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Title

Payer Referrals - M-F 8-5 schedule - 3 weeks Paid Time Off and more!  

Description

If you have a background in sales & marketing, communication, or case management and are looking for a career in the medical field, PRISM may have the right opportunity for you!

Located in Elkin, NC and founded in 2006, we started with a visionary’s single mission to make healthcare and access to medical supplies more manageable. We have grown from a single office to be a national leader in the home medical supply industry. Our continued growth allows us to service more communities delivering quality and reliable service to all patients nationwide.

 

We are looking for a professional who wants to make a difference in the lives of others. The ideal candidate will have a background in sales, marketing, communication and/or case management, be self-motivated, enjoy building new relationships, and provide exceptional customer service.

 

A day in the life of Payer Referrals:

  • Maintains a high functioning level of understanding on the intricacies of Case Management Programs within Medicare and non-Medicare payers, Medicaid, Managed Care Organizations, manufacturers, providers, and other suppliers as it pertains to coordination of services for their members/patients, regulatory standards, and compliance, as well as a keen understanding of industry-related competition and current market.
  • Functions as an Account Management Liaison and partners with Payer Relations Contracting Administrator, and Business Development for target health plans and new insurances to promote referral sources.
  • Maintains KPIs for reporting, Quarterly/Monthly, to promote ongoing review of the necessary benchmarks for optimal sales or administration of health plan benefits and communicates trends and problem solves.
  • Pursues industry knowledge for Medicare, Medicaid, and Commercial payers as it pertains to PRISM core lines of business and how we can generate referrals and contracts.
  • Continually contributes to the creation and maintenance of private insurance contact cards and promotes high utilization within Billing, Client Operations, Quality Assurance, and Payer Relations.
  • Participates in departmental and interdepartmental meetings e.g., Client Operations to facilitate and capitalize off strategic alliances, open communication, problem solving and collaboration referral relationships and subsequent payment of claims to advance Prism’s effectiveness to successfully grow referral sources and community outreach by cultivating positive relationships throughout the organization.
  • Participates in monthly/quarterly meetings, in-services, education, and training to address and resolve gaps in knowledge, or other issues regarding health plan protocols, procedures, processes, and overall effectiveness of referral sources.
  • Seeks out and promotes extensive knowledge of product offerings and avenues to offer products to the patient that is compliant to our regulatory standards.
  • Maintains an excellent attendance record and drives excellent attendance of departmental team members through accountability measures and incentives.
  • Adheres to all company policies and procedures regarding employment, safety and compliance and reports any concerns of non-compliance in any area to your manager immediately.
  • Performs other related duties as requested and assigned by Leadership.

 

We offer you:

  • A competitive salary
  • 3 Weeks of Paid Time Off that begins accruing your first month of employment!
  • Paid Holidays - eligible upon hire!
  • A comprehensive list of health benefits options to choose from
  • Employer match to 401k contributions
  • Robust training programs on professional, technical and leadership skills
  • Employee Referral Program
  • Education Reimbursement
  • Community outreach opportunities
  • and more!

Why members of #teamPRISM enjoy working here:

Prism has a close-knit culture where everyone knows your name and you’re not just a number.

It’s a great family environment and each part of the company works together for the greater good of the patients.

Prism is the best company I have ever worked for. I love it here because there are so many growth and development options for me.

I learn something new every day and I love the excellent values the company stands behind and upholds to patients and clients every day. BEST PLACE TO WORK!

 

Find your career home! Apply today!

 
Position Requirements

Education and Skill Requirements

  • Associate or bachelor’s degree preferred.
  • 1 plus years of healthcare experience in a medical office setting, preferred.
  • An understanding of HME rules and regulations preferred.
  • Ability to develop and utilize cross-functional relationships to facilitate the accomplishment of work goals and objectives.
  • Effective verbal and written communication skills.
  • Strong attention to detail in composing, typing, and proofing materials, establishing priorities, and meeting deadlines.
  • Ability to work in a fast-paced environment with demonstrated ability to juggle multiple competing tasks and demands.
  • Ability to professionally interact and communicate with individuals at all levels of the organization.
  • Ability to conduct meetings, present information logically, establish action items, and follow up with health plan contacts.
  • Email marketing experience preferred.
  • Strong attention to detail and problem-solving skills.
  • Proficient with Word, Excel, and Power Point
 
Full-Time/Part-Time Full-Time  
Shift Days  
Position Payer Referrals  
Exempt/Non-Exempt Non-Exempt  
About the Organization PRISM Home Medical Supply Specialists provides seamless delivery of wound care, urological and ostomy supplies. PRISM is one of the fastest growing Home Medical Supply Specialists in the industry and has a reputation of excellence for dedicated service to patients, health care professionals and industry partners.

PRISM welcomes talented, motivated, and progressive-thinking professionals to contribute to the company's reputation of excellence! As one of the fastest growing companies in the industry, PRISM offers employees the opportunity to establish a growing and successful career. PRISM's comprehensive training program and autonomous work environment gives individuals the ability to develop personally and professionally. As PRISM continues to grow, we are constantly looking for dynamic, top talent to add to our great team!
 
EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.  

This position is currently not accepting applications.

To search for an open position, please go to http://PrismMedicalProductsLLC.appone.com



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