
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.
🔥 2 minutes ago
🌴 South Carolina – Remote
⏰ Full Time
🟢 Junior
🟡 Mid-level
đź’¸ Financial Planning and Analysis (FP&A)
🚫👨‍🎓 No degree required
🦅 H1B Visa Sponsor
đź‘» Ghost score 13%
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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.
• Perform accurate and timely follow up on variances, no payments, and denials for billed accounts receivable across all payers • Review prior account activity and contact payers or use payer websites to obtain current outstanding account status • Correct claims or obtain requested payer information • Complete appropriate workflows and detailed account notes for next steps and resolution • Perform daily collections, variance, and technical denial duties to drive accounts toward resolution • Interpret and apply managed care contract terms for payer resolution • Escalate accounts to payers, internal departments, or patients when appropriate • Identify trends, repeated problems, and charge corrections for management • Contribute to the PFS department matrix and assist co-workers as time allows • Monitor productivity and quality, identify root causes, and act on quality problems • Perform other duties as assigned
• High School diploma or equivalent OR post-high school diploma/highest degree earned • Two (2) years medical billing, customer service, follow up and/or medical office experience • CRCA preferred • CRCR preferred • Proficient in Microsoft Office applications including Word, Excel, Outlook, and Teams • Communication skills • Compliance with laws and regulations • Medical billing, follow up and/or medical office skills • Analytical skills • Attention to detail • Maintains professional growth and development through seminars, workshops, in-service meetings, current literature and professional affiliations
• Full-time day shift • Remote work indicated in the job title
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