Patient Liaison jobs at Professional Case Management - 6355 jobs

:Proficient in a variety of clerical duties in department including typing, filing, ordering of supplies, charging, use of computer programs, as necessary to maintain departmental operations. Must demonstrate effective communication skills both verbal and written. Makes suggestions, and implements change as necessary to improve the function of the department. Education: ▪ Required: High School Diploma or Equivalent OR obtain GED within 2 yrs Experience: ▪ Preferred: 1-2 Years Medical Office Experience Skills: ▪ Excellent verbal and written communication skills. ▪ Able to work independently and collaboratively in teams. ▪ Self starter. ▪ Knowledge of Word Processing, computers, multi-line phone & other office equipment ▪ Types a minimum of 40 wpm Licensure/Certification/Registration: ▪ N/A

This role plays a key part in ensuring maternity care bills are processed accurately and members receive timely support during an important season of life. The specialist serves as a detail-oriented professional who upholds CHM's commitment to excellence, compassion, and integrity. WHAT WE OFFER Compensation based on experience. 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 Compile, verify, and organize information according to priorities to prepare data for entry Check for duplicate records before processing Accurately enter medical billing information into the company's software system Research and correct documents submitted with incomplete or inaccurate details Verify member information such as enrollment date, participation level, coverage status, and date of service before processing medical bills Review data for accuracy and completeness Uphold the values and culture of the organization Follow company policies, procedures, and guidelines Verify eligibility in accordance with established policies and definitions Identify and escalate concerns to leadership as appropriate Maintain daily productivity standards Demonstrate eagerness and initiative to learn and take on a variety of tasks Support the overall mission and culture of the organization Perform other duties as assigned by management SKILLS & COMPETENCIES Core strengths like problem-solving, attention to detail, adaptability, collaboration, and time management. Soft skills such as empathy (especially important in maternity care), professionalism, and being able to handle sensitive information with care. EXPERIENCE REQUIREMENTS Required: High school diploma or passage of a high school equivalency exam Medical background preferred but not required. Capacity to maintain confidentiality. Ability to recognize, research and maintain accuracy. Excellent communication skills both written and verbal. Able to operate a PC, including working with information systems/applications. Previous experience with Microsoft Office programs (I.e., Outlook, Word, Excel & Access) Experience operating routine office equipment (i.e., faxes, copy machines, printers, multi-line telephones, etc.) 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.

Benefits We Offer: + Comprehensive health, prescription, dental, vision, life, and disability plans + Competitive pay rates + Referral opportunities ? Refer a friend & Cash in! + Travel reimbursement and per diem allowances + Employee discounts + Educational opportunities Health Advocates Network was founded based on a shared aspiration to improve the way healthcare staffing is done. We are a company founded by healthcare professionals and built for healthcare professionals. As your true advocates, we will always help you thrive and pave the path forward in your career. Our talented staffing team is committed to providing exceptional customer service, great opportunities with top pay and benefits. From Per Diem to Travel Contracts, miles away or local to you, Health Advocates Network can find you just what you are looking for. Allow us to get you to you next adventure! Health Advocates Network, Inc. is an equal opportunity employer. All qualified applicants shall receive consideration for employment without regard to any legally protected basis under applicable federal, state or local law, except where a bona fide occupational qualification applies. EOE including Veterans/Disability

A leading healthcare provider in Houston is seeking a Senior Scheduler to manage appointment scheduling for complex services. The role involves clear communication with patients and medical staff, ensuring timely access to healthcare services, and training new staff members. Candidates should have a high school diploma and relevant experience in medical scheduling or a call center environment. This position offers opportunities for personal growth and a dynamic team environment. #J-18808-Ljbffr

