Qureos Mentor

Prisma Health

<div>Inspire health. Serve with compassion. Be the difference.
Job Summary
Perform routine assistive tasks to assist the Registered Nurse to meet basic patient needs, unlicensed assistive personnel.<div>
Essential Functions<ul><li>
All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference.</li><li>
Assists patient with needs associated with personal hygiene. Duties include, but are not limited to, bathing, washing hair, brushing teeth and hair, and washing hands.</li><li>
Assists patients with needs related to nutrition and feeding. Duties include, but are not limited to, assisting with feeding, drinking, and setting up meal trays.</li><li>
Assists patients with needs related to ambulation. Duties include, but are not limited to, dangling, walking, walking with assistive device, and implementing fall prevention measures under the direction of the registered nurse.</li><li>
Meets patients' needs related to elimination. Duties include, but are not limited to, assisting patient with getting to the bathroom, using a bedside commode, using a bedpan, and/or using a urinal. Accurately monitors inputs and outputs.</li><li>
Completes and documents patient vital signs. Duties include assessing blood pressure, pulse, temperature, heart rate, and oxygenation via pulse ox or ETC02. Reports abnormal values to the registered nurse.</li><li>
Performs other duties as assigned.</li></ul></div>
Supervisory/Management Responsibilities<ul><li>
This is a non-management job that will report to a supervisor, manager, director, or executive.</li></ul>
Minimum Requirements<ul><li>
Education - Completion of a Nursing Assistant, Patient Care Tech, Medical Assistant or Nursing Fundamentals course. High School Diploma or equivalent preferred</li><li>
Experience - Previous nursing assistant, medical assistant or related experience preferred. One year hospital clerical experience preferred.</li></ul>
In Lieu Of
<ul><li>In lieu of school verification of a nursing assistant training course, may accept current or former CNA certification as proof of completed state required training at time of hire.
</li><li>In lieu of school verification of a medical assistant training course, may accept current or former CMA certification as proof of completed required training at time of hire.
</li></ul>Required Certifications, Registrations, Licenses<ul><li>
Candidates must successfully complete Prisma Health unit secretary course and training within 90 days of hire.</li></ul>
Knowledge, Skills and Abilities<ul><li>
NA</li></ul>
Work Shift
Night (United States of America)
Location
Richland
Facility
1510 Richland Hospital
Department
15106506 9E Acute Care of the Elderly
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.</div>

Patient Support Technician, Full-Time, Nights

<div>Inspire health. Serve with compassion. Be the difference.
Job Summary
Provides advanced evaluation, stabilization, and critical care management for patients aged 0-17 years old, including the extremely preterm infant, requiring transport between facilities. Ensures safe and effective care during transport, following established clinical protocols and regulations
Essential Functions<ul><li>
All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference.</li><li>
Performs detailed physical assessment, establishes a plan of care and performs advanced critical care stabilization for patients being transported following designated protocols and procedures to include all advanced respiratory therapy as approved by the Program&rsquo;s Medical Control Physicians and SC DPH Division of EMS. The RT performs airway maintenance including proper use of manual resuscitators, oral and nasal pharyngeal airway insertion, intubations, and tracheostomy care. Initiates, maintains, transports and monitors mechanical ventilators to include conventional and non-conventional modes of ventilation. Independently manages both advanced invasive and non-invasive mechanical ventilation.</li><li>
Exhibits effective communication and intentional compassion, ensuring professional bedside interactions with patients and families, referring physicians, outlying facilities, and EMS support personnel.</li><li>
Provides maintenance and follow-up for equipment and supply needs to ensure system readiness. Adheres to infection control and quality initiatives. Performs appropriate cleaning/disinfection and sterilization of equipment between patients as indicated by equipment type and isolation status.</li><li>
Collects data to assist in regulatory compliance, quality improvement and patient satisfaction issues.</li><li>
Initiates various specialty skills to include, but not limited to endotracheal intubation, blood gas sampling from capillary, venous, and arterial sites, umbilical venous insertion, and needle decompression.</li><li>
Ability to perform duties on all transport modalities to include rotor-wing, fixed-wing, or ground ambulance.</li><li>
Provides a complete and accurate report to Medical Control. Makes recommendations to medical directors during transport as appropriate. Accurately and completely documents patient care via electronic software.</li><li>
Demonstrates responsible stewardship of organizational resources, including supplies, time, and productivity, and performing other duties as assigned.</li><li>
Performs other duties as assigned.</li></ul>
Supervisory/Management Responsibilities<ul><li>
This is a non-management job that will report to a supervisor, manager, director or executive.
</li></ul>Minimum Requirements<ul><li>
Education - Associate&rsquo;s degree in Respiratory Therapy. Graduate of a school for Respiratory Therapy approved by the American Medical Association or a successor accrediting authority.</li><li>
Experience - Three (3) years of inpatient and/or ED experience as a Registered Respiratory Therapist with at least two (2) years of Level III NICU and PICU experience.
</li></ul>In Lieu Of
<ul><li>NA</li></ul>
Required Certifications, Registrations, Licenses<ul><li>
Licensed to practice as a Respiratory Therapist in the state the team member is working.</li><li>
RRT from NBRC (credentials must be maintained)</li><li>
BLS, ACLS, NRP, STABLE and PALS.</li><li>
Advanced specialty certification within two (2) years of hire.</li><li>
A valid driver&rsquo;s license; an acceptable motor vehicle record, as defined by the Acceptable Motor Vehicle Record (MVR) Chart.</li></ul>
Knowledge, Skills and Abilities<ul><li>
Knowledge and experience with various ventilators including the High Frequency Oscillator Ventilator (HFOV), Jet Ventilator, TXP, and Nitric delivery systems.</li></ul>
Work Shift
Variable (United States of America)
Location
Mobile Care Ambulance Services
Facility
1024 Prisma Health EMS
Department
10247256 Ambulance 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.</div>

