Patient Access Specialist, PRN, Nights, 10:45pm - 7:15am includes weekends and holidays, Emergency Department

Prisma Health • Columbia, SC

86d

About The Position

Receives and interviews patients to collect and verify pertinent demographic and financial data. Verifies insurance and initiates pre-authorization process when required. Collects required payments or makes necessary financial arrangements. Performs all assigned duties in a courteous and professional manner. May perform business office functions.

Requirements

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

Nice To Haves

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

Responsibilities

• Interviews patient or other source to secure information relative to financial status, demographic data and employment information.
• Enters accurate information into computer database, accesses Sovera to ensure the most recent insurance card is on file, and scans documents according to departmental guidelines.
• Follows up for incomplete and missing information.
• Verifies insurance coverage/benefits utilizing online eligibility or by telephone inquiry to the employer and/or third-party payor.
• Documents information obtained through insurance verification in the system.
• Assigns appropriate insurance plan from the third-party database; ensures insurance priorities are correct based on third-party requirements/COB.
• Initiates pre-certification process as required according to Departmental Guidelines; obtains signed waiver for cases where pre-certification is required but not yet obtained.
• Obtains necessary signatures and other information on appropriate forms and documents as required including, but not limited to, Consent Form, Liability Assignment, and Waiver Letter.
• Receives payments and issues receipts, actively working toward collection goals.
• Maintains cash funds/verification logs and makes daily deposits according to departmental policies and procedures.
• Prepares and distributes appropriate reports, documents, and patient identification items as required.
• Communicates to patients their estimated financial responsibility.
• Requests payment prior to or at the time of service.
• Refers patients who may need extended terms to the Medical Services Payment Program and patients needing financial assistance to appropriate program.
• Performs other duties as assigned.

What This Job Offers

• Industry: Hospitals
• Education Level: High school or GED