Business Office Rep, Outpatient Rehab, FT, Days

Prisma Health; Sumter (SC); On-site; USD 32,000 - 44,000; Full time

Job summary

Prisma Health’s Tuomey Hospital is seeking an Administrative Support Specialist for the Outpatient Rehabilitative Services Admin department. You will provide direct customer service and clerical support, help schedule multiple rehab procedures, verify benefits, and assist with billing and payer communications to ensure smooth patient flow.

The role emphasizes accurate data entry, patient education on costs, and collaboration with therapists and staff to optimize visit volumes while maintaining

Qualifications

• Education: High school diploma or equivalent.
• Experience in admissions, billing, or customer service preferred.
• Registration and scheduling experience preferred.

Responsibilities

• Coordinate schedule for multiple procedures and specialties with rehab to best serve the patient.
• Verify patient benefits and educate patients on benefits and insurance coverage.
• Confirm authorization for services from payor and manage billing questions.
• Respond to referrals, triage by urgency, and attach authorization to appointments.
• Order supplies and submit invoices; maintain office guidelines and procedures.
• Answer phones, greet patients, and respond to voicemails.
• Performs other duties as assigned.

Skills

Computer skills

Medical terminology

Mathematical skills

Education

High School Diploma or equivalent

Job description

Inspire health. Serve with compassion. Be the difference.

Job Summary

Performs a variety of duties to support and facilitate business operations. Provides direct customer service and/or clerical/administrative support for the department.

Essential Functions

• All team members are expected to be knowledgeable and compliant with Prisma Health’s purpose:Inspire health.Serve with compassion.Be the difference.
• Coordinates the schedule for multiple procedures and specialties with rehab to best serve the patient. Schedules patients to best fill therapists’ schedules allowing maximized productivity. Moves patients’ appointments/providers to optimize visit volumes in a given day. Follow-ups with non-respondent patients for request to schedule initial visit.
• Verifies patient benefits. Educates patients on benefits and insurance coverage for provided services. Calculates cost estimates. Ensures patients are aware of financial responsibility to increase patient satisfaction.
• Confirms authorization for services from payor. Maintain authorization throughout plan of care. Edit patient claims to ensure clean submission for payment. Collect payments upon delivery of care and following completion of care (via phone). Answer billing related questions. Post payments. Discuss payment options and programs available to patient.
• Responds to referrals for therapy from providers appropriately triaging based on urgency. Screens referrals for proper location and specialty of care (e.g., neuro referral to ortho rehab). Documents authorization and attach to all appointments.
• Orders supplies and submits necessary invoices for payment. Maintains office cleanliness including submitting work orders. Submits work orders for broken equipment or reports to facilities. Submits EOD deposit and accounting information. Sorts and addresses incoming mail. Maintains cash box. Trains other staff on office guidelines and procedures.
• Answers phone and responds to patient voicemails. Answers general questions regarding therapy and treatments. Greets incoming patients.
• Performs other duties as assigned.

Supervisory/Management Responsibilities

• This is a non-management job that will report to a supervisor, manager, director, or executive.

Minimum Requirements

• Education - High School Diploma or equivalent
• Experience - Two (2) years of related work experience (i.e., admissions, billing, collections, insurance and/or customer service experience). Registration and scheduling experience preferred

In Lieu Of

• NA

Required Certifications, Registrations, Licenses

• NA

Knowledge, Skills and Abilities

• Computer skills (i.e., word processing, spreadsheets, database, data entry)
• Mathematical skills
• Familiarity with medical terminology preferred

Work Shift

Day (United States of America)

Location

Tuomey

Facility

Tuomey Hospital

Department

Outpatient Rehabilitative Services Admin

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.