Respiratory Therapist (RT)- Neonatal-Pediatric Critical Care Transport (FT)

<div>Inspire health. Serve with compassion. Be the difference.
Job Summary
Responsible for the daily operations of the physician practice to include the provision of quality services to patients, the promotion of teamwork among the staff, maintenance of the building and equipment, compliance with all applicable policies and procedures and operating within the approved budget.
Essential Functions<ul><li>
All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference.</li><li>
Coordinates and directs the daily operations of the practice including the development, implementation, and maintenance of department policies and procedures. Interprets, implements and educates employees on all practice policies and procedures, as well as hospital policies and procedures.</li><li>
Identifies problems and needs by daily rounds and recommends operational changes to improve efficiency and effectiveness.</li><li>
Maintains medical records that are legible, accurate, accessible and confidential.
</li><li>Establishes and maintains appropriate measures to ensure the safety and security of employees, facilities and equipment.</li><li>
Monitors staffing levels in relationship to workload and makes adjustments as appropriate.</li><li>
Ensures problems, complaints, and regulatory violations are investigated and appropriate action is taken to resolve the issue within the requested time frame.</li><li>
Performs other duties as assigned.</li></ul>
Supervisory/Management Responsibility<ul><li>
Job has direct and/or indirect supervision of employees that may include final budget authority, hire/termination/disciplinary authority, performance appraisal responsibility. Job will be considered a member of the management staff with direct reports.</li></ul>
Minimum Requirements<ul><li>
Education - High school diploma or equivalent. Bachelor's degree in Business Administration or related - Preferred</li><li>
Experience - Five (5) years clerical experience in a healthcare setting. Two (2) years at a lead/coordinator level in billing, admissions, scheduling, and/or medical records. One (1) year management level preferred.</li></ul>
In Lieu Of
<ul><li>In lieu of education and experience noted above, a Bachelor's degree (Business Administration or related) and two (2) years at lead/coordinator level in healthcare billing, admissions, scheduling, and/or medical records may be considered.</li><li>
In lieu of education and experience noted above (for internal Prisma Health candidates), a Bachelor's degree plus two (2) years of Prisma Health experience in a supervisory role may be considered</li><li>
In lieu of education and experience noted above (for internal Prisma Health candidates), an Associate degree, two (2) years Prisma Health experience in a financial or operations supervisory role with three (3) years of experience in management, finance or operations, in the healthcare or non-healthcare industry. (Associates degree; total experience 5 years supervisor/management) may be considered.</li><li>
In lieu of education and experience noted above (for internal Prisma Health candidates), two (2) years of experience in a Prisma Health financial or operations supervisory role with five (5) years of experience management in a healthcare or non-healthcare setting such as finance, operations or customer service (no degree; total of 7 years management/supervisory experience) may be considered.</li></ul>
Required Certifications, Registrations, Licenses<ul><li>
NA</li></ul>
Knowledge, Skills and Abilities<ul><li>
Proficient computer skills (word processing, spreadsheets, database, data entry)</li></ul>
Work Shift
Day (United States of America)
Location
Pelham Family Medicine
Facility
2486 Pelham Family Medicine
Department
24861000 Pelham Family Medicine-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.</div>

