screens visitors and responds to routine requests for information.Responsible for gathering, accurately coding and posting outpatient charges.Processes vouchers and private payments, to include updating registration screens based on information on checks.Research address verification as needed.Helps to process mail return statements and outgoing statements.Acquires billing information for all doctors for all patients seen in practice.Performs cashiering functions including monitoring and balancing cash drawer daily. Prepares daily cash deposits.Receives payments from patients and issues receipts. Codes and posts payments and maintains required records, reports and files.Works with patients in securing prepayment sources or financial agreements prior to providing service.Participates with other staff to achieve account resolution. Assists with outpatient coding and error resolution. Processes edits and Customer Service and Collection Request for resolution within specified time frames.Identify trends and communicates problems to management.Updates patient account database.Maintains and updates current information on physician's schedules.Schedules surgeries, ancillary services and follow-up outpatient appointments and admissions as requested.Answers questions regarding patient appointments and testing.Assembles patients' charts for next day visit.Updates profiles on all patients, ensuring completeness and accuracy.Oversees waiting area, coordinates patient movement, reports problems or irregularities. Assists patients with questions on insurance claims, obtaining disability insurance benefits, home health care, medical equipment, surgical care, etc. Processes benefit correspondence, signature, and insurance forms to expedite payment of outstanding claims.Assists patients in completing all necessary forms to obtain hospitalization or Surgical pre-certification from insurance companies.Follows-up with insurance companies ensuring that coverage is approved.Posts all actions and maintains permanent record of patient accounts.Answers patient questions and inquiries regarding their accounts.Confirms all workers' compensation claims with employees.Prepares disability claims in a timely manner.Follows-up with insurance companies ensuring that claims are paid as directed.Maintains files with referral slips, medical authorizations, and insurance slips. Researches all information needed to complete outpatient billing process including getting charge information from physicians.Codes information about procedures performed and diagnosis on charge.Keys charge information into on-line entry program. Processes and distributes copies of billings according to clinic policies.Assists with outpatient coding and error resolution.Pulls charts for scheduled appointments in advance.Delivers, transports, sorts and files returned charts.Picks up lab reports, dictations, X-rays, and correspondence.Continually checks for misfiled charts and refiles according to filing system. Maintains orderly files.Files all medical reports. Purges obsolete records and files in storage.Destroys outdated records following established procedures for retention and destruction.Makes up new patient charts. Repairs damaged charts. Assists in locating and filing records.Works with medical assistants and other staff to route patient charts to proper location.Follows medical records policies and procedures. - Collects payments at time of service for daily outpatient visit services.Reviews each account via computer to ensure patient's account(s) are being paid on a timely basis.Performs collection actions including contacting patients by telephone and resubmitting claims to third party reimburses.Evaluates patient financial status and establishes budget payment plans.Reviews accounts for possible assignment to collection agency, makes recommendation to Clinical Dept. Practice Manager.Identifies and resolves patient billing complaints.Participates with other staff to follow up on accounts until zero balance or turned over for collection. Participates in educational activities.Gathers and verifies superbills for specified practice on a daily basis.Enters all charge and same day payment information for patient visits and hospital patients, verifying accuracy of coding, charging and patient insurance status.Prints daily reports, verifying charge entry balancing at day end.Backs up and closes computer files on a daily basis, logging as appropriate (i.e. closing all batches in accordance with policy).Registers new patients after verifying patient status on computer inquiry. Updates financial information as indicated. Maintains strictest confidentiality.Participates in educational activities.Performs related work as required.As representative of Prisma Health Clinical Department, is expected to maintain neat and professional appearance, demonstrate commitment to serve at all times and uphold guidelines set forth in office manual. - 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 or equivalent OR Post-high school diploma. Associate degree in technical specialty program of 18 months minimum in length preferred Experience - No previous experience required. Multi-specialty group practice setting experience preferred In Lieu Of NA Required Certifications, Registrations, Licenses NA Knowledge, Skills and Abilities Basic understanding of ICD-9 and CPT coding preferred Work Shift Day (United States of America) Location 56 Us 321 Bypass N Winnsboro Facility 1077 PH Family Medicine Winnsboro Department 10776820 Rural Health 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.