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 financialresponsibility.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 Oconee Medical Campus Facility 7001 Corporate Department 70019270 Patient Access-Oconee 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. Performs functions of moderate to difficult complexity with high visibility and high risk from a compliance and regulatory standpoint. Assists Management with training, orienting and monitoring day to day performance of team members to ensure departmental policies and processes are being followed, responsible for daily cash handling procedures, assists with the development of team member schedules and registers patients. Subject Matter Expert for the department. 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 sources, in accordance with HIPAA guidelines, to obtain complete and accurate patient demographic and financial information for the purpose of establishing the patient record and facilitating timely claims payment. Collects and records information that supports the clinical team with ensuring requirements are met surrounding health equity and the social determinates of healthcare, which is subject to review by CMS and the joint Commission. Performs routine account analysis and problem solving. Alleviates difficult situations and handles patient inquiries and/or concerns. Acts as a preceptor to ensure team members are equipped to complete efficient registration processes to support an optimal patient experience. This includes collecting demographic and financial information, in accordance with HIPAA guidelines, to facilitate timely payment, discussing the patient estimate and collecting patient balances due. A further responsibility includes collecting and recording information in the system that supports the clinical team with health equity and the social determinates of healthcare. This information is subject to review by The Joint Commission and DHEC. Includes education for team members that outlines specific workflows to be followed. Acts as a preceptor to ensures compliance with the provision of documents and forms as required by regulation; in some instances, signatures are required. Compliance regarding documents and forms is subject to review by CMS, DHEC and the Joint Commission. These forms/documents include but are not limited to Advance Directives, Lewis Blackman Patient Safety Act, Notice of Privacy Practices, Patient Rights and Responsibilities, Permission to Treat, Limited Visitation Policy, Medicare Admission Questionnaire, Medicare Important Message and Medicare Outpatient Observation Notice. Lack of compliance can create a regulatory finding or jeopardize participation with CMS. Maximizes collections and minimizes bad debt by providing estimated costs for patient responsibility at time of service. Collects current and past balances in accordance with departmental cash handling procedures. Monitors daily collections to identify trends and to recommend improvements. Collaborates with Patent Access Leadership to coordinate team member schedules, including scheduling rotation, time off, and call-offs as necessary. Ensures adequate coverage in accordance with organizational policies. Minimizes overtime while maximizing productivity. May be required to fill in for call-offs, staffing issues, or unexpected volumes. Provides education to inform team members of relevant changes and developments in payor requirements. Pivots to meet the changing needs of payor requirements to maximize cash flow for the organization. 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 - Four (4) years hospital admissions, billing and/or credit/collections experience In Lieu Of In lieu of education and experience detailed above, four (4) years in a service-related position (i.e., customer service in a business/office setting, banking, or finance) to include two (2) years in a lead capacity. Preference is given to candidates with experience in hospital admissions, billing, or credit/collections. In lieu of education and experience detailed above, an Associate degree and two (2) years of experience may be considered. In lieu of education and experience detailed above, Bachelor's degree plus one (1) year experience may be considered Required Certifications, Registrations, Licenses NA Knowledge, Skills and Abilities Maintains a working knowledge of third-party payment requirements, including (as applicable) Medicare, Medicaid, managed care organizations, private insurers, and worker's compensation carriers. Ability to foster an environment that focuses on an optimal patient experience through accountability, collaboration, team member participation, and effective communication Proficient computer skills including word processing, spreadsheets and database Work Shift Split (United States of America) Location Oconee Medical Campus Facility 7001 Corporate Department 70019270 Patient Access-Oconee 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. 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. 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.

At Tendercare Home Health, the Scheduling Coordinator plays a vital role as the voice of our patients and employee experience. In this key position for our company, you will ensure that our patients receive the best possible staffing support tailored to their needs while fostering an exceptional experience for both patients and employees. This role is key to our mission of delivering top-quality care, placing you at the forefront of supporting families through challenging situations and coordinating the services they need. Through effective communication via text, email, and phone, you will facilitate seamless care coordination, ensuring clients are appropriately staffed for their care needs. This position is on-site at our Tendercare office in Indianapolis. Essential Duties: Communicate clearly, kindly, and effectively as a primary representative of Tendercare Home Health. Acts as the main point of contact for patients and employees regarding schedules which can include hospitalizations, call-offs, etc. Build patient schedules that align with the patient's health insurance benefits (will be provided). Clear alerts in Tendercare's electronic medical records system, CellTrak. Collaborate with other departments to provide top quality, kind, and compassionate support to Tendercare patients, families, and employees. Must strictly adhere to the Health Insurance Portability and Accountability Act (HIPAA) requirements regarding privacy and security of health information of clients of Tendercare. Participate in a rotating Sunday on call schedule (8 a.m. Sunday to 8 a.m. Monday). Schedulers will also take turns covering on-call shifts on holidays. One scheduler should not do more than 2 holidays per year. Performs other duties as assigned. Required Qualifications: Excellent verbal and written communication skills. Must be a strong multitasker with exceptional follow-up skills. Exceptional interpersonal skills with the ability to manage sensitive and confidential situations with tact, professionalism, and diplomacy. Associate degree or equivalent experience preferred. Strong attention to detail within multiple platforms. Proficient with Microsoft Office Suite or related software. Experience with medical records systems or similar software is preferred. Ability to sit at a desk and work on a computer for extended periods (up to 8 hours per day). Ability to communicate clearly in person and over the phone. Tendercare Home Health Services has been a family-owned and operated business for the past 30 years. We believe in doing what's right for our patients and we do all we can to take care of our nurses. We're a top workplace and believe that a happy nurse equals a happy patient. We're looking for quality candidates to join our fast-growing company. Compensation Range: $22-27/hourly

