Qureos Mentor

Prisma Health

Prisma Health is the largest not-for-profit health organization in South Carolina, serving over 1.2 million patients annually. With facilities in the Greenville and Columbia areas, Prisma Health is dedicated to enhancing the health of all South Carolinians through improved clinical quality, access to care, and patient experience, while also addressing the rising costs of healthcare. Their mission is to inspire health, serve with compassion, and make a difference in the community.

<div>Inspire health. Serve with compassion. Be the difference.
Job Summary
Performs tasks of moderate to difficult complexity relating to both hospital and physician accounts. Handles a large volume of inbound calls. Responsible for also making outbound calls related to self-pay follow up on accounts. Assists patients with requests for information, complaints, and resolving issues. Responsible for data analysis and interpretation throughout all functions of revenue cycle, to determine reasons for denials, non-payment and overpayment, post/balance/correct electronic remittances, billing and follow-up of government payers and specialized accounts, analysis/correction of correct coding guidelines, preparation of accounts for appeal, review/analysis of insurance credit balances and analysis/movement of unapplied, unidentified, undistributed balances. Moderate to difficult levels of evaluation, analysis, decision making required in these roles.
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>
Resolves billing concerns, addresses inquiries related to insurance concerns/matters, assist patients with MyChart while simultaneously establishing a rapport with our diverse field of patients. Reviews accounts to determine insurance coverage; obtains and corrects any missing or inaccurate information. Discusses patient responsibility, which includes educating patients on claim processing, deductible, coinsurance, and co-pays. Interacts with patients by making patients aware of payment options such as payment plans and financial assistance as well as how to apply for financial assistance if circumstance warrant. Ability to set up payment plans in MyChart based on patient's personal needs.
</li><li>Greets patients in a professional and courteous manner. Communicates clearly and professionally in both oral and written communication. Be clear and concise in all communication to ensure patients understand the information that is being communicated to them by the Customer Service Specialist. Maintains a high level of poise and professionalism in dealing with patients. Knows when to escalate a patient service issue real time. Research customer requests or issues, determines if further action is needed, forwards to appropriate party for resolution, and exercises good judgement to determine urgency of patient's need.
</li><li>Contacts payer and makes hard inquiries on account status if needed. Escalates problem accounts to the appropriate area(s). Documents billing activity on a patient's accounts according to departmental guidelines; ensures compliance with all applicable billing regulations and reports any suspected compliance issues to departmental leaders. Properly documents accounts clearly with indicators and activities so that tracking and trending can be prepared for any potential further analysis if needed.
</li><li>Ensures all work is compliant with privacy, HIPAA, and regulatory requirements.</li><li>
Participates in general or special assignments and attends all required training. Adheres to policies and procedures as required by Prisma Health and follows all compliant regulatory payer guidance.
</li><li>Answers all incoming calls from Prisma Health patients
</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 - High School diploma or equivalent OR post-high school diploma / highest degree earned</li><li>
Experience - Two (2) years billing, bookkeeping, and/or accounting experience</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>
Knowledgeable of the job functions required for a A/R Follow-up Representative, Cash Posting Representative, Claims Clearinghouse Representative, Correspondence Representative, Credit Processing Specialist, Denial/Appeals Specialist, Payment Research Specialist and a Quality Assurance Specialist.
</li><li>Knowledgeable of the entire Revenue Cycle and Epic.</li></ul>
Work Shift
Day (United States of America)
Location
Patewood Outpt Ctr/Med Offices
Facility
7001 Corporate
Department
70019935 System Billing Office
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>

