Billing Coder jobs at Greenville Health & Rehab

Inspire health. Serve with compassion. Be the difference. Conducts prospective review to abstract Hierarchical Condition Categories (HCC's) codes to report for the calendar year. Communicates (via Epic and in person) with providers on any outstanding HCC capture opportunities. Conducts retrospective reviews to ensure that documentation supports reporting the Hierarchical Condition Category code prior to payor submission. 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. * Conducts prospective review of charts to identify HCC opportunity. * Conducts retrospective review of charts to confirm documentation supports reporting. * Utilizes payor specific software to assist in capturing HCCs. * Communicates with providers about HCC opportunities for improvement. * Identifies suspect conditions that would potentially support reporting an HCC. * Participates in education offerings * Participates in monthly meetings * 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. Associate degree preferred * Experience - Five (5) years professional fee coding experience In Lieu Of * NA Required Certifications, Registrations, Licenses * Certified Professional Coder (CPC), and * Certified Risk Adjustment Coder (CRC) Knowledge, Skills and Abilities * Knowledge of office equipment (fax/copier) * Proficient computer skills including word processing, spreadsheets, database * Data entry skills * Mathematical skills Work Shift Day (United States of America) Location Independence Pointe Facility 7002 Value-Based Care and Network Services Department 70028459 HCC Coding 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 validating/reviewing and assigning applicable CPT, ICD-10, Modifiers and HCPCS codes for inpatient, outpatient and physicians office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer specific coding guidelines for multi-specialty medical practice(s). Communicates with providers and team members regarding coding issues. 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. Validates/reviews codes for assigned provider(s)/Division(s) based on medical record documentation. Adheres to all coding and compliance guidelines. Responsible for resolving all assigned pre-billing edits Communicates billing related issues and participates in meetings to improve overall billing process Provides feedback to providers in order to clarify and resolve coding concerns. Assists in identifying areas that need additional training. 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. Associate degree preferred Experience - Two (2) years professional coding experience In Lieu Of NA Required Certifications, Registrations, Licenses Certified Professional Coder-CPC Knowledge, Skills and Abilities Maintains knowledge of governmental and commercial payer guidelines. Participates in coding educational opportunities (webinars, in house training, etc.). Ability to utilizes appropriate coding software and coding resources in order to determine correct codes. Knowledge of office equipment (fax/copier) Proficient computer skills including word processing, spreadsheets, database Data entry skills Mathematical skills Work Shift Day (United States of America) Location Greenville Memorial Med Campus Facility 7001 Corporate Department 70019178 Medical Group Coding & Education 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 validating/reviewing and assigning applicable CPT, ICD-10, Modifiers and HCPCS codes for inpatient, outpatient and physicians office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer specific coding guidelines for multi-specialty medical practice(s). Communicates with providers and team members regarding coding issues. 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. Validates/reviews codes for assigned provider(s)/Division(s) based on medical record documentation. Adheres to all coding and compliance guidelines. Responsible for resolving all assigned pre-billing edits Communicates billing related issues and participates in meetings to improve overall billing process Provides feedback to providers in order to clarify and resolve coding concerns. Assists in identifying areas that need additional training. 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. Associate degree preferred Experience - Two (2) years professional coding experience In Lieu Of NA Required Certifications, Registrations, Licenses Certified Professional Coder-CPC Knowledge, Skills and Abilities Maintains knowledge of governmental and commercial payer guidelines. Participates in coding educational opportunities (webinars, in house training, etc.). Ability to utilizes appropriate coding software and coding resources in order to determine correct codes. Proficient computer skills including word processing, spreadsheets, database Data entry skills Mathematical skills Work Shift Day (United States of America) Location Corporate Facility 7001 Corporate Department 70019178 Medical Group Coding & Education 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. Conducts prospective review to abstract Hierarchical Condition Categories (HCC's) codes to report for the calendar year. Communicates (via Epic and in person) with providers on any outstanding HCC capture opportunities. Conducts retrospective reviews to ensure that documentation supports reporting the Hierarchical Condition Category code prior to payor submission. 