Palmetto Primary Care Physicians (PPCP) is the largest independent multi-specialty group practice in South Carolina and has proudly served patients and our communities since 1996. The group is comprised of over 100 clinical providers with a wide range of expertise in primary and specialty care including endocrinology, gastroenterology, neurology, psychiatry, audiology, and physical therapy. PPCP offers a wide range of services, including a state-of-the-art urgent care clinic, imaging, diagnostics, and labs. The company employs over 500 clinical and non-clinical staff throughout South Carolina and provides exceptional medical care for patients in over 40 offices.
To learn more about PPCP, visit www.PalmettoPrimaryCare.com

• Offer 401K with generous company match
• Medical, Dental, Vision Benefits
• Short Term and Long Term Disability Offered

Position Responsibilities: 

• Selects appropriate test and informs the patient or physician office staff of any carrier that is out of network or plan that may result in a reduction in benefits
• Contacts insurance carries via telephone or through verified web portal to initiate prior authorization request
• Maintains files of approved and denied request
• Select the correct patient medical record consistently
• Acknowledge, file, and send actions/messages via eCW.
• Works assigned diagnostic imaging prior authorization request within a 1-2-day time frame to ensure patients are scheduled in a sufficient manner
• Fax requested clinical information to insurance companies to obtain prior authorization
• Follow up with insurance carriers in a timely manner to check the status of request
• Notifies referring provider of any additional information needed as well as options to further provide this information to carriers (e.g. Peer to peer request)
• Answers the telephone in a timely and professional manner
• Schedules all patients for ancillary and medical testing/procedures through the eCW scheduling module
• Informs the physician office staff or patient of any testing requirements according to the instructions and queries in the scheduling module
• Edit via the scheduling module those departmental calendar changes to ensure that patients are not scheduled when personnel is not available
• Acknowledge, file, and send actions/messages via eCW.
• Work all diagnostic imaging orders within a 2-3 day time frame to ensure patients are scheduled in a sufficient manner
• Other duties as assigned