The Community Marketing Representative II is responsible to support the enrollment and retention strategy in collaboration with management to ensure all membership goals are successfully achieved. Essential Functions: Utilize an educational approach to community organizations to promote any available lines of business in assigned regions Serve as a subject matter expert on all lines of business available in the assigned territory Contribute and support the development of educational and enrollment opportunities with community and government agencies, community housing, providers and health systems, community business associations, targeted industries and faith-based organizations Assist in various types of community outreach strategies and programs with guidance to internal departments and staff while adhering to all applicable state and federal regulatory requirements Collaborate cross functionally in the development of specific strategies for enhanced engagement including collaboration with other internal teams. Conduct presentations, marketing activities and other informational events in accordance with current approved marketing guidelines and State/Federal regulations Deliver educational staff presentations to targeted industries, community organizations and government agencies Strictly adhere to all State and Federal Marketing regulations Complete all required training to successfully satisfy all State and Federal requirements Observe and report current market information on benefits, services, trends, changes, strategies/tactics, new products, etc. Maintain professional and technical knowledge by attending educational workshops; training, reviewing professional publications; participating in industry Continuing Education Courses Cross trained in all lines of CareSource products and benefits Provide proactive, high-level relationship management and support with key agencies in order to grow and retain membership. Work within guidelines of sponsorship and promotional items budgets. Keep management informed by documenting detailed sales activity and records of all agency/organization contacts in the Customer Relationship Management tool ("CRM") and weekly reports Drive new membership acquisition by managing lead generation and direct marketing outreach during AEP (Annual Enrollment Period) Effectively coordinate community activities with other internal teams to ensure achievement of desired results Work within a territory plan to achieve desired membership and retention goals When necessary, participate in the negotiation, development, and staff coordination of Community/Agency/Provider events Regular travel to conduct to community-based organizations as needed to ensure effective administration of the program Perform any other job duties as requested Education and Experience: Associate degree in Marketing, Communications, Business Administration or related field, or equivalent years of relevant work experience is required Minimum of two (2) years of experience in Sales, Marketing or Account Management or Community Outreach and/or Social Delivery is required Medicare, Medicaid and/or Commercial Health Insurance experience is required Competencies, Knowledge and Skills: Proficient in Microsoft Suite, to include Word, PowerPoint, and Excel Excellent computer skills and ability to effectively use CRM system Knowledge of managed care principles, marketing guidelines and market dynamics Maintain marketing regulatory knowledge for compliance to State and Federal regulatory insurance guidelines and requirements Proven self-starter: able to work independently and within a team environment to achieve sales goals Strong problem-solving skills with attention to detail & excellent follow-up Excellent written and verbal communication skills Strong presentation and negotiation skills Excellent organizational, time management, and territory management skills Ability to develop, prioritize and accomplish goals Strong interpersonal skills and high level of professionalism Excellent research and analytical skills Proven experience of selling new products to existing customers Licensure and Certification: Current, unrestricted State Insurance License in Accident and Health, as required within state(s) of assigned territory is/are required or ability to achieve license(s) within assigned territory regulatory requirements within 30 days of hire. Applicable Certification as required within state(s) of assigned territory or ability to achieve certification(s) within 30 days of hire and annual recertification each year thereafter is required. For positions in states that operate under the Federally Facilitated Marketplace (FFM) and offer Marketplace plans, candidates must obtain certification from the Health Insurance Marketplace. Current, unrestricted Driver's License in good standing is required. Employment in this position is conditional pending successful clearance of a driver's license record check. If the driver's license record results are unacceptable, the offer will be withdrawn or, if you have started employment in this position, your employment in this position will be terminated To help protect our employees, members, and the communities we serve from acquiring communicable diseases, Influenza vaccination is a requirement of this position. CareSource requires annual proof of Influenza vaccination for designated positions during Influenza season (October 1 - March 31) as a condition of continued employment. Employees hired during Influenza season will have thirty (30) days from their hire date to complete the required vaccination and have record of immunization verified. CareSource adheres to all federal, state, and local regulations. CareSource provides reasonable accommodations to qualified individuals with disabilities or medical conditions, sincerely held religious beliefs, or as required by state law to enable the employee to perform the essential functions of the position. Request for accommodations will be completed through an interactive review process. Working Conditions: Mobile Worker: This is a mobile position, meaning that regular travel to different work locations is essential. Will be exposed to weather conditions typical of the location and may be required to stand and/or sit for long periods of time. Reside in the same territory they are assigned to work in; exceptions may be considered, due to business need May be required to travel greater than 50% of time to perform work duties. A valid driver's license, car, and insurance are necessary for work related travel Required to use general office equipment, such as a telephone, photocopier, fax machine, and personal computer Flexible hours, including evenings and/or weekends as needed to serve the needs of our members and may refer members to other CareSource resources Ability to lift up to 50 pounds Compensation Range: $54,500.00 - $87,300.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package. Compensation Type: Salary Competencies: - Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business This is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds. #LI-TS1