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. Conducts prospective review of charts to identify HCC opportunity. Conducts retrospective review of charts to confirm documentation supports reporting. Utilizes payor specific software to assist in capturing HCCs. Communicates with providers about HCC opportunities for improvement. Identifies suspect conditions that would potentially support reporting an HCC. Participates in education offerings Participates in monthly meetings 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. Associate degree preferred Experience - Five (5) years professional fee coding experience In Lieu Of NA Required Certifications, Registrations, Licenses Certified Professional Coder (CPC), and Certified Risk Adjustment Coder (CRC) Knowledge, Skills and Abilities Knowledge of office equipment (fax/copier) Proficient computer skills including word processing, spreadsheets, database Data entry skills Mathematical skills Work Shift Day (United States of America) Location Independence Pointe Facility 7002 Value-Based Care and Network Services Department 70028459 HCC Coding 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 validating/reviewing and assigning applicable CPT, ICD-10, Modifiers and HCPCS codes for inpatient, outpatient and physicians office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer specific coding guidelines for multi-specialty medical practice(s). Communicates with providers and team members regarding coding issues.Job Description Essential Functions Validate/Review codes for assigned provider(s)/Division(s) based on medical record documentation. Adheres to all coding and compliance guidelines. 40% Responsible for resolving all assigned pre-billing edits.15% Utilizes appropriate coding software and coding resources in order to determine correct codes. 15% Communicates billing related issues to assigned supervisor/manager and participates in Denial meetings in order to improve overall billing when applicable. 10% Participates in coding educational opportunities (webinars, in house training, etc.). 5% Provides timely feedback to providers in order to clarify and resolve coding concerns. 5% Maintain knowledge of governmental and commercial payer guidelines. 5% Assists with the Coding Education team to identify areas that need additional training. 5% 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. Associate degree - Preferred Experience - 2 years - Professional coding only In Lieu Of NA Required Certifications, Registrations, Licenses Certified Professional Coder-CPC Knowledge, Skills and Abilities Knowledge of office equipment (fax/copier) Proficient computer skills including word processing, spreadsheets, database and data entry Mathematical skills Work Shift Day (United States of America) Location Independence Pointe Facility 7001 Corporate Department 70019178 Medical Group Coding & Education 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 validating/reviewing and assigning applicable CPT, ICD-10, Modifiers and HCPCS codes for inpatient, outpatient and physicians office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer specific coding guidelines for multi-specialty medical practice(s). Communicates with providers and team members regarding coding issues. 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. * Validates/reviews codes for assigned provider(s)/Division(s) based on medical record documentation. Adheres to all coding and compliance guidelines. * Responsible for resolving all assigned pre-billing edits * Communicates billing related issues and participates in meetings to improve overall billing process * Provides feedback to providers in order to clarify and resolve coding concerns. * Assists in identifying areas that need additional training. * 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. Associate degree preferred * Experience - Two (2) years professional coding experience In Lieu Of * NA Required Certifications, Registrations, Licenses * Certified Professional Coder-CPC Knowledge, Skills and Abilities * Maintains knowledge of governmental and commercial payer guidelines. * Participates in coding educational opportunities (webinars, in house training, etc.). * Ability to utilizes appropriate coding software and coding resources in order to determine correct codes. * Knowledge of office equipment (fax/copier) * Proficient computer skills including word processing, spreadsheets, database * Data entry skills * Mathematical skills Work Shift Day (United States of America) Location Corporate Facility 7001 Corporate Department 70019178 Medical Group Coding & Education 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 validating/reviewing and assigning applicable CPT, ICD-10, Modifiers and HCPCS codes for inpatient, outpatient and physicians office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer specific coding guidelines for multi-specialty medical practice(s). Communicates with providers and team members regarding coding issues. 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. * Validates/reviews codes for assigned provider(s)/Division(s) based on medical record documentation. Adheres to all coding and compliance guidelines. * Responsible for resolving all assigned pre-billing edits * Communicates billing related issues and participates in meetings to improve overall billing process * Provides feedback to providers in order to clarify and resolve coding concerns. * Assists in identifying areas that need additional training. * 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. Associate degree preferred * Experience - Two (2) years professional coding experience In Lieu Of * NA Required Certifications, Registrations, Licenses * Certified Professional Coder-CPC Knowledge, Skills and Abilities * Maintains knowledge of governmental and commercial payer guidelines. * Participates in coding educational opportunities (webinars, in house training, etc.). * Ability to utilizes appropriate coding software and coding resources in order to determine correct codes. * Proficient computer skills including word processing, spreadsheets, database * Data entry skills * Mathematical skills Work Shift Day (United States of America) Location Corporate Facility 7001 Corporate Department 70019178 Medical Group Coding & Education 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.

