Payment Recovery Specialist jobs in Sumter, SC

Payment Recovery Specialist is responsible for analysis of denied reimbursement claims. Ensures appropriate insurance coverage for compliance standards and revenue generation. Being a Payment Recovery Specialist monitors, evaluates, and reviews all cost reporting in support of claims. Coordinates with departments and insurance companies to correct errors as necessary. Additionally, Payment Recovery Specialist requires a bachelor's degree in area of specialty. Typically reports to a supervisor or manager. To be a Payment Recovery Specialist typically requires 4 to 7 years of related experience. Contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. (Copyright 2024 Salary.com)

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Intake Coordinator - Recovery
  • Waypoint Recovery Center
  • Cameron, SC FULL_TIME
  • Intake Coordinator - Recovery | Waypoint Recovery Center | Cameron, South CarolinaAbout the Job:
    The Intake Coordinator is responsible for establishing and maintaining a first- impressions environment at the facility front desk. Duties include phone triage, addressing requests for services and performing client call backs and documents all call activities. Answers inquiry calls about facility services and availability, performs pre-registration, verifies insurance eligibility, and coordinates with the insurance company. Facilitates assessment and/or intake to facility services when appropriate. Provides administrative support to the department of admissions, ensuring the quality of service to clients and their families.

    • High School Diploma or equivalent required. Bachelor’s Degree in social work, psychology, counseling, or other related field of study preferred.
    • One or more years' experience in healthcare admissions required. Preferably in the mental health or substance abuse field.
    • Experience in client assessment, referral, treatment planning and communication with external review organizations or comparable entities.
    • Knowledge of community resources.
    • Outstanding interpersonal and interviewing and assessment skills. Skill in telephone etiquette and paging procedures.
    • CPR and de-escalation and restraint certification required (training available upon hire and offered by facility).
    • First aid may be required based on state or facility requirements.

    Roles and Responsibilities:

    • Conducts pre-admission assessments. Completes admission pre-certification as needed.
    • Interviews client, family members and/or collateral sources to assure intake criteria are met. Reviews prospective admissions against approved admission criteria, policies, and procedures.
    • Generates, guides, and leads independent discussions with referral sources for client support, conflict resolution and business development with other treatment and healthcare professionals.
    • Responds and reacts to the needs of referred clients.
    • Assesses family needs for mediation, sober escort and intervention and determines which professional resources are most appropriate to contact based on information gathered.
    • Decides which Interventionist and facility to recommend, the dates, and the travel.
    • Works closely with other department as well as external parties to ensure the timely admission of clients.
    • Documents daily all activities, contacts, appointments, and events in the designated Customer Relationship Management system. Maintains all the documentation involved with the admissions process.
    • Completes insurance verifications for all clients per CBO guidelines on all private insurance admissions.
    • Screens calls from referrals and sets up transportation for admission.
    • Maintains a waiting list for admissions and stays in contact with potential candidates to facilitate admissions.
    • Greets and assists clients, visitors and staff at the front office.
    • Oversees the traffic flow and incidents in the lobby area.

    Why Waypoint Recovery Center?Waypoint Recovery Center offers a comprehensive benefit plan and a competitive salary commensurate with experience and qualifications. Qualified candidates should apply by submitting a resume. Waypoint Recovery Center is an EOE.
    Veterans and military spouses are highly encouraged to apply. Summit BHC is dedicated to serving Veterans with specialized programming at our treatment centers across the country. We recognize and value the unique strengths of the military community in supporting our mission to serve those who have served.

