Patient Access Specialist, FT, Days

Prisma Health • Greenville, SC

20h • Onsite

About The Position

The Patient Access Specialist receives and interviews patients to collect and verify demographic and financial information. The role verifies insurance coverage, initiates pre-authorization when required, collects payments or arranges payment, and performs assigned duties courteously and professionally. The specialist may also perform business office functions.

The position gathers and enters patient information, verifies insurance and benefits, documents findings, obtains required signatures, collects payments, and prepares and distributes reports, documents, and patient identification items. It also communicates estimated financial responsibility and directs patients to payment or financial-assistance programs as appropriate.

Requirements

• High school diploma or equivalent.
• Two years of experience in admissions, billing, collections, insurance, and/or customer service.
• Basic computer skills.
• Knowledge of office equipment, including 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 sources, in accordance with HIPAA guidelines, to obtain financial status, demographic, and employment information; enter accurate data 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 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; initiate pre-certification as required; and obtain signed waivers when required pre-certification has not been obtained.
• Obtain required signatures and information on forms and documents, including consent forms, liability assignments, and waiver letters.
• Receive payments and issue receipts; work toward collection goals; maintain cash funds and verification logs; and make daily deposits in accordance with 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, monthly collection reports, patient armbands, and patient valuables.
• Communicate estimated financial responsibility to patients and request payment before or at the time of service; refer patients who may need extended terms to the Medical Services Payment Program and patients needing financial assistance to the appropriate program.

What This Job Offers

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