Administers the submission of medical claims that are billed electronically to payers for processing; researches, analyzes and corrects claim edits as provided by payers and the clearinghouse software; all other duties as assigned by Management. Efficient typist and PC operator with knowledge of business office functions and third party payor billing, including reimbursement methods and requirement. High school graduate or equivalent; Expertise in communication and public relations.

The Registrar II will maintain registration and accurately collect patient liability for emergency room services, while adhering to EMTALA guidelines. The Registrar II will additionally act as an Emergency Services Secretary. This role provides clerical support/assistance to providers and nursing staff, effectively communicating, multi-tasking, and is proficient in all emergency room processes. Individuals serving in the registration and secretary roles are responsible for providing excellent customer service to our patients, visitors and staff while maintaining confidentiality of our patients PHI. SOME SPECIFIC DUTIES MAY INCLUDE: * Accurately complete registration for each patient * Accurately explains/educates patients on forms and potential patient financial responsibility * Research insurance verification and communicate any discrepancy found in verification process to patients * Collect patient liability for emergency services rendered including but not limited to co-pays, deductibles and Out Of Pocket expenses * Maintain patient charts * Maintain confidential information * Order patient supply items as requested by clinical teammates QUALIFICATIONS Required * High School diploma or GED * Excellent communication skills, written and verbal * Prior experience in customer service role Preferred * Knowledge of medical terminology * Prior experience with medical insurance including commercial and government carriers * Knowledge of HIPAA, Corporate Compliance and Regulations * Prior hospital/Emergency Department experience * EPIC experience

Located in the heart of Anderson, South Carolina, AnMed is a dynamic, not-for-profit health system dedicated to delivering exceptional care with compassion, innovation, and integrity. At AnMed, our mission is simple yet powerful: To provide exceptional and compassionate care to all we serve. AnMed has been named one of the Best Employers in South Carolina by Forbes, reflecting our commitment to a supportive, inclusive, and purpose-driven workplace. Whether you're just starting your career or looking to grow in a new direction, you'll find opportunities to thrive, lead, and make a meaningful impact here. Responsible for handling billing for physician services, filing insurance, posting payments, and bank deposits. Acts as the primary contact for patients as related to account information. Prepares and files electronically or hardcopy claims. Stays current of all Government/State/HIPPA, etc., rules and regulations pertaining to compliance in billing. Responsible for researching denials and initiating appeals, when necessary. Scans and indexes all patient information accurately and in a timely manner. Balances cash, patient payments, and GL entries to accounting reports daily. Must be able to interact with patients and the general public respectfully and professionally. Maintains and exhibits a positive, supportive and safety conscious attitude to promote a good work environment. Duties & Responsibilities * Maintains knowledge of Government, State, HIPPA, and Commercial Insurance/Managed Care, rules, and regulations governing billing compliance. * Maintains provider billing information so claims can be successfully processed and transmitted to third party payers. * Work with internal resources, clearing house vendor(s), and payers to ensure all provider information is up to date to ensure in both AnMed Health and third-party receiving systems. * Analyze, research, and independently resolve claim submission edits by obtaining information from the medical record and applying CMS rules and regulations, CPT coding guidelines, and departmental policies and procedures. * Ensure claims are submitted in the proper format and to the correct destination as defined by the requirements in the facility's various Third-Party Payer contracts. * Resolve issues with payer sources, reporting any ongoing problems to the appropriate manager or supervisor. Qualifications * High school diploma or GED. * Good communication skills, both written and verbal. * Prior experience working with the public. Preferred Qualifications * Prior electronic and/or hard copy billing. * Knowledge of medical terminology. * Familiar with the 1500 and UB04 forms and requirements for billing/collections * Background in Accounting and/or experience in accounting. * Prior experience working with Government, State, and Commercial Insurance carriers. * Knowledge of Corporate Compliance issues in regard to HIPPA and Government Programs. Benefits* * Medical Insurance & Wellness Offerings. * Compensation, Retirement & Financial Planning. * Free Financial Counseling. * Work-Life Balance & Paid Time Off (PTO). * Professional Development. * For more information, please visit: anmed.org/careers/benefits * Varied benefits packages are available for positions with a 0.6 FTE or higher.