Inspire health. Serve with compassion. Be the difference. Provides accurate and timely submission of claims for Prisma Health to various payer sources based on timely filing guidelines. Ensures specialty accounts are followed up on in a timely manner with increased focus on aged and high dollar accounts. Follows up and pursues identified payer variances after comparing expected to actual reimbursement received. Responsible for working with other departments when issues arise such as missing payments, payer delays, and technical denials. Ensures payment amount(s) from insurance carriers are correct and posted to accounts. Reviews accounts after payment posting to determine if balance needs moved to secondary payer or patient liability. Knowledge of payers and provides support to other team members as needed. Demonstrates exceptional relationships with external payers and internal departments in accordance with Prisma Health Standards of Behavior and Compliance. Accountabilities Works and processes the Billing functions, including resolving the Discharged Not Final Billed/Stop Bill errors that prevented the account from billing, the resolution of Claim Edits in order to submit to our Claims Clearinghouse for electronic submission. Also processes the daily paper claims submissions for primary and secondary claims. - 30% Follows up on Specialty AR accounts assigned to determine if the claim has been accepted and processed for payment or denied. Reviews claim rejections and re-bills accounts when appropriate. Effectively and timely identifies the root cause of non-payment denials and works with the insurance company, the patient and Prisma Health departments to find resolution to claim denials, making all necessary claim and account corrections to ensure the full reimbursement of services rendered. - 25% Escalates accounts both at the payer and/or internally when appropriate, as well as involving the patient appropriately in accordance with the Prisma Health escalation guidelines in order to keep AR aging at acceptable levels for payer issues. - 10% Identify system issues through trending and repetitive actions that require workflow review or changes to resolve compliant billing. - 5% Utilize proper tools to communicate with Prisma Health department teams on specific errors for corrections related to their area of responsibility. - 5% Contacts insurance payers, patients or guarantors at established intervals to follow-up on status of delinquent accounts, determines the reason of delay and expedites payment. - 5% Must meet daily performance productivity and quality goals. Is attentive to detail and accuracy, is committed to excellence, looks for improvements continuously, monitors quality levels, finds root cause of quality problems and owns/acts on quality problems. Actively contributes to department goals. Effectively utilizes time and resources, assisting co-workers as time allows. Must be dependable. - 5% Maintains professional growth and development through seminars, workshops, in-service meetings, current literature and professional affiliations to keep abreast of latest trends in field of expertise. - 5% All policies and procedures will be strictly adhered to. HIPAA, security, dress code, etc. will be conscientiously followed. Understands, promotes and adheres to all matters of compliance with laws and regulations. High level demonstration of the Standards of Behaviors. - 5% Communicates well both verbally and in writing, shares information with others & has good listening skills. - 5% Supervisory/Management Responsibilities This is a non-management job that will report to a supervisor, manager, director or executive. Minimum Requirements High school diploma or equivalent. 3 years - hospital claims and billing follow-up; understanding of the hospital and physician claim forms, knowledge of payer guidelines. Required Certifications/Registrations/Licenses N/A In Lieu Of The Minimum Requirements Listed Above Bachelor's degree and 2 years of hospital billing, follow-up/denials. Other Required Sills and Experience Facility claims andbilling follow up and/or medical office experience - required. Communication skills and respect for details - preferred. CRCA or CRCR - preferred. Work Shift Day (United States of America) Location Colonial Life Building Facility 7001 Corporate Department 70019012 Patient Account Services 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.

Inspire health. Serve with compassion. Be the difference. Responsible for aspects of front office management and operation as assigned. 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. Responsible for complete and accurate patient registration, pre-certification, charge capture and accurately coding diagnoses given by physicians. Responsible for posting all payments and balancing with the computer reports at day end. Requires a high level of public contact and excellent interpersonal skills. Arranges for patient pre-payments and enforces financial agreements prior to providing service. Gathers charge information, codes, enters into database, completes billing process, distributes billing information. Files insurance claims and assists patients in completing insurance forms. Processes unpaid accounts by contacting patients and third-party payers. Liaison between patient and medical support staff.Greets patients and visitors in a prompt, courteous, and helpful manner.Checks in patients, verifies and updates necessary insurance information in the patient accounting system.Obtains signatures on all forms and documents as required.Assists patients with ambulatory difficulties.Maintains appointment book and follows office scheduling policies.Provides front office phone support as needed and outlined throughcross trainingprogram.Screens visitors and responds to routine requests for information.Responsible for gathering, accurately coding and posting outpatient charges.Processes vouchers and private payments, to include updating registration screens based on