    Job Type: Full-time

  • 11 Days Ago

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Merchandiser Specialist
  • Acosta Group
  • Bishopville, SC FULL_TIME
  • **Start your career with Premium.** \#WeArePremium **Merchandiser Specialist** **General Information** **Company:** PRE-US **Location:** BISHOPVILLE, South Carolina, 29010 **Ref #:** 61983 **Function:...
  • 16 Days Ago

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Merchandiser Specialist
  • Acosta Group
  • Manning, SC FULL_TIME
  • **Start your career with Premium.** \#WeArePremium **Merchandiser Specialist** **General Information** **Company:** PRE-US **Location:** MANNING, South Carolina, 29102 **Ref #:** 61989 **Function:** M...
  • 16 Days Ago

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Payroll Specialist
  • Thompson Construction Group, Inc.
  • Sumter, SC FULL_TIME
  • Since its foundation in 1986, Thompson Construction Group, Inc. has grown from a small, local company into one of the largest privately held companies based in South Carolina. Our diverse services por...
  • 20 Days Ago

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Cleaning Specialist
  • Clean By Design Cleaning Service
  • Sumter, SC FULL_TIME,PART_TIME
  • Looking to hire a Professional Cleaner to provide consistent, high-quality cleaning. A background in residential housekeeping, hotel services, or custodial services is preferred. Must have a valid dri...
  • Just Posted

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Merchandiser Specialist
  • Acosta Group
  • Sumter, SC FULL_TIME
  • **Merchandiser Specialist** **General Information** **Company:** PRE-US **Location:** SUMTER, South Carolina, 29150 **Ref #:** 26876 **Function:** Merchandising **Employment Duration:** Part-time **De...
  • 11 Days Ago

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0 Payment Recovery Specialist jobs found in Sumter, SC area

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Travel Physical Therapist - $1,252 per week
  • Hiring Now!
  • Camden, SC
  • OneStaff Medical is seeking a travel Physical Therapist for a travel job in Camden, South Carolina. Job Description & Re...
  • 4/24/2024 12:00:00 AM

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Store Manager
  • Ross Stores, Inc.
  • Sumter, SC
  • Our values start with our people, join a team that values you! We are the nation’s largest off-price retailer with over ...
  • 4/23/2024 12:00:00 AM

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Payroll/ Human Resource Specialist
  • Thompson Construction Group, Inc.
  • Sumter, SC
  • Since its foundation in 1986, Thompson Construction Group, Inc. has grown from a small, local company into one of the la...
  • 4/23/2024 12:00:00 AM

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Travel Physical Therapist - $2,041 per week
  • Hiring Now!
  • Camden, SC
  • OneStaff Medical is seeking a travel Physical Therapist for a travel job in Camden, South Carolina. Job Description & Re...
  • 4/23/2024 12:00:00 AM

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Payroll/ Human Resource Specialist
  • Thompson Construction Group Inc.
  • Sumter, SC
  • Since its foundation in 1986, Thompson Construction Group, Inc. has grown from a small, local company into one of the la...
  • 4/22/2024 12:00:00 AM

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Research Program Coordinator
  • University of South Carolina
  • Columbia, SC
  • To navigate through this form, please use the "Prev" and "Save & Continue" buttons at the top of the page. Do not use yo...
  • 4/21/2024 12:00:00 AM

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CAMERA CAR DRIVER-ORANGEBURG SC
  • Associates Asset Recovery
  • Orangeburg, SC
  • **Associates Asset Recovery** **CAMERA CAR DRIVER-ORANGEBURG SC** **Orangeburg, SC - Full Time** The Camera Car Driver a...
  • 4/20/2024 12:00:00 AM

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Store Environment Team Member
  • Michaels Stores, Inc.
  • Sumter, SC
  • Store - SUMTER, SC Maintain a high standard of overall look and feel of the store which includes maintaining store clean...
  • 4/20/2024 12:00:00 AM

Sumter /ˈsʌmtər/ is a city in and the county seat of Sumter County, South Carolina, United States. Known as the Sumter Metropolitan Statistical Area, the namesake county adjoins Clarendon and Lee to form the core of Sumter-Lee-Clarendon tricounty area of South Carolina that includes the three counties in the east central Piedmont. The population was 39,643 at the 2000 census, and it rose to 40,524 at the 2010 census. Known as the Gamecock City,[citation needed] Sumter lies near the geographic center of the state of South Carolina at 33°55′37″N 80°21′49″W / 33.92694°N 80.36361°W / 33.92694; ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Payment Recovery Specialist jobs
$43,236 to $56,887
Sumter, South Carolina area prices
were up 1.5% from a year ago