Located in the heart of Anderson, South Carolina, AnMed is a dynamic, not-for-profit health system dedicated to delivering exceptional care with compassion, innovation, and integrity. At AnMed, our mission is simple yet powerful: To provide exceptional and compassionate care to all we serve. AnMed has been named one of the Best Employers in South Carolina by Forbes, reflecting our commitment to a supportive, inclusive, and purpose-driven workplace. Whether you're just starting your career or looking to grow in a new direction, you'll find opportunities to thrive, lead, and make a meaningful impact here. Duties & Responsibilities * Serves as liaison between the practice, patient, surgery scheduling and other various hospital departments. * Helps to facilitate medical record requests from patients, attorneys, and insurance companies. Qualifications * Minimum education: must be a high school graduate or possess a GED. * Use of typing, computer and other office skills in everyday job performance; one to two years' previous experience in a medical practice or medical setting, billing, filing, typing, preferred. * Reimbursement of third-party carriers and other insurance knowledge also desired Knowledge of medical terminology, CPT and ICD-9 coding Benefits* * Medical Insurance & Wellness Offerings * Compensation, Retirement & Financial Planning * Free Financial Counseling * Work-Life Balance & Paid Time Off (PTO) * Professional Development * For more information, please visit: anmed.org/careers/benefits * Varied benefits packages are available to employees in positions with a 0.6 FTE or higher.

Inspire health. Serve with compassion. Be the difference. Responsible for scheduling patients requiring admission, diagnostics and/or treatment services. Ensures that all referrals are received and reviewed for accuracy, staffed properly/timely, and entered into computer-based scheduling system. 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. Receives telephone requests for services and referrals. Follows protocols for "day of", prep instructions, emergencies, and rescheduling. Maintains required logs: referrals, referral sources, missed visits, and complaints. Coordinates the scheduling of patients requiring admission, diagnostic procedures and/or classes. Gathers required patient demographic, clinical and financial information and related information as required by the referral/central intake form(s). Coordinates appointments and/or classes with the appropriate clinical and clerical staff. Participates in the payroll process to ensure accuracy, completion, and legibility of time slips. May be responsible for the recruitment / hiring process and on-call responsibilities, if supporting the agency. 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 preferred Experience - Two (2) years of related work experience preferred In Lieu Of NA Required Certifications, Registrations, Licenses NA Knowledge, Skills and Abilities Knowledge of scheduling procedures Knowledge of services offered to provide accurate scheduling of clients. Communication skills Customer-oriented service skills Proficient in use of telephone equipment, voicemail, and computers Knowledge of medical terminology preferred Work Shift Day (United States of America) Location Cancer Centers - Seneca Facility 1008 Greenville Memorial Hospital Department 10559151 Revenue Cycle-Cancer Institute-CIF 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 support in daily administrative operations. 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. Provides administrative support for the office, such as answering telephones, coordinating/scheduling meetings and making travel arrangements. Reassigns employees as necessary to cover required workload Resolves routine problems in business office. Oversees sorting and prioritizing of incoming mail Responds to non-clinical patient inquiries. Advises patients and/or guardians regarding accounts, researching specific issues when necessary. Advises management on issues of patient satisfaction. Responsible for payroll documentation and processing Contacts vendors for repair or routine service of equipment. Forwards proposal/quotes to management for approval. Maintains adequate levels of office supplies. Conducts orientation and in-service training for support staff. May maintain petty cash fund. Submits appropriate documents to the physician practice leadership for reimbursement. May assist in resolving accounts receivables issues such as rejections of claims, charge corrections, billing edits, collections of old balances and other factors influencing collections. 