Patient Access Specialist (ED PRN, 2nd shift, Sat-Sun, 11a-10p EOW)

Prisma Health • SC

93d

About The Position

The position involves receiving and interviewing patients to collect and verify pertinent demographic and financial data. The role includes verifying insurance and initiating the pre-authorization process when required, as well as collecting necessary payments or making financial arrangements. All duties must be performed in a courteous and professional manner, and may include performing business office functions.

Requirements

• High School diploma or equivalent OR post-high school diploma/highest degree earned.
• Two (2) years of experience in Admissions, Billing, Collections, Insurance, and/or Customer Service.

Nice To Haves

• Registration and scheduling experience.
• Familiarity with medical terminology.

Responsibilities

• Interview patients or other sources to secure information related to financial status, demographic data, and employment information.
• Enter accurate information into the computer database and access Sovera to ensure the most recent insurance card is on file.
• Verify insurance coverage and benefits utilizing online eligibility or by telephone inquiry.
• Document information obtained through insurance verification in the system.
• Assign appropriate insurance plans from the third-party database and ensure insurance priorities are correct.
• Initiate the pre-certification process as required and obtain signed waivers for cases where pre-certification is required but not yet obtained.
• Obtain necessary signatures and other information on appropriate forms and documents.
• Receive payments and issue receipts, actively working toward collection goals.
• Maintain cash funds and verification logs, and make daily deposits according to departmental policies.
• Prepare and distribute appropriate reports, documents, and patient identification items.
• Communicate to patients their estimated financial responsibility and request payment prior to or at the time of service.
• Refer patients needing extended terms to the Medical Services Payment Program and those needing financial assistance to the appropriate program.
• Perform other duties as assigned.

What This Job Offers

• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees