The role involves interviewing patients to collect demographic and financial data and verifying insurance coverage to initiate pre-authorization. Additionally, the specialist collects payments, manages financial arrangements, and ensures all patient documentation is accurate and compliant with HIPAA guidelines.
Prisma Health
23 Remote Job Openings at Prisma Health
Registered Nurse (RN)-Ambulatory - Population Health, Remote, PRN
Prisma Health
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Full Time
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a day ago
Prisma Health
Provides and coordinates nursing care in non-acute ambulatory settings, focusing on individualized plans of care and wellness promotion. Responsibilities include administering medications, educating patients and families, and collaborating with healthcare teams.
Credit Processing Specialist, FT, Days, - Remote
Prisma Health
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Full Time
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5 days ago
Prisma Health
Responsible for analyzing physician and hospital accounts to resolve denials, non-payments, and overpayments within the revenue cycle. The role involves managing insurance credit balances and ensuring all billing activity complies with regulatory and HIPAA requirements.
Registered Nurse (RN)- Discharge Care, Part-Time, Remote, Weekends
Prisma Health
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Full Time
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7 days ago
Prisma Health
Conduct post-discharge outreach calls to patients to assess recovery, medication adherence, and understanding of discharge plans. Coordinate follow-up care with providers and document all interactions in the EHR to prevent readmissions.
Responsible for abstracting and validating CPT, ICD-10, and HCPCS codes across inpatient, outpatient, and clinic settings. The role involves serving as a subject matter expert, resolving pre-billing edits, and mentoring other coders.
Patient Financial Services Denials & Appeals Specialist, FT, Days, - Remote
Prisma Health
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Full Time
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7 days ago
Prisma Health
Responsible for pursuing denied accounts and submitting timely appeals to optimize payment for services rendered. The role involves monitoring denial trends, collaborating with internal departments, and ensuring compliance with billing regulations.
Acts as a liaison for payer communications and assists with patient transitions of care and regulatory documentation. Manages authorizations and denials within the EMR to ensure efficient billing and patient throughput.
Epic Analyst, Healthy Planet, FT, Days, - Remote
Prisma Health
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Full Time
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15 days ago
Prisma Health
The role involves analyzing workflows and implementing Epic application solutions to meet department needs. Responsibilities include system configuration, build maintenance, and providing technical support and training to end users.
Responsible for abstracting and validating CPT, ICD-10, and HCPCS codes across various healthcare settings. The role involves ensuring compliance with coding guidelines and serving as a subject matter expert for the assigned specialty.
The role involves analyzing workflows and implementing Epic application solutions to meet department needs. Responsibilities include system configuration, build maintenance, and providing technical support and training to end users.
Responsible for abstracting and validating CPT, ICD-10, and HCPCS codes across various healthcare settings. Serves as a subject matter expert for the ENT specialty and mentors other coding team members.
Ambulatory Coder II Professional Billing, FT, Days, - Remote
Prisma Health
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Full Time
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a month ago
Prisma Health
The role involves validating, reviewing, and assigning coding for various medical settings while adhering to compliance guidelines. The coder will also communicate with providers regarding coding issues and assist in identifying training needs.
The Pharmacist-System Specialist leads and manages projects and systems to ensure successful delivery within defined constraints. They collaborate with various teams to enhance operational productivity and performance.
Health Information Management Inpatient Coder, FT, Days, - Remote
Prisma Health
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Full Time
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a month ago
Prisma Health
Responsible for coding medical information into billing systems using ICD and ICD-PCS guidelines for inpatient records, including NICU and major traumas. Ensures accurate DRG assignment and validates documentation for complications, comorbidities, and quality indicators.
Enterprise Intelligence Developer Sr. FT, Variable, - Remote
Prisma Health
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Full Time
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a month ago
Prisma Health
Lead the development of analytics and robust data models to turn diverse healthcare data sources into actionable insights. Design visually compelling Power BI dashboards and reports to communicate critical KPIs to technical and non-technical stakeholders.
Epic Analyst Senior, Radiant, FT, Days, - Remote
Prisma Health
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Full Time
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a month ago
Prisma Health
Lead the analysis and development of Epic Radiant modules to meet clinical and business requirements. Oversee system upgrades, manage project timelines, and mentor junior analysts while serving as the primary technical liaison for vendors.
The Epic Analyst is responsible for analyzing workflows, configuring Epic application content, and providing technical support to end users. They also facilitate system implementation, conduct unit testing, and collaborate with stakeholders to ensure application functionality meets business needs.
The Trauma Registry Analyst is responsible for all aspects of Trauma Registry Data, including abstraction, entry, and coding, to support the Trauma Program's verification and designation requirements. This involves applying comprehensive knowledge of medical terminology and coding systems like ICD-10 and AIS to collect complex data on trauma patient diagnoses, treatment, and quality metrics.
Epic Analyst, Revenue Cycle, FT, Days, - Remote
Prisma Health
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Full Time
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3 months ago
Prisma Health
The role involves providing analysis of workflows, recommending solutions, and implementing application solutions to meet department needs, primarily focusing on Epic and other information technology applications. Responsibilities include assisting with the design, development, system configuration, implementation, and support of assigned Epic applications, alongside planning, training, and evaluation of application functionality.
Responsible for abstracting and validating CPT, ICD-10, and HCPCS codes for various healthcare settings. Communicates billing-related issues and participates in meetings to improve overall billing.
The Trauma Registry Analyst is responsible for all aspects of the Trauma Registry Data including abstraction, entry, and coding. They must accurately identify patients for inclusion in the trauma registry and abstract clinical data from various sources.
The Trauma Registry Analyst is responsible for all aspects of the Trauma Registry Data including abstraction, entry, and coding. They must accurately identify patients for inclusion in the trauma registry and abstract clinical data from various medical records.
Provider Relations Coord-CIN, Corporate Maryville TN, FT, Day, Remote
Prisma Health
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Full Time
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6 months ago
Prisma Health
The Provider Relations Coordinator is responsible for managing client/member services and communications between the Clinically Integrated Network and provider practices. This role involves training, relationship building, and ensuring compliance with network goals and policies.