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 Qualifications Education - High School diploma or equivalent Experience - Two (2) years related experience In Lieu Of NA Required Certifications, Registrations, Licenses NA Knowledge, Skills and Abilities Basic computer skills Data entry skills Knowledge of office equipment Mathematical skills Work Shift Day (United States of America) Location Seneca Medical Associates Facility 1080 Seneca Medical Associates Department 10806820 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. Works with patients and families to address concerns or special needs that may arise during the clinical stay of the patient. Works directly with the interdisciplinary team to solve problems that patients and families may have with the goal of facilitating a positive patient experience. Functions independently and self-directed, frequently working in conjunction with nursing. Responds to difficult customer service situations and supports families and team members. At all times, models exemplary customer service and professionalism. 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. * Responds to calls from staff and patients to serve as a liaison between clinical/non-clinical team members and patients/families to facilitate two-way communication, support, and information. Facilitates communication for families with the medical team; provides necessary information and comfort measures. * Completes patient rounding with a continual focus on the patient experience and documents rounding as defined by the department. * Serves as the initial point of contact when responding to concerns. Team member seeks resolution as part of real time service recovery. * Collaborates with patients, families, and team members regarding best practices to improve patient safety and quality measures. * Advocates for patients in a positive manner within the healthcare team. * Promotes positive customer relations and serves as a model for customer service by modelling exemplary Customer Service and professionalism. * Assists with locating patient belongings by following up with team members and updating the patient as needed. * Performs other duties as assigned. Supervisory/Management Responsibilities * This is a non-management job that will report to a supervisor, director or executive. Minimum Requirements * Education - Associate degree in a related field of study. * Experience - Two (2) years of clinical experience with at least one (1) year in a hospital setting. In Lieu Of * In lieu of an Associate degree, may accept High School Diploma or GED and three (3) years of related experience within a hospital setting. Required Certifications, Registrations, Licenses * NA Knowledge, Skills and Abilities * Knowledge of office equipment (fax/copier) * Proficient computer skills (word processing, spreadsheets, database) * Data entry skills Work Shift Night (United States of America) Location 5 Medical Park Rd Richland Facility 1510 Richland Hospital Department 15106780 Emergency 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.

Inspire health. Serve with compassion. Be the difference. Works with patients and families to address concerns or special needs that may arise during the clinical stay of the patient. Works directly with the interdisciplinary team to solve problems that patients and families may have with the goal of facilitating a positive patient experience. Functions independently and self-directed, frequently working in conjunction with nursing. Responds to difficult customer service situations and supports families and team members. At all times, models exemplary customer service and professionalism. 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. Responds to calls from staff and patients to serve as a liaison between clinical/non-clinical team members and patients/families to facilitate two-way communication, support, and information. Facilitates communication for families with the medical team; provides necessary information and comfort measures. Completes patient rounding with a continual focus on the patient experience and documents rounding as defined by the department. Serves as the initial point of contact when responding to concerns. Team member seeks resolution as part of real time service recovery. Collaborates with patients, families, and team members regarding best practices to improve patient safety and quality measures. Advocates for patients in a positive manner within the healthcare team. Promotes positive customer relations and serves as a model for customer service by modelling exemplary Customer Service and professionalism. Assists with locating patient belongings by following up with team members and updating the patient as needed. Performs other duties as assigned. Supervisory/Management Responsibilities This is a non-management job that will report to a supervisor, director or executive. Minimum Requirements Education - Associate degree in a related field of study. Experience - Two (2) years of clinical experience with at least one (1) year in a hospital setting. In Lieu Of In lieu of an Associate degree, may accept High School Diploma or GED and three (3) years of related experience within a hospital setting. Required Certifications, Registrations, Licenses NA Knowledge, Skills and Abilities Knowledge of office equipment (fax/copier) Proficient computer skills (word processing, spreadsheets, database) Data entry skills Work Shift Night (United States of America) Location 5 Medical Park Rd Richland Facility 1510 Richland Hospital Department 15106780 Emergency 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.

