Patient Access Specialist, PT, Evenings

Prisma Health•Columbia, SC

2d•Onsite

About The Position

This position is part-time, with evening shifts from 2:45 pm to 11:15 pm, working Mondays, Fridays, and every other Saturday and Sunday. The role includes working holidays and weekends in the Emergency Department. The Patient Access Specialist receives and interviews patients to collect and verify demographic and financial data, verifies insurance, initiates pre-authorization when needed, and collects payments or makes financial arrangements. The role may also involve 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
Basic computer skills (word processing, spreadsheets, database, data entry)
Knowledge of office equipment (fax/copier)
Mathematical skills

Nice To Haves

Registration and scheduling experience
Familiarity with medical terminology

Responsibilities

Interviews patients or other sources to gather financial, demographic, and employment information, ensuring compliance with HIPAA.
Enters accurate information into the computer database, updates insurance information in Sovera, and scans documents.
Follows up on incomplete or missing information.
Verifies insurance coverage and benefits using online eligibility tools or by phone, documenting all information obtained.
Assigns appropriate insurance plans and ensures correct insurance priorities.
Initiates the pre-certification process as required and obtains signed waivers when necessary.
Obtains required signatures and information on forms such as Consent Form, Liability Assignment, and Waiver Letter.
Receives payments, issues receipts, and works towards collection goals.
Maintains cash funds/verification logs and makes daily deposits.
Prepares and distributes reports, documents, and patient identification items, including Privacy Notice, Patient Rights, Medicare Booklet, schedules, productivity logs, collection reports, armbands, and valuables.
Communicates estimated financial responsibility to patients and requests payment prior to or at the time of service.
Refers patients needing extended terms to the Medical Services Payment Program and those needing financial assistance to appropriate programs.
Performs other duties as assigned.