Mgr-Physician Practice Manager I F/T Day - Pelham Family Medicine

<div>Inspire health. Serve with compassion. Be the difference.
Job Summary
Represents Prisma Health with patients, families, and visitors in responding to concerns. Partners with senior patient advocates, patient safety, quality and risk management to address more clinically focused and complex concerns. Coordinates the resolution of complaints and grievances with leaders and physicians across the continuum of care including acute, post-acute, and ambulatory care settings in compliance with CMS guidelines and other regulating bodies. At all times, models exemplary patient experience and professionalism.
Hybrid, PT position, Mon-Fri 9:00 a.m. - 1:00 p.m.
Essential Functions<ul><li>
All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference.</li><li>
Complaints and Grievances: Responds to concerns received via phone, in person and in writing. Coordinates prompt, sensitive, and professional resolution to each concern, tracking and monitoring actions taken by those involved in investigating the complaint. Partners with patient safety, quality and risk management to address more clinically focused complaints and grievances. Ensures all regulatory guidelines are followed. Appropriately tracks concerns in the electronic event reporting system. Produces applicable reports to track progress</li><li>
Service Recovery: Serves as a liaison between providers, team members and patients/families to facilitate two-way communication, support, and information. Responds to difficult situations with patients/families across the continuum of care using service recovery methodologies such as de-escalation to resolve concerns. Effectively coach leaders and team members in service recovery methodologies to reinforce the importance of resolving concerns at the point of care.</li><li>
Self-Accountability: Is self-motivated, meets deadlines, and is highly reliable in keeping assigned meeting times with teams and leaders on a regular cadence.</li><li>
Engagement: High degree of self-awareness with the ability to adapt to an individual's or group's needs by meeting them where they are. Models' exemplary patient experience and professionalism at all times. Effectively teams across the organization, while demonstrating characteristics that support a psychologically safe environment. Participates in Patient Family Advisory Councils and organizational committees as assigned.</li><li>
Performs other duties as assigned.</li></ul>
Supervisory/Management Responsibilities<ul><li>
This is a non-management job that will report to a supervisor, director or executive.</li></ul>
Minimum Requirements<ul><li>
Education - Bachelor's degree in Psychology, Social Work or other related field of study.</li><li>
Experience - Three (3) years of Customer Service, Patient Advocacy, Conflict Management, and/or Healthcare Experience
</li></ul>In Lieu Of<ul><li>
In lieu of a bachelor's degree equivalent combination of work and academic experience may be considered.</li></ul>
Required Certifications, Registrations, Licenses<ul><li>
NA</li></ul>
Knowledge, Skills and Abilities<ul><li>
Strong interpersonal communication skills (written and verbal)</li><li>
Strong time management and organization skills</li><li>
Basic knowledge of CMS Conditions of Participation</li><li>
Ability to handle multiple projects in a face paced environment</li><li>
Confident positive attitude</li><li>
Appreciation of diversity and multiculturalism</li><li>
Ability to work independently and build working relationships throughout the organization</li><li>
High Emotional Intelligence</li><li>
Ability to juggle between local and corporate responsibilities</li><li>
Knowledge of office equipment.</li><li>
Proficient computer skills</li><li>
Data entry skills</li><li>
Math skills</li></ul>
Work Shift
Day (United States of America)
Location
Prisma Health Corporate Office
Facility
7001 Corporate
Department
70018010 Clinical Care Experience - Patient Advocacy
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.</div>

