Account Specialist, Neurology, FT, Days

📌 Core Information

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

🔹 Company: Prisma Health

🔹 Location: Columbia, SC

🔹 Job Type: Full-Time

🔹 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 ensuring timely payments
• 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 and prioritize workloads effectively.

📋 Key Responsibilities

✅ Process insurance claims, including Medicaid/Medicare claims

✅ Collect and enter patient's insurance information into the database

✅ Assist patients in completing necessary forms and answer their questions

✅ Review and verify insurance claims, and request refunds when appropriate

✅ Process Medicare correspondence, signature, and insurance forms

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

✅ Identify and resolve patient billing complaints, and research credit balances

✅ Oversee claim processing and payments to third-party providers

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

✅ Send denial letters on claims and follow up on requests for information

✅ Audit and review claim payments reports for accuracy and compliance

✅ Research and resolve claim and capitation problems

✅ Maintain timely provider information in physician files

✅ Maintain insurance company manual and distribute information to staff on updates and changes

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

✅ Resolve misdirected payments and return incorrect payments to the sender

✅ Appeal denied claims adhering to payer policy

✅ Work with other staff to follow up on accounts until zero balance or turned over for collection

✅ Assist with coding and error resolution

✅ Maintain required billing records, reports, and files

✅ Investigate billing problems and formulate solutions

✅ Maintain and enhance current knowledge of assigned payers with regard to guidelines for billing

✅ Provide training to front office staff on specific payer rules and guidelines for physician billing

✅ Recommend changes to departmental processes to maximize operational effectiveness of the revenue cycle

✅ Maintain strictest confidentiality

✅ Participate in educational activities

✅ Maintain a neat and professional appearance and uphold guidelines set forth in the office manual

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

🎯 Required Qualifications

Education: High School diploma or equivalent. Associate degree in a technical specialty program of 18 months minimum length preferred

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:

• Bilingual or multilingual skills
• Experience with Epic or similar EHR systems

ASSUMPTION: While not explicitly stated, experience in a healthcare setting or familiarity with medical terminology would be beneficial for this role.

💰 Compensation & Benefits

Salary Range: $35,000 - $45,000 per year (Estimated based on industry standards for similar roles in the Columbia, SC area)

Benefits:

• Health, dental, and vision insurance
• 401(k) retirement plan with employer match
• Paid time off (vacation, sick, and holidays)
• Employee assistance program
• Tuition reimbursement

Working Hours: Day shift (8:00 AM - 5:00 PM, Monday - Friday)

ASSUMPTION: The salary range provided is an estimate based on industry standards for similar roles in the Columbia, SC area. Actual salary may vary based on experience and qualifications.

📌 Applicant Insights

🔍 Company Context

Industry: Prisma Health is the largest not-for-profit health organization in South Carolina, serving more than 1.2 million patients annually. They focus on improving clinical quality, access to care, patient experience, and addressing the rising cost of healthcare.

Company Size: Prisma Health has 10,001+ employees, making it a large organization with extensive resources and opportunities for career growth.

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

Company Description:

• Prisma Health is committed to improving the health of all South Carolinians through improved clinical quality, access to care, and patient experience.
• The organization operates 18 inpatient and several outpatient facilities across the state, including the Greenville Memorial Hospital and Richland Hospital.
• Prisma Health is dedicated to providing compassionate, patient-centered care and addressing health disparities in underserved communities.

Company Specialties:

• Acute care hospitals
• Outpatient services
• Rehabilitation services
• Home health services

Company Website: careers.prismahealth.org

ASSUMPTION: Prisma Health's large size and extensive resources provide ample opportunities for career growth and professional development.

📊 Role Analysis

Career Level: This role is at the entry to mid-level career stage, with opportunities for growth and advancement within the organization.

Reporting Structure: The Account Specialist reports directly to a supervisor or manager within the Neurology department.

Work Arrangement: This is an on-site, full-time position with a day shift schedule (8:00 AM - 5:00 PM, Monday - Friday).

Growth Opportunities:

• Advancement to senior billing or collections roles
• Transition to other healthcare administration or management positions
• Cross-training and skill development opportunities within the organization

ASSUMPTION: With Prisma Health's extensive resources and commitment to employee development, there are ample opportunities for career growth and advancement within the organization.