Inspire health. Serve with compassion. Be the difference. Responsible for actively maintaining current network market share and expanding new network opportunities for the Transplant Center throughout South Carolina and the Southeast Region. Single point of contact for all elements associated with new patient referrals for transplant evaluation and HBP surgery management. Provides information, education, and support to Prisma Health physician providers, the program's network of referring providers and patients. Acts as the single point of contact for new and existing transplants and referring physicians/clinicians. Represents the Prisma Health Transplant Center physicians and all other physicians, and provides direct support to clinician contact, promoting tighter integration of outpatient transplant, and HBP patient follow-up. Implements systems to recruit new patients and providers, improve patient selection, review outcomes, provide early and accurate feedback to referring clinicians. Tracks performance data and conducts regular site visits to review results with physicians and staff; helps to create, implement, and follow-up on action plans to further improve patient outcomes. 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 Maintains detailed current and clinical knowledge of patient populations for transplant and HBP plan of care. Facilitates cooperative and collaborative relationships among the various disciplines and departments to ensure effective quality patient care delivery. Focus on maintaining current referral sources and building new relationships. Provide frequent feedback to referring clinicians about the status of their patients within our program. Track referrals/volumes and network relationships. Provide on-site information and training sessions for physicians/clinicians and office staff to further enhance success in transplant patients. Oversight of Referral Reporting - track and organize incoming reports from Referral sites and Prisma Health. Disseminate information to Physicians, Program Leadership, and staff and ensure understanding of results through regular meetings and dialogue. Maintains collaborative team relationships with peers and colleagues in order to effectively contribute to the working group's achievement of goals, and to help foster a positive work environment. Utilizes tools developed to monitor performance. 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 - Bachelor's degree in Healthcare Administration, Business, Finance, or related field of study. Experience - Three (3) years of related healthcare experience. Experience in transplant field or community outreach preferred. Experience in marketing preferred. In Lieu Of NA Required Certifications, Registrations, Licenses NA Knowledge, Skills and Abilities NA Work Shift Day (United States of America) Location Greenville Memorial Med Campus Facility 1008 Greenville Memorial Hospital Department 10509199 Clinic Administration-Transplant 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. Accountabilities 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. - 40% 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. - 20% 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.- 10% 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. - 10% 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. - 10% Communicates to patients their estimated financialresponsibility.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. - 10% 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 2 years-Admissions, Billing, Collections, Insurance and/or Customer Service Required Certifications/Registrations/Licenses N/A In Lieu Of The Minimum Requirements Noted Above N/A Other Required Skills and Experience Basic computer skills Knowledge of office equipment (fax/copier) Word Processing Spreadsheets Database Data Entry Mathematical Skills Registration and scheduling experience- Preferred Familiarity with medical terminology- Preferred Work Shift Night (United States of America) Location Patewood Memorial Hospital Facility 7001 Corporate Department 70019267 Patient Access-Patewood 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 financialresponsibility.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 Day (United States of America) Location Blount Memorial Hospital Facility 7001 Corporate Department 70019272 Patient Access-Blount 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. 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 Blount Memorial Hospital Facility 8100 BMPG Joule Street Alcoa Department 81001003 BMPG Primary Care Joule St 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. 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. 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.

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 financialresponsibility.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 Night (United States of America) Location Laurens County Medical Campus Facility 7001 Corporate Department 70019269 Patient Access-Laurens 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.