Account Specialist, Neurology, FT, Days

📌 Core Information

🔹 Job Title: Account Specialist, Neurology, FT, Days

🔹 Company: Prisma Health

🔹 Location: Columbia, South Carolina, United States

🔹 Job Type: Full-Time, On-Site

🔹 Category: Healthcare

🔹 Date Posted: May 27, 2025

🔹 Experience Level: 2-5 years

🔹 Remote Status: On-Site

🚀 Job Overview

Key aspects of this role include:

• Processing insurance claims for neurology patients
• Coordinating collections and delinquent unpaid accounts
• Overseeing claim processing and payments to third-party providers
• Investigating billing problems and assisting with error resolution
• Providing excellent patient service and support

ASSUMPTION: This role requires strong organizational skills, attention to detail, and the ability to multitask in a fast-paced environment. Familiarity with neurology-specific billing and coding is preferred but not required.

📋 Key Responsibilities

✅ Process and verify insurance claims, including Medicaid and Medicare

✅ Collect and enter patient insurance information into the database

✅ Assist patients in completing necessary forms and answering questions

✅ Review and verify insurance claims, request refunds when appropriate, and follow up on claims that have received no response

✅ Process Medicare correspondence, signatures, and insurance forms

✅ Follow up with insurance companies to ensure claims are paid within the required timeframes

✅ Identify and resolve billing complaints, research credit balances, and send denial letters on claims

✅ Monitor charges and verify correct payment of claims and capitation deductions

✅ Maintain required databases, patient accounts, reports, and files

✅ Answer patient inquiries regarding account balances and provide information as needed

✅ Appeal denied claims and work with other staff to follow up on accounts until zero balance or turned over for collection

✅ Assist with coding and error resolution, maintain billing records, and investigate billing problems

✅ Maintain strict confidentiality and uphold Prisma Health's values and guidelines

✅ Perform other duties as assigned

ASSUMPTION: This role involves a high degree of multitasking and requires strong organizational skills to manage multiple claims and patient interactions simultaneously.

🎯 Required Qualifications

Education: High school diploma or equivalent, with a preference for an associate degree in a technical specialty program of 18 months minimum length

Experience: Two (2) years in billing, bookkeeping, collections, or customer service

Required Skills:

• Electronic Claims Billing experience
• Multi-specialty group practice setting experience (preferred)
• Intermediate ICD-9 and CPT coding abilities (preferred)

Preferred Skills:

• Experience in a neurology-specific setting
• Fluency in Spanish (for bilingual patient communication)

ASSUMPTION: While not explicitly stated, experience in healthcare or insurance billing is likely to be beneficial for this role.

💰 Compensation & Benefits

Salary Range: $35,000 - $45,000 per year (based on industry standards for similar roles and experience levels)

Benefits:

• Health, dental, and vision insurance
• Retirement savings plan with employer contribution
• Paid time off (vacation, sick, and holidays)
• Employee assistance program
• Tuition reimbursement and professional development opportunities

Working Hours: Full-time, day shift (8:00 AM - 5:00 PM, Monday - Friday)

ASSUMPTION: The salary range provided is an estimate based on industry standards and may vary depending on the candidate's experience and qualifications.

📌 Applicant Insights

🔍 Company Context

Industry: Prisma Health is a not-for-profit healthcare organization focused on improving the health of South Carolinians through improved clinical quality, access to care, and patient experience, while also addressing the rising cost of healthcare.

Company Size: Prisma Health is the largest not-for-profit health organization in South Carolina, serving more than 1.2 million patients annually, with over 10,000 employees.

Founded: Prisma Health was founded in 2017 through the strategic combination of Greenville Health System and Palmetto Health.

Company Description:

• Prisma Health operates 18 inpatient and several outpatient facilities across South Carolina
• The organization offers a wide range of medical services, including neurology, and is committed to providing compassionate, high-quality care
• Prisma Health is dedicated to improving the health of all South Carolinians through innovative clinical programs, research, and community outreach

Company Specialties:

• Hospital and clinic operations
• Neurology and neurosurgery services
• Oncology and cancer treatment
• Cardiovascular care
• Women's and children's health

Company Website: Prisma Health

ASSUMPTION: Prisma Health's large size and diverse range of services provide ample opportunities for career growth and development within the organization.

📊 Role Analysis

Career Level: Mid-level, with opportunities for advancement based on experience and performance

Reporting Structure: This role reports directly to the Neurology Practice Manager

Work Arrangement: On-site, full-time position with a day shift

Growth Opportunities:

• Advancement to a senior account specialist or team lead role
• Transition to a related role within the revenue cycle or another department
• Professional development and training opportunities

ASSUMPTION: Prisma Health's commitment to employee development and growth provides ample opportunities for career advancement within the organization.

🌍 Location & Work Environment

Office Type: On-site, medical office building

Office Location(s): 8 Medical Park Rd, Richland, SC 29203, United States

Geographic Context:

• Columbia, South Carolina, is the state's capital and the second-most populous city
• The city offers a mix of urban and suburban living, with a cost of living that is lower than the national average
• Columbia is home to several major universities and a vibrant arts and culture scene

Work Schedule: Monday - Friday, 8:00 AM - 5:00 PM, with a one-hour lunch break

ASSUMPTION: The on-site work environment at Prisma Health's neurology clinic provides ample opportunities for collaboration and support among team members.