🌍 Location & Work Environment

Office Type: Medical office building

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

Geographic Context:

• The Columbia, SC area has a humid subtropical climate with mild winters and hot, humid summers.
• The cost of living in Columbia is relatively low compared to other major metropolitan areas in the United States.
• The city offers a variety of cultural attractions, including museums, theaters, and festivals, as well as outdoor recreation opportunities.

Work Schedule: Day shift (8:00 AM - 5:00 PM, Monday - Friday) with one hour lunch break

ASSUMPTION: The day shift schedule may require some flexibility to accommodate patient needs and insurance company communication.

💼 Interview & Application Insights

Typical Process:

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

Key Assessment Areas:

• Problem-solving skills and attention to detail
• Customer service and communication skills
• Knowledge of insurance claims processing and billing
• Ability to work independently and manage multiple tasks

Application Tips:

• Highlight relevant experience and skills in your resume, focusing on billing, collections, and customer service roles
• Tailor your cover letter to demonstrate your understanding of the role and enthusiasm for working at Prisma Health
• Prepare for behavioral interview questions that focus on problem-solving, customer service, and teamwork

ATS Keywords: Insurance claims processing, collections, billing, patient service, attention to detail, problem-solving, multitasking

ASSUMPTION: Prisma Health uses an Applicant Tracking System (ATS) to manage job applications, so including relevant keywords in your resume can help your application stand out.

🛠️ Tools & Technologies

• Epic EHR system
• Microsoft Office Suite (Word, Excel, Outlook)
• Database management software
• Insurance claims processing software

ASSUMPTION: Familiarity with Epic or similar EHR systems and Microsoft Office Suite is beneficial for this role.

👔 Cultural Fit Considerations

Company Values:

• Inspire health
• Serve with compassion
• Be the difference

Work Style:

• Collaborative and team-oriented
• Patient-centered and empathetic
• Adaptable and responsive to change

Self-Assessment Questions:

• Do you share Prisma Health's commitment to inspiring health, serving with compassion, and making a difference in the lives of patients?
• Are you comfortable working in a fast-paced, multitasking environment with a focus on customer service?
• Do you thrive in a collaborative, team-oriented work environment and enjoy working with diverse groups of people?

ASSUMPTION: Prisma Health values employees who are passionate about their mission, committed to providing excellent patient care, and dedicated to working collaboratively with their team members.

⚠️ Potential Challenges

• High volume of claims and patient interactions may require strong organizational skills and time management
• Working with insurance companies and patients may involve complex problem-solving and communication challenges
• On-site work arrangement may require flexibility in scheduling and availability
• Columbia, SC area may have a competitive job market for healthcare positions

ASSUMPTION: These challenges can be mitigated by strong organizational skills, effective communication, and a commitment to continuous learning and professional development.

📈 Similar Roles Comparison

• Compared to other billing and collections roles, this position focuses specifically on neurology patients and may require specialized knowledge of neurology-specific billing codes and procedures
• Prisma Health's large size and extensive resources provide more opportunities for career growth and advancement compared to smaller healthcare organizations
• This role may offer more opportunities for patient interaction and customer service compared to back-office billing and collections positions

ASSUMPTION: Understanding the unique aspects of this role and Prisma Health's organization can help applicants determine if this position is the right fit for their career goals and personal preferences.

📝 Sample Projects

• Developing and implementing a new process for tracking and managing delinquent accounts
• Collaborating with the neurology team to improve the accuracy and efficiency of insurance claims processing
• Creating and presenting a report on the financial impact of denied claims and potential strategies for improvement

ASSUMPTION: These sample projects demonstrate the range of responsibilities and opportunities for initiative and innovation 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 succeed in them?
• How does this role fit into the overall revenue cycle process, and how do my responsibilities contribute to the organization's goals?
• What opportunities are there for growth and advancement within the Neurology department and Prisma Health as a whole?
• How does Prisma Health support the professional development and career growth of its employees?
• What is the work environment like, and how does the team collaborate and support each other?

ASSUMPTION: Asking thoughtful questions demonstrates your interest in the role and commitment to success.

📌 Next Steps for Applicants

To apply for this position:

• Submit your application through this link
• Customize your resume to highlight relevant experience and skills, such as billing, collections, and customer service
• Tailor your cover letter to express your enthusiasm for working at Prisma Health and your qualifications for the role
• Prepare for behavioral interview questions that focus on problem-solving, customer service, and teamwork
• Follow up with the hiring manager one week after submitting your application to confirm receipt and reiterate your interest in the position

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