Single Billing Office Customer Service Representative, FT, Days, - Remote

<div>Inspire health. Serve with compassion. Be the difference.
Job Summary
Collects specimens from patients and assumes responsibility for the safety and comfort of patients, following established standards and practices. Accessions samples into computer system for accurate testing and billing and obtains signed documents as needed. Reviews outstanding workload reports. Performs Point of Care testing and sample processing, if assigned.<div><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>
Verifies identification of patient and specimen. Properly labels specimens with required information. Uses correct alternate patient identification procedures if hospital armband is not available (outpatient, use of Typenex bracelets, etc.).
</li><li>Inputs and assesses information via the hospital and laboratory computer systems accurately and timely. Reviews collection lists, unreceived lists, tracking logs, and telephone log for completion of work. Takes appropriate action as needed. Instructs patients on preparation or collection for tests ordered and distributes collection containers when necessary. Organizes and prioritizes tasks and uses time efficiently.</li><li>
Follows safety procedures and responds correctly and immediately to safety violations and safety drills. Reports and documents immediately personal exposure to hazardous or infectious situations. Uses available PPE and safety equipment when needed; disinfects equipment as required. Assures patient safety is maintained throughout collection/procedure and knows notification process if patient has adverse reaction. Obeys all patient precautions at bedside or noted on order.</li><li>
Processes specimens for testing including identifying, sorting, aliquoting, centrifuging, and labeling specimens appropriately. Assures proper storage and retention of all specimens for their designated time. Packages and prepares specimens for transport while maintaining appropriate specimen temperature for stability.
</li><li>Restocks an item in use, assuring its availability to the next person/shift. Maintains work area in a clean, orderly manner. Monitors expiration dates of all supplies and reagents and follows established protocol. Participates in work unit action plans and supports department-based goals. Supports customer service, quality and financial initiatives in a positive and productive manner.</li><li>
Communicates with patients and guests in a timely and courteous manner. Uses positive interpersonal skills in all patient /customer interactions. Receives incoming calls, documents incoming requests for blood collection or other information, and coordinates collections as needed. Communicates pertinent information to other team members using approved communication methods.
</li><li>Performs account registrations and orders tests in multiple laboratory systems in a timely manner. Collects appropriate consents for preauthorizations and Advanced Beneficiary Notice as required. Completes clerical duties such as scanning of all relative patient data and tracking monthly workload performance. Records orders for lab tests and accurately provides appropriate reports to proper personnel according to compliance regulations. Communicates with and faxes information to physician offices concerning orders or billing information. Dispatches or arranges couriers for pickup. Floats to multiple client locations and patient service centers.</li><li>
Performs POC testing accurately if assigned, using established protocol and QC. Notifies appropriate caregiver of critical values.
</li><li>Instructs new employees and students in procedure, technique and theory as assigned and documents proficiency on checklist. Informs appropriate person of problems noted in an individual&rsquo;s training process.</li><li>
Performs other duties as assigned.</li></ul></div></div><div>
Supervisory/Management Responsibilities<div><ul><li>
This is a non-management job that will report to a supervisor, manager, director or executive.</li></ul></div><div><div>
Minimum Requirements<ul><li>
Education - High School diploma or equivalent or post-high school diploma</li><li>
Experience - Three (3) month phlebotomy certificate program</li></ul></div><div>
In Lieu Of<ul><li>
In lieu of the education and experience requirements noted above, previous phlebotomy experience or training in formal programs which include phlebotomy are qualified as candidates may be considered.</li></ul>
Required Certifications, Registrations, Licenses<div><ul><li>
 PBT(ASCP) - American Society of Clinical Pathology (OR)</li><li>
RPT(AMT) - American Medical Technologist (OR)</li><li>
CPT(ASPT) - American Society of Phlebotomy Technicians (OR)</li><li>
CPT(NHA) - National Health career Association (OR)</li><li>
CPT(ACA) - American Certification Agency for Healthcare Professionals (OR)</li><li>
CPT(NCCT) - National Center for Competency Testing (OR)</li><li>
CPT(NPCE) - National Phlebotomy Certification Examination (OR)</li><li>
CPT (NPA) - National Phlebotomy Association (OR)</li><li>
CPT (NAPT) - National Association of Phlebotomy Technicians (OR)</li><li>
CPT(NHCO) - National Healthcare Certification Organization</li></ul><div>
Knowledge, Skills and Abilities<ul><li>
Able to uses correct technique, policy, and protocol in collection and process of all specimens.
</li><li>Able to completes all required competencies in required time frame with documentation in personnel file. Completes required training for age specific patients. Participates in Continuing Education (CE) program annually.</li><li>
Knowledge of general phlebotomy equipment</li><li>
Interpersonal skills</li><li>
Communication skills</li><li>
Basic computer skills</li><li>
Data entry skills</li><li>
Ability to proof-read documents</li><li>
Effective at data conversion</li></ul></div></div></div></div></div>
Work Shift
Day (United States of America)
Location
Cancer Centers - Eastside
Facility
1008 Greenville Memorial Hospital
Department
10537011 Laboratory-General-CIEast
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>

