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Admission Specialist

🔥 14 hours ago

🌴 South Carolina – Remote

infoinfo

⏰ Full Time

🟡 Mid-level

🟠 Senior

Where this job comes from

Posted on Prisma Health's careers page, not through a job board

First seen by Remote Rocketship 14 hours ago

Still open on Prisma Health's site. Checked 39 minutes ago.

Logo of Prisma Health

Prisma Health

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

Prisma Health is a comprehensive health care provider offering a wide range of medical services to ensure individuals achieve their healthiest state. With numerous locations, advanced technology, and expert specialists, Prisma Health provides accessible and convenient care. Services include primary care, specialized heart, cancer, women's, and children's health, as well as same-day and telehealth options. Prisma Health emphasizes community outreach and education to support overall health and wellness.

📋 Description

• Act as the initial point of contact to payors for Inpatient admissions and Observation • Submit required documentation for initial authorization/notification purposes • Obtain and communicate statistical data for assigned patient population areas • Update and maintain authorization numbers and approved days in registration and other applicable systems • Secure discharge dates for payers as assigned • Verify insurance coverage and benefits through online eligibility systems or telephone inquiries • Document insurance verification information in the system • Ensure insurance priorities are correct based on third-party requirements/COB • Initiate pre-certification processes according to departmental guidelines • Interview patients or representatives to obtain financial, demographic, and employment information • Enter accurate information into computer databases • Access Sovera to review whether the most recent insurance card is on file • Follow up on incomplete and missing information • Collaborate with other departments to ensure efficient processes and facilitate problem solving

🎯 Requirements

• High School diploma or equivalent • 3 years of experience in Revenue Cycle, Patient Access/Billing, Collections and/or Customer Service • Medical Terminology • Basic computer skills • Knowledge of office equipment • Proficient computer skills (word processing) • Data entry • Ability to comply with HIPAA and EMTALA Guidelines

🏖️ Benefits

• Full-time employment • Day shift • Remote work arrangement

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