Atrium Health Charlotte is seeking a Registered Nurse (RN) PCU - Progressive Care Unit for a nursing job in Rock Hill, South Carolina.

Job Description & Requirements

• Specialty: PCU - Progressive Care Unit
• Discipline: RN
• Start Date: ASAP
• Duration: Ongoing
• Employment Type: Staff

Department:

39741 GCMG Musculoskeletal Administration: Corporate - Referrals

Status:

Full time

Benefits Eligible:

Yes

Hours Per Week:

40

Schedule Details/Additional Information:

MONDAY-FRIDAY 8AM-5PM

Pay Range

$20.40 - $30.60

Major Responsibilities:

• Ensures information obtained is complete and accurate, applying acquired knowledge of Medicare, Medicaid, and third party payer requirements/on-line eligibility systems.

• Collaborates with internal departments to provide account status updates, coordinate the resolution of issues, and appeal denied authorizations.

• Collaborates with patient financial services to coordinate patient's financial resources and responsibilities including advanced beneficiary notice (ADN), as needed.

• Educates patients, staff and providers regarding authorization requirements, payer coverage, eligibility guidelines, documentation requirements, and insurance changes or trends.

• Maintains knowledge of and reference materials of Medicare, Medicaid and third-party payer requirements, guidelines and policies. Remains up-to-date on insurance plans requiring pre-authorization.

• Notifies patient accounts staff, scheduling and registration staff, and financial counselors of insurance coverage lapses and self-pay patient status.

• Educates staff on insurance changes, trends and prior authorization requirements.

• Maintains and updates files for insurance information and a list of current accepted insurance plans.

Licensure, Registration, and/or Certification Required:

• None Required.

Education Required:

• High School Graduate.

Experience Required:

• Typically requires 1 year of experience in customer service that includes experiences in patient accounts, third- party payer plans, accounts receivable/collection processes, and medical clinic processes and/or workflow.

Knowledge, Skills & Abilities Required:

• Knowledge of third-party payers and pre-authorization requirements.

• Understanding of basic human anatomy, medical terminology and procedures for application in the patient pre-certification / authorization processes.

• Intermediate computer skills including use of Microsoft Office (Excel and Word), electronic mail, physician practice management and electronic medical records systems.

• Strong analytical, prioritization and organizational skills.

• Ability to work independently with minimal supervision and to manage multiple priorities.

• Exceptional customer service and interpersonal skills.

• Must have the ability to effectively communicate with a variety of people under stressful circumstances.

Physical Requirements and Working Conditions:

• Exposed to a normal medical office environment.

• Sits the majority of the workday.

• Must be able to lift up to 10 lbs. occasionally.

• Operates all equipment necessary to perform the job.

Our Commitment to You:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:

Compensation

• Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
• Premium pay such as shift, on call, and more based on a teammate's job
• Incentive pay for select positions
• Opportunity for annual increases based on performance

Benefits and more

• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits such as adoption assistance and paid parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program

About Advocate Health 

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

Maintains, confirms and/or secures authorization or pre-certifications required to receive physician or medical services. Verifies the accuracy and completeness of patient account information and obtains authorizations when needed. Maintains database of payer authorization requirements.

Atrium Health Charlotte Job ID #R​1​7​4​9​2​0. Posted job title: Care Coordinator, Authorization Scheduling Specialist - Atrium Health Rock Hill

About Atrium Health Charlotte

Headquartered in Charlotte, NC, Atrium Health is now part of Advocate Health, the third-largest nonprofit, integrated health system in the United States, which was created from the combination with Advocate Aurora Health. In the Southeast Region, Atrium Health provides care under the Atrium Health name in Charlotte, NC, Atrium Health Wake Forest Baptist name in the Winston-Salem, NC, region, as well as Atrium Health Navicent and Atrium Health Floyd in Georgia and Alabama. Together, we are committed to providing equitable care for all. Annually, Advocate Health provides nearly $5 billion in community benefits.

Atrium Health Wake Forest Baptist

Atrium Health Wake Forest Baptist is a pre-eminent academic health system based in Winston-Salem, North Carolina. Atrium Health Wake Forest Baptist is part of Advocate Health, which is headquartered in Charlotte, North Carolina, and is the fifth-largest nonprofit health system in the United States, created from the combination of Atrium Health and Advocate Aurora Health. Atrium Health Wake Forest Baptist's two main components are an integrated clinical system - anchored by Atrium Health Wake Forest Baptist Medical Center, an 885-bed tertiary-care hospital in Winston-Salem - that includes Brenner Children's Hospital, five community hospitals, more than 300 primary and specialty care locations and more than 2,700 physicians; and Wake Forest School of Medicine, the academic core of Atrium Health Enterprise and a recognized leader in experiential medical education and groundbreaking research that includes Wake Forest Innovations, a commercialization enterprise focused on advancing health care through new medical technologies and biomedical discovery.

Atrium Health Navicent

Atrium Health Navicent is the leading provider of healthcare in central and south Georgia and is committed to its mission of elevating health and well-being through compassionate care. Atrium Health Navicent is part of Advocate Health, which is headquartered in Charlotte, North Carolina, and is the third-largest nonprofit health system in the United States, created from the combination of Atrium Health and Advocate Aurora Health. Atrium Health Navicent provides high-quality, personalized care in 53 specialties at more than 50 facilities throughout the region. As part of the largest, integrated, nonprofit health system in the Southeast, it is also able to tap into some of the nation's leading medical experts and specialists with Atrium Health, allowing it to provide the best care close to home - including advanced innovations in virtual medicine and care. Throughout its 125-year history in the community, Atrium Health Navicent has remained dedicated to enhancing health and wellness for individuals throughout the region through nationally recognized quality care, community health initiatives and collaborative partnerships. It is also one of the leading teaching hospitals in the region, helping to ensure viability for rural health care for the next generation. 

Atrium Health Floyd

Atrium Health Floyd Medical Center is a 304-bed, full-service hospital located in Rome, Georgia. Serving as the main campus for Atrium Health Floyd, this hospital provides a certified Chest Pain Center, a designated Bariatric Surgery Center of Excellence and a Breast Imaging Center of Excellence. Atrium Health Floyd also is home to a state-designated Level II Trauma Center and a Level III Neonatal Intensive Care Unit, and has specialty centers for pediatrics, and wound care and hyperbaric therapy.

Benefits

• Medical benefits
• Vision benefits
• Dental benefits
• Life insurance
• 401k retirement plan
• Health savings account