Palmetto Health Support Specialist in Columbia, South Carolina
Supports the Hospital Case Management (HCM) Department by performing as a liaison for payer communication, assisting with patient's transitions of care, and delivery of required regulatory documents. Effective communication skills to engage collaboratively with case management staff, patients/family members, and all other healthcare professionals.
All team members are responsible for bringing life to our Purpose Statement – Inspire health. Serve with compassion. Be the difference – through every action and every interaction at work.
Supports patient throughput by performing transition of care activities, e.g., referrals and placement for post-acute services, providing notification letters to patient/family regarding regulatory rights, maintaining consistent communication with Post-Acute Providers and Case Management staff.
Efficiently and effectively manages all payer communications, including faxes and voice mails from payors for authorizations and denials.
Communicates with payors regarding discharge dates and dispositions.
Manages the authorization fields in the EMR and work accounts timely to ensure that billing is processed efficiently.
Interacts with patients and facilitates communication between care team members.
Documents communications in the EMR with payors, delivery of forms, and interactions with patients and care team members, as appropriate.
Education: High school diploma or equivalent required.
Experience: 1 year experience in unit Secretary, physician practice, health insurance experience, healthcare facility.
Licensure, Registry or Certification Required: None
Special Training: Strong organizational, time management, problem solving and critical thinking skills. Medical Terminology course/knowledge preferred.