Business Office Representative, Rehab, FT, Days

Prisma; Sumter (SC); On-site; USD 36,000 - 48,000; Full time

Job summary

Prisma Health's Tuomey Hospital in Sumter, SC seeks an administrative support specialist to assist outpatient rehabilitative services. You will manage scheduling and patient communications to keep operations efficient and patient-focused.

Day-shift duties include coordinating multiple procedures, verifying benefits, and assisting with claims and payments while maintaining compassionate service. Prior clerical experience and basic medical terminology knowledge are preferred.

Qualifications

• High school diploma or equivalent required.
• Two years of related work experience (admissions, billing, collections, insurance and/or customer service). Registration and scheduling experience preferred.
• Computer skills, mathematical skills, and familiarity with medical terminology preferred.

Responsibilities

• Coordinates scheduling for multiple procedures and specialties to maximize productivity.
• Verifies patient benefits and educates patients on benefits and insurance coverage; calculates cost estimates.
• Confirms authorization for services and maintains authorization throughout plan of care; handles claims editing and payments.

Skills

Computer skills

Mathematical skills

Familiarity with medical terminology

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.