Top 519 Prism Jobs | SimplyHired

Insurance Verification Representative Elikn, NC Monday - Friday 8a-5p EST In - Office
Prism Medical Products, LLC —Elkin, NC
- Full-time
- Mid-level
- Office
- Mentoring
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4d
Client Operations Team Member - Las Vegas, NV 9a-6p Monday - Friday
Prism Medical Products, LLC —Las Vegas, NV
- Full-time
- Microsoft Outlook
- Entry level
- Health insurance
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Drivers
Prism Ventures NV02 Inc —Las Vegas, NV
- $22 - $27 an hour
- Urgently hiring
- Driver's License
- Quick service & fast food restaurant
- Cleaning
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Physician Assistant
PRISM Spine and Joint —Silver Spring, MD
- $100,000 - $130,000 a year
- Part-time
- Mid-level
- Neurology
- In-person
- Health insurance
- Dental insurance
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VP, ASC Operations
Prism Vision Group —Chevy Chase, MD
- $175,000 - $275,000 a year
- Up to 50% travel
- RN License
- Surgery
Lead Nursing Faculty (MSN)
Prism Career Institute —Philadelphia, PA
- $77,500 - $82,500 a year
- Full-time
- Background check
- Laboratory
- Classroom
- Health savings account
- Health insurance
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Foreman Electrician
Prism Electric, Inc. —Leander, TX
- Overtime
- Construction site
- Mid-level
- Ability to lift 50 pounds
- Paid holidays
- Disability insurance
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Senior BIM Designer HYBRID
Prism Electric, Inc. —Garland, TX
- Hybrid work
- 8 years
- High school diploma or GED
- Mentoring
- Paid holidays
- Disability insurance
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Production Operator
Prism Worldwide —Sodus, NY
- From $21 an hour
- Full-time
- Mid-level
- High school diploma or GED
- Continuous improvement
- Health savings account
- Health insurance
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Registered Nurse Per-Diem
Prism Vision Group —Freehold, NJ
- $27.98 - $58.11 an hour
- PRN
- Nursing
- Patient monitoring
- RN License
Foreman Electrician - Special Projects
Prism Electric, Inc. —Garland, TX
- Overtime
- Construction site
- Mid-level
- Ability to lift 50 pounds
- Paid holidays
- Disability insurance
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Assistant Dean of Nursing Education
Prism Career Institute —Philadelphia, PA
- Weekends as needed
- Nursing
- RN License
- In-person
- Health insurance
- Dental insurance
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ASC Director of Nursing
Prism Vision Group —Bowie, MD
- $92,000 - $192,000 a year
- Nursing
- Surgery
- RN License
Director of Nursing
Prism Vision Group —Freehold, NJ
- $92,912.40 - $192,971.91 a year
- Nursing
- RN License
- 5 years
Journeyman Electrician
Prism Electric, Inc. —Garland, TX
- Overtime
- Construction site
- Mid-level
- Ability to lift 50 pounds
- Paid holidays
- Disability insurance
Quick Apply
Foreman Electrician
Prism Electric, Inc. —Fort Worth, TX
- Overtime
- Construction site
- Mid-level
- Ability to lift 50 pounds
- Paid holidays
- Disability insurance
Quick Apply
Journeyman Electrician
Prism Electric, Inc. —Leander, TX
- Overtime
- Construction site
- Mid-level
- Ability to lift 50 pounds
- Paid holidays
- Disability insurance
Quick Apply
PREPPING, POWDERCOATING, PACKING LABORER
PRISM POWDER COATING —Little Falls, MN
- $17 - $20 an hour
- Full-time
- No background check
- Forklift
- US work authorization
Quick Apply
CDL Driver
Prism Contractors & Engineers, Inc. —Williamsburg, VA
- $19 - $22 an hour
- Full-time
- Hazmat Endorsement
- Local
- Pass drug screening
- Paid holidays
- Health insurance
Quick Apply
Electrical Project Manager
Prism Electric, Inc. —Garland, TX
- Construction site
- Sales
- Mid-level
- Paid holidays
- Disability insurance
Quick Apply

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Insurance Verification Representative Elikn, NC Monday - Friday 8a-5p EST In - Office

Prism Medical Products, LLC -
Elkin, NC

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Job Details

Full-time
4 days ago

Qualifications

Employee relationship building

Full Job Description

Position Description:

Support verification process by assisting with team collaboration and contributing to efficient insurance verification workflows. Work to secure in- and out-of-network referrals through ongoing communication with health plans, providers, and patients. Help ensure comprehensive support by exploring coverage options, obtaining required documentation, and maintaining accurate records, with a primary focus on Continuous Glucose Monitors (CGMs).

Essential Responsibilities and Duties:

1. Continuously expands expertise in Medicare, Medicaid, and commercial payers, with a focus on Continuous Glucose Monitors (CGM) supplies, to maximize opportunities for servicing both in- and out-of-network patient referrals, including securing gap exceptions or standard prior authorizations and PCP referrals, LOA, TPAs, and cash pay solutions.

2. Support the tracking and maintenance of team KPIs, assisting with reporting and ongoing review of benchmarks related to sales, verification workflows, and health plan benefit administration. Help identify performance trends and contribute to problem-solving efforts, with a primary focus on CGM and Maternity lines of business.

3. Assist in managing workflow processes and project timelines by coordinating tasks, supporting resource needs, and helping ensure deliverables are completed on time. Collaborate with cross-functional teams to support organizational goals and objectives.

4. Actively contributes to the development and maintenance of private insurance contact cards, ensuring high utilization across Billing, Client Operations, Quality Assurance, and Payer Relations teams.

5. Participates in the 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.

6. Support departmental goals by assisting with referral, verification, and authorization and follow-up processes. Monitor and process orders accurately, coordinate with referral and insurance partners as needed, and help maintain positive relationships across the organization.

7. Ensure accurate and timely attention to workflow processes within the CGM division, including tracking and completing all tasks across different workflows. Assist with administrative responsibilities and maintaining required patient documentation. Support supervisors as needed to help ensure smooth daily operations and complete patient files.

8. Participates in in-services, education, and training to address and resolve knowledge gaps and issues regarding health plan protocols, procedures, processes, and overall effectiveness of referral sources.

10. Maintains an excellent attendance record and drives strong attendance among department team members through accountability measures and incentives.

11. Adheres to all company policies and procedures regarding employment, safety, and compliance, and reports any concerns of non-compliance to management immediately.

12. Performs other related duties as requested and assigned by Leadership.

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Prism jobs

Insurance Verification Representative Elikn, NC Monday - Friday 8a-5p EST In - Office

Client Operations Team Member - Las Vegas, NV 9a-6p Monday - Friday

Drivers

Physician Assistant

VP, ASC Operations

Lead Nursing Faculty (MSN)

Foreman Electrician

Senior BIM Designer HYBRID

Production Operator

Registered Nurse Per-Diem

Foreman Electrician - Special Projects

Assistant Dean of Nursing Education

ASC Director of Nursing

Director of Nursing

Journeyman Electrician

Foreman Electrician

Journeyman Electrician

PREPPING, POWDERCOATING, PACKING LABORER

CDL Driver

Electrical Project Manager

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