information on checks.Research address verification as needed.Helps to process mail return statements and outgoing statements.Acquires billing information for all doctors for all patients seen in practice.Performs cashiering functions including monitoring and balancing cash drawer daily. Prepares daily cash deposits.Receives payments from patients and issues receipts. Codes and posts payments and maintains required records, reports and files.Works with patients in securing prepayment sources or financial agreements prior to providing service.Participates with other staff to achieve account resolution. Assists with outpatient coding and error resolution. Processes edits and Customer Service and Collection Request for resolution within specified time frames.Identify trends and communicates problems to management.Updates patient account database.Maintains and updates current information on physician's schedules.Schedules surgeries, ancillary services and follow-up outpatient appointments and admissions as requested.Answers questions regarding patient appointments and testing.Assembles patients' charts for next day visit.Updates profiles on all patients, ensuring completeness and accuracy.Oversees waiting area, coordinates patient movement, reports problems or irregularities. Assists patients with questions on insurance claims, obtaining disability insurance benefits, home health care, medical equipment, surgical care, etc. Processes benefit correspondence, signature, and insurance forms to expedite payment of outstanding claims.Assists patients in completing all necessary forms to obtain hospitalization or Surgical pre-certification from insurance companies.Follows-up with insurance companies ensuring that coverage is approved.Posts all actions and maintains permanent record of patient accounts.Answers patient questions and inquiries regarding their accounts.Confirms all workers' compensation claims with employees.Prepares disability claims in a timely manner.Follows-up with insurance companies ensuring that claims are paid as directed.Maintains files with referral slips, medical authorizations, and insurance slips. Researches all information needed to complete outpatient billing process including getting charge information from physicians.Codes information about procedures performed and diagnosis on charge.Keys charge information into on-line entry program. Processes and distributes copies of billings according to clinic policies.Assists with outpatient coding and error resolution.Pulls charts for scheduled appointments in advance.Delivers, transports, sorts and files returned charts.Picks up lab reports, dictations, X-rays, and correspondence.Continually checks for misfiled charts and refiles according to filing system. Maintains orderly files.Files all medical reports. Purges obsolete records and files in storage.Destroys outdated records following established procedures for retention and destruction.Makes up new patient charts. Repairs damaged charts. Assists in locating and filing records.Works with medical assistants and other staff to route patient charts to proper location.Follows medical records policies and procedures. - Collects payments at time of service for daily outpatient visit services.Reviews each account via computer to ensure patient's account(s) are being paid on a timely basis.Performs collection actions including contacting patients by telephone and resubmitting claims to third party reimburses.Evaluates patient financial status and establishes budget payment plans.Reviews accounts for possible assignment to collection agency, makes recommendation to Clinical Dept. Practice Manager.Identifies and resolves patient billing complaints.Participates with other staff to follow up on accounts until zero balance or turned over for collection. Participates in educational activities.Gathers and verifies superbills for specified practice on a daily basis.Enters all charge and same day payment information for patient visits and hospital patients, verifying accuracy of coding, charging and patient insurance status.Prints daily reports, verifying charge entry balancing at day end.Backs up and closes computer files on a daily basis, logging as appropriate (i.e. closing all batches in accordance with policy).Registers new patients after verifying patient status on computer inquiry. Updates financial information as indicated. Maintains strictest confidentiality.Participates in educational activities.Performs related work as required.As representative of Prisma Health Clinical Department, is expected to maintain neat and professional appearance, demonstrate commitment to serve at all times and uphold guidelines set forth in office manual. - 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 or equivalent OR Post-high school diploma. Associate degree in technical specialty program of 18 months minimum in length preferred Experience - No previous experience required. Multi-specialty group practice setting experience preferred In Lieu Of NA Required Certifications, Registrations, Licenses NA Knowledge, Skills and Abilities Basic understanding of ICD-9 and CPT coding - Preferred Work Shift Day (United States of America) Location Palmetto Family Medicine Facility 2379 Palmetto Family Med Taylors Department 23791000 Palmetto Family Med Taylors-Practice Operations 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.

Job Description Well-established companion animal practice in West Chester, Ohio looking for full time veterinary Customer Sevice Representative. We are seeking a compassionate, enthusiastic, and dedicated team member to join our fast paced practice. We strongly recognize the importance of the human-animal bond and we see our clients and patients as extended family. This position puts you as a face of the clnic so excellent people skills are a must. Previous experience as a receptionist is required. Preference will be shown towards applicants with previous medical or veterinary receptionist experience. Duties include: Managing multiple line phone system Organizing filing systems and paperwork Handling financial transactions Maintaining the cleanliness of the reception area Assisting the rest of the team as needed. Must be able to work 3-3 1/2 days during the week and a rotating Saturday morning schedule. Wage based on experience. Job Type: Part Time 30 Salary: From $14.50-16 per hour Benefits: 401(k) matching Health insurance Dental insurance Vision insurance Bonus opprtunities Employee discount Paid time off Schedule: Monday to Friday Saturdays on a rotating schedule