Prisma Health
Insurance & Pre-Registration Representative, Full Time, Days, Remote
Greenville, SC · Full-time
Sponsorship not specifiedDetected 2 days ago
AccountingEpic
About the role
- All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health.
- Information obtained through insurance verification must always be documented accurately and completely in the EPIC patient billing system.
- Identifies current patient responsibility using insurance eligibility and benefit responses.
Responsibilities
- Performs other duties as assigned.
- Maintains up-to-date knowledge of current managed care contracts and utilizes correct network or out-of-network status for each insurance.
Requirements
- Experience - Two (2) years billing, bookkeeping, or accounting experience
- Required Certifications, Registrations, Licenses
- Knowledge, Skills and Abilities
- Initiates, obtains, and documents pre-certification/prior authorizations as required according to Departmental Guidelines.
- Documents patient responsibility as required according to Departmental Guidelines to help ensure correct patient payments are collected at time of service.
- Initiates, obtains, and documents pre-certifications /prior authorizations as required according to Departmental Guidelines.
- High School diploma or equivalent OR post-high school diploma/highest degree earned
Benefits
- Verifies insurance coverage/benefits utilizing online eligibility, websites or by telephone inquiry to the insurance administrator and/or third-party payor.
- to transform healthcare for the benefits of the communities we serve.
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This listing is sourced directly from Prisma Health's careers page and normalized into a canonical job model.