💼 Interview & Application Insights

Typical Process:

• Online application submission
• Phone or video screening with the hiring manager
• In-person or virtual interview with the neurology practice manager and a member of the human resources team
• Background check and reference check
• Job offer and onboarding

Key Assessment Areas:

• Billing and claims processing knowledge
• Customer service and communication skills
• Attention to detail and organizational skills
• Problem-solving abilities
• Familiarity with neurology-specific billing and coding (preferred)

Application Tips:

• Highlight relevant experience and skills in your resume, using the job description as a guide
• Tailor your cover letter to explain how your background and skills make you a strong fit for this role
• Prepare for behavioral interview questions that focus on problem-solving, customer service, and teamwork
• Research Prisma Health's mission, values, and culture to demonstrate your alignment with the organization

ATS Keywords: Insurance claims processing, billing, collections, customer service, Medicaid, Medicare, error resolution, patient assistance, financial evaluation, communication, ICD-9 coding, CPT coding, database management, confidentiality, training, operational effectiveness

ASSUMPTION: Prisma Health's application process is designed to assess candidates' skills and cultural fit, with a focus on customer service, attention to detail, and problem-solving abilities.

🛠️ Tools & Technologies

• Electronic health record (EHR) system (e.g., Epic, Cerner)
• Insurance claims processing software (e.g., Change Healthcare, Optum)
• Microsoft Office Suite (Word, Excel, Outlook)
• Database management software (e.g., SQL, Access)

ASSUMPTION: Familiarity with the specific EHR and claims processing software used by Prisma Health is preferred but not required, as training will be provided.

👔 Cultural Fit Considerations

Company Values:

• Inspire health: Prisma Health is committed to inspiring health and well-being in the communities it serves
• Serve with compassion: The organization prioritizes compassionate, patient-centered care
• Be the difference: Prisma Health strives to make a positive impact on the health and lives of its patients and communities

Work Style:

• Collaborative and team-oriented
• Patient-focused and customer-centric
• Adaptable and responsive to change
• Attentive to detail and committed to quality improvement

Self-Assessment Questions:

• Do you share Prisma Health's commitment to inspiring health and well-being in the community?
• Are you passionate about providing compassionate, patient-centered care?
• Do you thrive in a collaborative, team-oriented work environment?
• Are you adaptable and responsive to change, with a strong attention to detail?

ASSUMPTION: Prisma Health's culture emphasizes collaboration, patient-centered care, and a commitment to improving the health and well-being of the communities it serves.

⚠️ Potential Challenges

• High volume of insurance claims and patient inquiries may require multitasking and prioritization skills
• Working with multiple insurance providers and their unique billing requirements can be complex and time-consuming
• Occasional exposure to sensitive patient information requires strong confidentiality and ethical standards
• On-site work arrangement may require commuting and adherence to a set schedule

ASSUMPTION: These challenges can be mitigated through strong organizational skills, attention to detail, and a commitment to continuous learning and improvement.

📈 Similar Roles Comparison

• Compared to other insurance claims processing roles, this position may require more neurology-specific knowledge and attention to detail
• Prisma Health's not-for-profit status may offer more opportunities for community involvement and impact compared to for-profit organizations
• As a mid-level role, this position may offer more opportunities for career advancement within Prisma Health compared to smaller organizations

ASSUMPTION: While this role shares similarities with other insurance claims processing positions, its neurology-specific focus and Prisma Health's unique culture set it apart.

📝 Sample Projects

• Improving the efficiency of the claims processing workflow for neurology patients
• Developing and implementing a patient education program for billing and insurance-related topics
• Analyzing and optimizing the collection process for delinquent unpaid accounts

ASSUMPTION: These sample projects demonstrate the opportunity for process improvement, patient education, and data-driven decision-making in this role.

❓ Key Questions to Ask During Interview

• What are the most challenging aspects of this role, and how can I best prepare to address them?
• How does this role fit into the overall revenue cycle and patient experience at Prisma Health?
• What opportunities are there for professional development and growth within the organization?
• How does Prisma Health support work-life balance for its employees?
• What are the most rewarding aspects of working in the neurology department at Prisma Health?

ASSUMPTION: Asking thoughtful, informed questions demonstrates your interest in the role and commitment to success at Prisma Health.

📌 Next Steps for Applicants

To apply for this position:

• Submit your application through this link
• Tailor your resume to highlight relevant experience and skills, using the job description as a guide
• Write a cover letter explaining how your background and skills make you a strong fit for this role
• Prepare for behavioral interview questions that focus on problem-solving, customer service, and teamwork
• Research Prisma Health's mission, values, and culture to demonstrate your alignment with the organization
• Follow up with the hiring manager one week after your interview to express your continued interest in the position

⚠️ This job description contains AI-assisted information. Details should be verified directly with the employer before making decisions.