HYBRID Patient Advocate, Corporate, PT, Day 830am-1230pm

<div>Inspire health. Serve with compassion. Be the difference.
Job Summary
Responsible for aspects of front office management and operation as assigned.
Essential Functions<ul><li>
All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference.</li><li>
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.</li><li>
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 through cross training program. 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&rsquo;s schedules. Schedules surgeries, ancillary services and follow-up outpatient appointments and admissions as requested. Answers questions regarding patient appointments and testing. Assembles patients&rsquo; charts for next day visit. Updates profiles on all patients, ensuring completeness and accuracy. Oversees waiting area, coordinates patient movement, reports problems or irregularities.</li><li>
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&rsquo; 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.</li><li>
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. -</li><li>
Collects payments at time of service for daily outpatient visit services. Reviews each account via computer to ensure patient&rsquo;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. -</li><li>
Performs other duties as assigned.</li></ul>
Supervisory/Management Responsibility<ul><li>
This is a non-management job that will report to a supervisor, manager, director, or executive.</li></ul>
Minimum Requirements<ul><li>
Education - High school diploma or equivalent OR Post-high school diploma. Associate degree in technical specialty program of 18 months minimum in length preferred</li><li>
Experience - No previous experience required. Multi-specialty group practice setting experience preferred</li></ul>
In Lieu Of<ul><li>
NA</li></ul>
Required Certifications, Registrations, Licenses<ul><li>
NA</li></ul>
Knowledge, Skills and Abilities<ul><li>
Basic understanding of ICD-9 and CPT coding preferred</li></ul>
Work Shift
Day (United States of America)
Location
Richland Farrow Rd
Facility
1510 Richland Hospital
Department
15396637 Palmetto Senior Prim Care Prac
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.</div>

Patient Services Representative, Senior Primary Care, FT, Days

<div>Inspire health. Serve with compassion. Be the difference.
Job Summary
Responsible for aspects of front office management and operation as assigned.
Essential Functions<ul><li>
All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference.</li><li>
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.</li><li>
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 through cross training program. 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&rsquo;s schedules. Schedules surgeries, ancillary services and follow-up outpatient appointments and admissions as requested. Answers questions regarding patient appointments and testing. Assembles patients&rsquo; charts for next day visit. Updates profiles on all patients, ensuring completeness and accuracy. Oversees waiting area, coordinates patient movement, reports problems or irregularities.</li><li>
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&rsquo; 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.</li><li>
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. -</li><li>
Collects payments at time of service for daily outpatient visit services. Reviews each account via computer to ensure patient&rsquo;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. -</li><li>
Performs other duties as assigned.</li></ul>
Supervisory/Management Responsibility<ul><li>
This is a non-management job that will report to a supervisor, manager, director, or executive.</li></ul>
Minimum Requirements<ul><li>
Education - High school diploma or equivalent OR Post-high school diploma. Associate degree in technical specialty program of 18 months minimum in length preferred</li><li>
Experience - No previous experience required. Multi-specialty group practice setting experience preferred</li></ul>
In Lieu Of<ul><li>
NA</li></ul>
Required Certifications, Registrations, Licenses<ul><li>
NA</li></ul>
Knowledge, Skills and Abilities<ul><li>
Basic understanding of ICD-9 and CPT coding preferred</li></ul>
Work Shift
Day (United States of America)
Location
Greenville Memorial Hospital
Facility
2352 Gyn Peds Adolescent
Department
23521000 Gyn Peds Adolescent-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.</div>

Patient Services Representative, PRN, Days

<div>Inspire health. Serve with compassion. Be the difference.
Job Summary
Responsible for aspects of front office management and operation as assigned.
Essential Functions<ul><li>
All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference.</li><li>
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.</li><li>
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 through cross training program. 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&rsquo;s schedules. Schedules surgeries, ancillary services and follow-up outpatient appointments and admissions as requested. Answers questions regarding patient appointments and testing. Assembles patients&rsquo; charts for next day visit. Updates profiles on all patients, ensuring completeness and accuracy. Oversees waiting area, coordinates patient movement, reports problems or irregularities.</li><li>
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&rsquo; 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.</li><li>
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. -</li><li>
Collects payments at time of service for daily outpatient visit services. Reviews each account via computer to ensure patient&rsquo;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. -</li><li>
Performs other duties as assigned.</li></ul>
Supervisory/Management Responsibility<ul><li>
This is a non-management job that will report to a supervisor, manager, director, or executive.</li></ul>
Minimum Requirements<ul><li>
Education - High school diploma or equivalent OR Post-high school diploma. Associate degree in technical specialty program of 18 months minimum in length preferred</li><li>
Experience - No previous experience required. Multi-specialty group practice setting experience preferred</li></ul>
In Lieu Of<ul><li>
NA</li></ul>
Required Certifications, Registrations, Licenses<ul><li>
NA</li></ul>
Knowledge, Skills and Abilities<ul><li>
Basic understanding of ICD-9 and CPT coding preferred</li></ul>
Work Shift
Day (United States of America)
Location
Greenville Memorial Hospital
Facility
2442 MCCW-PMRS
Department
24421000 MCCW-PMRS-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.</div>

Patient Services Representative, FT, Days

Join Prisma Health and explore 14   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.