Certified Phlebotomy Tech FT Days

<div>Inspire health. Serve with compassion. Be the difference.
Job Summary
Working directly with Intensivists to provide care to a specific patient population within the guidelines of written protocols. Will be performing critical care procedures such as, but not limited to, intubation, arterial lines/central line insertion, chest tube placement and therapeutic bronchoscopy.
Accountabilities<ul><li>
Patient evaluation: Assess patients by performing medical history and physical examination, including the medical, nursing, functional and financial conditions. Document all assessments in the patient medical record as appropriate.</li><li>
Ordering of tests: Order appropriate laboratory tests, x-rays, EKGs and diagnostic procedures based on assessment and follow-up as appropriate.</li><li>
Write Prescriptions and Orders: Write prescriptions/physician order under jointly developed protocols and practice guidelines.</li><li>
Patient Care: Manage care in collaboration with physicians and other clinical personnel. Provide consultation to colleagues and allied personnel.</li><li>
Rounds/ Documentation: Rounds on inpatients based on directions of the attending physician. Dictate and document patient history, physical exam and plans of care. Document admission and discharge notes when appropriate, ensuring that all documentation is clear, complete and legible.</li><li>
Invasive Procedures: Perform specific invasive procedures, within the scope of advanced practice nursing.</li><li>
Care improvement and evaluation: Evaluate the quality of care provided and identify opportunities for improvements in patient care and clinical operations.</li><li>
Research: Participate in research projects, papers or other publications.</li></ul>
Supervisory/Management Responsibilities
This is a non-management job that will report to a supervisor, manager, director or executive.
Minimum Requirements
Education - Master's Degree - Nursing; Nurse Practitioner Degree Emphasis or Program Certificate equivalent.
Experience - 3 years- Previous nursing experience in a critical care area such as ICU, CCU required. Some NP experience preferred but physicians will provide additional training.
Required Certifications/Registrations/Licenses
NURSE PRACTITIONER - NLNP
South Carolina Official Recognition Nurse Practitioner
Prescriptive Authority South Carolina Nursing License
South Carolina Controlled Substance license; Federal DEA license
In Lieu Of The Minimum Requirements Listed Above
n/a
Other Required Skills and Experience<ul><li>
Clerical Testing</li><li>
Basic computer skills</li><li>
Word processing</li><li>
Mathematical skills</li><li>
Patient Equipment (Vitals, Suction, Defib)</li></ul>
Work Shift
Variable (United States of America)
Location
1 Medical Park Rd Richland
Facility
3280 Pulmonology 1 Med Park 300
Department
32801000 Pulmonology 1 Med Park 300-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>

Nurse Practitioner / Physician Assistant - Pulmonology - Acute Care - Midlands

<div>Inspire health. Serve with compassion. Be the difference.
Job Summary
Provides primary health care to a specific patient population within the guidelines of written protocols. Follows established nursing standards, procedures, and practices.
Accountabilities<ul><li>
Engages in the diagnosis and treatment of disease, defects or injuries and recommend or prescribe treatments for the relief or cure of physical, mental or functional ailments or defects.</li><li>
Performs all charting, summaries, correspondence and assorted paperwork that is required for purposes of documenting care and billing.</li><li>
Participates in physician educational programs provided by Employer relative to capitated medicine and its implications on physician practice patterns.</li><li>
Participates in responding to requests for proposals for managed care contracts.</li><li>
Participates in:
Establishment of quality assurance programs
Establishment of utilization management programs
Selection of management information systems
Development of patient education services
Development of patient satisfaction surveys</li><li>
Assists in the development of operational and capital budgets.</li><li>
Participates in operational assessments in search of revenue enhancement, expense reductions, consolidation efficiencies and billing opportunities.</li><li>
General Job Expectations:
Maintain courteous and cooperative working relationships with all levels of management and employees, physicians, patients, guarantors and the general public.</li><li>
Participates in activities that would further the public's image of the Employer.</li></ul>
Supervisory/Management Responsibility
This is a non-management job that will report to a supervisor, manager, director, or executive.
Minimum Requirements
Master's Degree in Nursing; Nurse Practitioner Degree Emphasis or Program Certificate equivalent.
Required Certifications/Registrations/Licenses<ul><li>
South Carolina Official Recognition Nurse Practitioner - NLNP</li><li>
Prescriptive Authority South Carolina Nursing License</li><li>
South Carolina Controlled Substance license; Federal DEA license</li></ul>
Work Shift
Day (United States of America)
Location
Blount Memorial Hospital
Facility
8104 BH POB Maryville
Department
81041011 BMPG Urology Maryville
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>

Nurse Practitioner / Physician Assistant - Urology - Blount

Join Prisma Health and explore 4   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.

Prisma Health

About Company

Single Billing Office Customer Service Representative, FT, Days, - Remote

Certified Phlebotomy Tech FT Days

Nurse Practitioner / Physician Assistant - Pulmonology - Acute Care - Midlands

Nurse Practitioner / Physician Assistant - Urology - Blount