Patient Access Specialist, Gastroenterology and Liver Center, F/T Day

Prisma Health • Greenville, SC

1d • Onsite

About The Position

The Patient Access Specialist receives and interviews patients to collect and verify demographic, financial, employment, and insurance information. The role enters accurate information into computer systems, follows up on missing information, verifies insurance coverage and benefits, and initiates pre-authorization or pre-certification when required. The specialist obtains required signatures, collects payments, issues receipts, maintains cash funds and verification logs, and makes daily deposits according to departmental procedures.

The position also prepares and distributes required reports, documents, patient identification items, and informational materials. It communicates estimated financial responsibility to patients, requests payment before or at the time of service, and refers patients to payment or financial-assistance programs as appropriate. All duties are performed courteously and professionally, with patient information handled in accordance with HIPAA guidelines. The role may also perform business office functions.

Requirements

• High school diploma or equivalent, or post-high-school education.
• Two years of experience in admissions, billing, collections, insurance, and/or customer service.
• Basic computer skills.
• Knowledge of office equipment such as fax machines and copiers.
• Word processing skills.
• Spreadsheet skills.
• Database skills.
• Data-entry skills.
• Mathematical skills.

Nice To Haves

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

Responsibilities

• Interview patients or other appropriate sources, in accordance with HIPAA guidelines, to collect financial, demographic, and employment information; enter and verify information in computer systems; access Sovera to check that the latest insurance card is on file; scan documents; and follow up on missing or incomplete information.
• Verify insurance coverage and benefits through online eligibility tools or telephone inquiries; document verification in the system; assign the appropriate insurance plan; ensure insurance priorities comply with third-party requirements and coordination of benefits; and initiate pre-certification or obtain a signed waiver when required.
• Obtain required signatures and information on forms and documents, including consent forms, liability assignments, and waiver letters.
• Receive payments, issue receipts, work toward collection goals, maintain cash funds and verification logs, and make daily deposits according to departmental policies and procedures.
• Prepare and distribute required reports, documents, and patient identification items, including privacy notices, patient rights materials, Medicare booklets, schedules, productivity logs, collection reports, patient armbands, and patient valuables.
• Communicate estimated financial responsibility to patients, request payment before or at the time of service, and refer patients to payment-plan or financial-assistance programs as appropriate.
• Perform assigned duties courteously and professionally; may perform business office functions.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED