Managed Care Services Associate Job at Prism Medical Products, LLC

Prism Medical Products, LLC Elkin, NC 28621

Overview: We strive to be Masters of Customer Service by collaborating and delivering specialized, solution based services to our clients which include, but are not limited to; healthcare case managers, utilization management, medical providers, nurses and patients. The Managed Care Services team is composed of passionate, well-versed personnel with a collective 20+ years in the healthcare industry. We are now hiring ambitious, motivated individuals to work with the team and assist with insurance verification, documentation retrieval, patient intake, administrative tasks, and continuous communication to ensure we are meeting our clients needs.

We Offer You: A very fun, fast-paced work environment with Performance Incentives, Health, Dental, Vision, Life, Disability, 401K, Holiday Pay, Paid Time Off, an Education Assistance Program and room for developmental growth within the company.

As a Managed Care Associate, a typical day may include the following:

  • Navigating computer to toggle between multiple screens and systems.

  • Maintaining patient files with accuracy and efficiency according to departmental procedures.

  • Conducting eligibility screenings on insurance benefits and co-payments; Re-verifying benefits and obtaining authorization and/or referral(s) prior to processing order.

  • Upholding clinical compliance as regulated by health plan guidelines.

  • Processing transactions accurately by verifying, part numbers, quantities, shipping instructions, and etc.

  • Delivering effective and continuous communication across multiple means such as phone, email, and text; Demonstrating an ability and willingness to handle clients in both routine and more challenging conversations with courtesy and professionalism.

  • Responsible for meeting preparation, meeting minutes, and related activities.

  • Maintaining product and service knowledge in an often-changing industry.

  • Utilizing time wisely to complete assigned tasks before the end of the scheduled shift to support company and departmental vision.

  • Advancing PRISM and healthcare knowledge by participating in educational opportunities.

  • Adhering to company policies and procedures regarding employment, safety and compliance.

  • Performing other administrative tasks as requested by leadership.

Commit to Community

Opportunities to give back and volunteer

  • Throwing Shades 5k Fun Run

  • Elkin Valley Trails Association

  • Yadkin Valley Animal Shelter

  • Habitat for Humanity

  • And much = MORE!

Tags: customer service clerical medical office administration




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