Inspire health. Serve with compassion. Be the difference. Receives and interviews patients to collect and verify pertinent demographic and financial data. Verifies insurance and initiates pre-authorization process when required. Collects required payments or makes necessary financial arrangements. Performs all assigned duties in a courteous and professional manner. May perform business office functions. 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. Interviews patient or other source (in accordance with HIPAA Guidelines) to secure information relative to financial status, demographic data and employment information. Enters accurate information into computer database, accesses Sovera to ensure the most recent insurance card is on file, and scans documents according to departmental guidelines. Follows up for incomplete and missing information. Verifies insurance coverage/benefits utilizing online eligibility or by telephone inquiry to the employer and/or third-party payor. Information obtained through insurance verification must always be documented in the system. Assigns appropriate insurance plan from the third-party database; ensures insurance priorities are correct based on third-party requirements/ COB. Initiates pre-certification process as required according to Departmental Guidelines; obtains signed waiver for cases where pre-certification is required but not yet obtained. Obtains necessary signatures and other information on appropriate forms and documents as required including, but not limited to, Consent Form, Liability Assignment, and Waiver Letter. Receives payments and issues receipts, actively working toward collection goals. Maintains cash funds/verification logs and makes daily deposits according to departmental policies and procedures. Prepares and distributes appropriate reports, documents, and patient identification items as required. This includes, but is not limited to, Privacy Notice, Patient Rights and Responsibilities, Patient Rights in Healthcare Decisions Brochure, Medicare Booklet, schedules, productivity logs, monthly collection reports, patient armbands, patient valuables, etc. Communicates to patients their estimated financial responsibility. Requests payment prior to or at the time of service. Refers patients who may need extended terms to the Medical Services Payment Program and patients needing financial assistance to appropriate program. 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 of Admissions, Billing, Collections, Insurance and/or Customer Service In Lieu Of NA Required Certifications, Registrations, Licenses NA Knowledge, Skills and Abilities Basic computer skills (word processing, spreadsheets, database, data entry) Mathematical skills Registration and scheduling experience preferred Familiarity with medical terminology preferred Work Shift Evening (United States of America) Location Parkridge Facility 7001 Corporate Department 70019238 Patient Access - Parkridge 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. Receives and interviews patients to collect and verify pertinent demographic and financial data. Verifies insurance and initiates pre-authorization process when required. Collects required payments or makes necessary financial arrangements. Performs all assigned duties in a courteous and professional manner. May perform business office functions. 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. Interviews patient or other source (in accordance with HIPAA Guidelines) to secure information relative to financial status, demographic data and employment information. Enters accurate information into computer database, accesses Sovera to ensure the most recent insurance card is on file, and scans documents according to departmental guidelines. Follows up for incomplete and missing information. Verifies insurance coverage/benefits utilizing online eligibility or by telephone inquiry to the employer and/or third-party payor. Information obtained through insurance verification must always be documented in the system. Assigns appropriate insurance plan from the third-party database; ensures insurance priorities are correct based on third-party requirements/ COB. Initiates pre-certification process as required according to Departmental Guidelines; obtains signed waiver for cases where pre-certification is required but not yet obtained. Obtains necessary signatures and other information on appropriate forms and documents as required including, but not limited to, Consent Form, Liability Assignment, and Waiver Letter. Receives payments and issues receipts, actively working toward collection goals. Maintains cash funds/verification logs and makes daily deposits according to departmental policies and procedures. Prepares and distributes appropriate reports, documents, and patient identification items as required. This includes, but is not limited to, Privacy Notice, Patient Rights and Responsibilities, Patient Rights in Healthcare Decisions Brochure, Medicare Booklet, schedules, productivity logs, monthly collection reports, patient armbands, patient valuables, etc. Communicates to patients their estimated financial responsibility. Requests payment prior to or at the time of service. Refers patients who may need extended terms to the Medical Services Payment Program and patients needing financial assistance to appropriate program. 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 of Admissions, Billing, Collections, Insurance and/or Customer Service In Lieu Of NA Required Certifications, Registrations, Licenses NA Knowledge, Skills and Abilities Basic computer skills (word processing, spreadsheets, database, data entry) Mathematical skills Registration and scheduling experience preferred Familiarity with medical terminology preferred Work Shift Day (United States of America) Location Parkridge Facility 7001 Corporate Department 70019238 Patient Access - Parkridge 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 support and lead for schedulers; oversees essential scheduling preparation for the department. Maintains a high level of communication throughout the department with all staff to coordinate complex procedures. Work closely with department managers to adjust the schedule and/or guidelines under their direction to optimize the schedule as well as make constant efforts to improve the patient experience and minimize scheduling errors. 