Help patients by ensuring accurate insurance verification and pre-registration.
About Prisma Health
Prisma Health is South Carolina’s largest not-for-profit health system, committed to improving the health of all communities we serve. Our team lives by the values: Inspire health. Serve with compassion. Be the difference.
Schedule
- Full-time, Day shift (United States of America)
- Remote role, based in Columbia, South Carolina
Responsibilities
- Verify insurance coverage/benefits using online eligibility tools, websites, or phone calls with insurance administrators and third-party payors.
- Document insurance verification results accurately in the EPIC billing system.
- Ensure insurance priorities are correct based on coordination of benefits (COB) rules.
- Identify and document current patient responsibility to ensure proper collection of payments at the time of service.
- Initiate, obtain, and document pre-certifications and prior authorizations per departmental guidelines.
- Communicate insurance system issues to appropriate personnel and manually update identified issues when needed.
- Perform other administrative duties as assigned.
Requirements
- High school diploma or equivalent (post-high school diploma or higher preferred).
- Minimum of 2 years of experience in billing, bookkeeping, or accounting.
- Strong knowledge of insurance verification processes and managed care contracts.
- Ability to accurately interpret insurance eligibility, benefit responses, and patient responsibility.
- Proficient in using healthcare billing systems (EPIC preferred).
- Strong attention to detail, problem-solving, and communication skills.
Benefits
Prisma Health offers a comprehensive benefits package designed to support your physical, emotional, and financial well-being, including:
- Medical, dental, and vision insurance
- Retirement plans
- Paid time off (PTO) and holidays
- Professional development opportunities
- Employee assistance programs
- Inclusive culture focused on diversity and equity
Prisma Health is an Equal Opportunity Employer. We value diversity and provide employment opportunities without discrimination based on race, color, religion, sex, gender identity, sexual orientation, national origin, disability, veteran status, or any other legally protected status.
Happy Hunting,
~Two Chicks…