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Form of workJoin us at PRISM for an exciting new career opportunity! Caring Team Environment where YOU matter If you're looking for a career that Satisfies your interest in the medical field with values centered around Patient Care Gives you a stable, Monday through Friday schedule Provides unmatched training so you are confident in your ability to help others Offers opportunities to help patients and make a difference in other lives everyday then PRISM is the right match for you! 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! Founded in 2006 and headquartered in Elkin, North Carolina, PRISM is a nationwide provider of specialty home medical supplies with a core competency in advanced wound care products.
Most recently, Henry Schein, Inc. the worlds largest provider of health care solutions to office-based dental and medical practitioners, announced the acquisition of a majority ownership position in Prism Medical Products, LLC (PRISM). PRISM serves a broad and loyal referral network of nationally affiliated and independently operated wound care clinics, as well as specialist practices and clinics in primary care, ostomy, podiatry, rehabilitation and physical therapy, general and plastic surgery, dermatology, and vascular medicine.
PRISM enjoys strong referral retention rates as well as high marks for customer satisfaction. We continue to be a fast-growing home medical supply company that serves our community. Consistently delivering our special recipe of quality and reliable service for all patients, medical facilities, and vendors has made us a unique presence nationwide.
We are a valued and trusted health care partner. A day in the life of a Care Management Associate: Pursues 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. Acquires industry knowledge for Medicare, Medicaid, and Commercial payers as it pertains to PRISM core lines of business and any new business opportunities.
Understands and completes all facets of care management workflow and executes all delegated daily responsibilities in an effective manner to promote optimal efficiencies for order processing. Executes all steps of incoming referrals to include, but not limited to, verification of benefits, supply assessments, order processing, and follow up work for all referral sources in an accurate and timely manner. Demonstrates and deploys exceptional phone skills and promotes Prism's brand of client care services for all incoming and outgoing calls while finding resolutions in a timely and efficient manner.
Adheres to all KPI quotas such as phones, verification, order processing and exceptions to meet necessary benchmarks for optimal sales or administration of health plan benefits through excellent problem solving and communicates trends or barriers in a timely manner. Provides administrative assistance regarding maintenance of private insurance contact cards and promotes high utilization within Billing, Client Operations, Quality Assurance, and Payer Relations. Participates in the Prism's onboarding program and advanced education as it pertains to Care Management.
Applies for Certified Training Assistant (CTA) program as a CTA, and successfully completes available leadership development programs to actively mentor PRISM team members company-wide about private insurance and support Training & Development. Actively develops their skills and implements protocols to enhance the department's ability to be effective and efficient in delivering the highest level of care for patient referrals from health plans, facilities, and through our e-commerce platform; and troubleshoots all issues to provide resolutions in a timely manner. 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 report any concerns of non-compliance in any area to your manager immediately. Performs other related duties as requested and assigned by Leadership.
Why members of #teamPRISM enjoy working here: Prism has a close-knit culture where everyone knows your name and youre not just a number. Its 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!