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. * Creates instructional guides for scheduling for current and new schedulers. Updates scheduling forms as needed. Creates resources as needed for schedulers. Creates tools as needed to optimize scheduling performance. Revises processes as necessary to accommodate the frequently changing schedule and department guidelines for scheduling. * Communicates with internal team members and leaders regarding scheduling problems. Proposes solutions for scheduling issues. Collaborates with scheduler(s) to coordinate availability with scheduling needs. Provides feedback for administration regarding changes to resources and availability to increase patient access to care. Coordinates available resources to provide access to care to meet department demands. Assists other schedulers in revising room assignments based on department guidelines to optimize available resources. Serves as a point person for coordinating complex procedures requiring multiple resources within the department. Provides guidance for coordinating available resources for procedure scheduling. * Adjusts hours to provide coverage during a shortage of staff or employee's absence. Arranges coverage by reaching out to PRN or part time schedulers to adjust hours and/or days as needed during PTO or absence. Adjusts workflow as needed to ensure department performance. Promotes efficiency among all schedulers. Provide training to new schedulers for procedure scheduling and department workflow. Offers a deep understanding of posting cases and provides guidance to other schedulers in this process for cases that involve specials and/or physician. * Contacts reps as needed for procedures. * Expedites scheduling needs as required. Place "holds" and blocks as needed for availability. Coordinates meetings and training with procedure schedule. * 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 GED equivalent. Post High School Education up to 18 months. * Experience - Two (2) years scheduling experience In Lieu Of * NA Required Certifications, Registrations, Licenses * NA Knowledge, Skills and Abilities * Customer service skills * Computer skills with a proficiency with databases, data entry * Knowledge of office equipment (fax/copier) Work Shift Day (United States of America) Location Greenville Memorial Med Campus Facility 1008 Greenville Memorial Hospital Department 10089081 Cardiology Administration 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. Receives and interviews patients to collect and verify pertinent demographic and financial data. Verifies insurance and initiates pre-authorization process when required. Collects required payments or makes necessary financial arrangements. Performs all assigned duties in a courteous and professional manner. May perform business office functions. 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. Interviews patient or other source (in accordance with HIPAA Guidelines) to secure information relative to financial status, demographic data and employment information. Enters accurate information into computer database, accesses Sovera to ensure the most recent insurance card is on file, and scans documents according to departmental guidelines. Follows up for incomplete and missing information. Verifies insurance coverage/benefits utilizing online eligibility or by telephone inquiry to the employer and/or third-party payor. Information obtained through insurance verification must always be documented in the system. Assigns appropriate insurance plan from the third-party database; ensures insurance priorities are correct based on third-party requirements/ COB. Initiates pre-certification process as required according to Departmental Guidelines; obtains signed waiver for cases where pre-certification is required but not yet obtained. Obtains necessary signatures and other information on appropriate forms and documents as required including, but not limited to, Consent Form, Liability Assignment, and Waiver Letter. Receives payments and issues receipts, actively working toward collection goals. Maintains cash funds/verification logs and makes daily deposits according to departmental policies and procedures. Prepares and distributes appropriate reports, documents, and patient identification items as required. This includes, but is not limited to, Privacy Notice, Patient Rights and Responsibilities, Patient Rights in Healthcare Decisions Brochure, Medicare Booklet, schedules, productivity logs, monthly collection reports, patient armbands, patient valuables, etc. Communicates to patients their estimated financial responsibility. Requests payment prior to or at the time of service. Refers patients who may need extended terms to the Medical Services Payment Program and patients needing financial assistance to appropriate program. 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 of Admissions, Billing, Collections, Insurance and/or Customer Service In Lieu Of NA Required Certifications, Registrations, Licenses NA Knowledge, Skills and Abilities Basic computer skills (word processing, spreadsheets, database, data entry) Knowledge of office equipment (fax/copier) Mathematical skills Registration and scheduling experience- Preferred Familiarity with medical terminology- Preferred Work Shift Variable (United States of America) Location Tuomey Facility 7001 Corporate Department 70019239 Patient Access - Tuomey 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.