Patient Access Specialist, FT, Nights

Prisma Health • Richland, WA

18h • 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-certification when required. The specialist obtains required signatures and documents, collects payments or makes financial arrangements, communicates estimated financial responsibility, and refers patients to payment or financial assistance programs as appropriate. The position may also perform business office functions and other assigned duties. All work is performed courteously and professionally and in compliance with HIPAA and departmental policies.

Requirements

• High school diploma or equivalent, or a post-high-school diploma or highest degree earned.
• Two years of experience in admissions, billing, collections, insurance, and/or customer service.
• Basic computer skills, including word processing, spreadsheets, databases, and data entry.
• Mathematical skills.

Nice To Haves

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

Responsibilities

• Interview patients or other appropriate sources in accordance with HIPAA guidelines to obtain financial, demographic, and employment information; enter information into the computer database, check Sovera for the most recent insurance card, scan documents, and follow up on incomplete or missing information.
• Verify insurance coverage and benefits online or by contacting employers or third-party payors; document verification, assign the appropriate insurance plan, and ensure insurance priorities comply with third-party requirements and coordination-of-benefits rules.
• Initiate pre-certification as required by departmental guidelines and obtain signed waivers when required pre-certification has not yet been obtained.
• 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 policy and procedure.
• 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.
• Explain patients' estimated financial responsibility and request payment before or at the time of service; refer patients to the Medical Services Payment Program or appropriate financial assistance program when applicable.
• Perform other duties as assigned.

What This Job Offers

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