Job Title Enrollment Representative I Location Columbia, SC 29203 Duration 3 Months assignment (temp to perm possibly) Shift Timing M F, 8 am 4 30 pm Pay rate is $15/hr. Responsibilities Responsible for daily workflow activities to include the following membership/enrollment activities Processing of applications for new enrollments, terminations/cancellations, changes, re

Senior leader to advance BCBSA's legislative and regulatory policy solutions and market positioning in Medicare, Medicaid, Duals, and Children's Health Insurance Program, impacting the tens of millions of Americans we cover, serve, and support in these programs. This role will be a critical policy voice on the most pressing policy issues, serving as a lead advocate for gov

Receives and interviews patients to collect and verify pertinent demographic and financial data. Verifies insurance and initiates pre authorization process when required. Collects required payments or makes necessary financial arrangements. Performs all assigned duties in a courteous and professional manner. May perform business office functions. Accountabilities Intervie

Job Title Medical Affairs Coordinator Location Columbia, SC 29203 . (Remote) Duration 12 months assignment with possible conversion Shift Mon Fri, 9am to 5pm EST. May require additional time/effort when needed Payrate $38/hr Note 2 3 rounds of interviews Summary Ensures that the Local Coverage Determination (LCD) process adheres to contract instructions. Creates, implemen

To provide our patients a seamless entry in to the Prisma Health experience. The Referral Specialist interfaces with patients and physician office team members to accurately authorize various consultations, procedures and tests. The Referral Specialist utilizes each patient\u2019s preferred method of contact. The Referral Specialist utilizes various electronic medical rec

Incumbents are responsible for aspects of Physician Practice front office management and operation as assigned.\u00A0 May be responsible for some or all front office functions as detailed in the next section.\u00A0 Accountabilities Responsible for complete and accurate patient registration, pre certification, charge capture and accurately coding diagnoses given by physici

Incumbents are responsible for aspects of Physician Practice front office management and operation as assigned.\u00A0 May be responsible for some or all front office functions as detailed in the next section.\u00A0 Accountabilities Responsible for complete and accurate patient registration, pre certification, charge capture and accurately coding diagnoses given by physici

In collaboration with the nurse manager, supervises staff and unit operations and provides direct patient care. Supervises care provided by staff to ensure the delivery of safe and quality patient care on the unit and to ensure appropriate standards of professional nursing practice are maintained in the clinical setting. Maintains high visibility to patients/families and

Community Health Care Workers (CHWs) work in the neighborhoods where patients reside connecting and linking patients and their families to resources and the care they need. Serves as a member of the care model team enabling population health in the community by building trust and vital relationships with residents of assigned medical neighborhood. CHWs will complete CHW T

To provide our patients a seamless entry in to the Prisma Health experience. The Referral Specialist interfaces with patients and physician office team members to accurately authorize various consultations, procedures and tests. The Referral Specialist utilizes each patient\u2019s preferred method of contact. The Referral Specialist utilizes various electronic medical rec

The Prisma Health Physician is responsible for the provision of quality medical services to patients of Prisma Health University Medical Group Accountabilities Engages in the diagnosis, prevention, or treatment of disease, defects or injuries and recommend or prescribe treatments for the relief or cure of physical, mental or functional ailments or defects. Renders medical

Manages, coordinates, and facilitates anesthesia services and resources for a service or facility within Prisma Health. Maintains consistency in implementing the hospital policies and practices in a manner that reflects the system's vision, mission, and values. Works collaboratively with anesthesia and periop leaders to ensure a system approach to anesthesia and periop oc

You are an expert facilitator you open doors, foster communication, and bridge the gap. In this role, the Field Reimbursement Manager (FRM) will operate as the subject matter expert on reimbursement, access, and coverage issues affecting the customers products. The FRM will analyze reimbursement and access issues and act as the local access and reimbursement resource for

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Seeking a RN to function as a Medical Affairs Coordinator . This position if fully remote. The schedule is M F, 9am 5pm. DUTIES Ensures that the Local Coverage Determination (LCD) process adheres to contract instructions. Creates, implements, and maintains educational tools to help providers reduce the submission of claims for non covered services and reduce the claims pay