Physician Billing, Insurance & Pre-Registration Representative

Prisma Health

. Verify insurance coverage and benefits using online eligibility tools, websites, or telephone inquiries .

Posted 10/16/2026full-timeRemote • South Carolina • United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in insurance verification processes, including the use of the EPIC patient billing system and knowledge of managed care contracts. Capable of accurately documenting patient responsibilities and obtaining necessary pre-certifications.

Highest-signal resume keywords

Insurance VerificationEPIC Patient Billing SystemPre-Certifications/Prior AuthorizationsBilling ExperienceKnowledge of Managed Care Contracts

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Insurance Coverage VerificationDocumentation AccuracyPatient Responsibility IdentificationPayment Collection SupportEligibility/Benefits Verification

Industry Keywords

Managed CareThird-Party RequirementsCoordination of BenefitsOut-of-Network StatusBookkeeping

About the role

Key responsibilities & impact

Verify insurance coverage and benefits using online eligibility tools, websites, or telephone inquiries
Document insurance verification accurately and completely in the EPIC patient billing system
Ensure insurance priorities are correct based on third-party requirements and coordination of benefits
Identify and document current patient responsibility to support correct payment collection at time of service
Initiate, obtain, and document pre-certifications/prior authorizations
Communicate new insurance system issues to appropriate personnel
Manually correct or update identified insurance issues according to departmental guidelines
Perform other duties as assigned
Report to a supervisor, manager, director, or executive

Requirements

What you’ll need

High School diploma or equivalent OR post-high school diploma/highest degree earned
Two (2) years billing, bookkeeping, or accounting experience
Up-to-date knowledge of current insurance plans and eligibility/benefits verification
Knowledge of managed care contracts and network or out-of-network status
Ability to use EPIC patient billing system
Ability to obtain and document pre-certifications/prior authorizations
Ability to accurately document insurance information and patient responsibility
Required certifications, registrations, or licenses: NA

Benefits

Comp & perks

Remote work
Full-time day shift