Patient Access Specialist, PRN, Evenings

Prisma Health • Richland, WA

19h

About The Position

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

The specialist interviews patients or other sources in accordance with HIPAA guidelines, enters and checks information in computer systems, follows up on missing information, verifies insurance coverage and benefits, and documents verification. The position obtains required authorizations, signatures, and forms; collects payments and maintains cash funds and verification logs; and prepares and distributes reports, documents, and patient identification materials. It also communicates estimated patient financial responsibility, requests payment before or at service, and refers patients to payment or financial assistance programs when appropriate.

Requirements

• High school diploma or equivalent, or a post-high-school diploma or higher degree.
• 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.
• Familiarity with medical terminology.

Responsibilities

• Interview patients or other sources, in accordance with HIPAA guidelines, to obtain financial, demographic, and employment information; enter accurate data, check the insurance card on file in Sovera, scan documents, and follow up on missing information.
• Verify insurance coverage and benefits online or by telephone, document findings, assign the appropriate insurance plan, and ensure insurance priorities comply with third-party requirements and coordination-of-benefits rules.
• Initiate pre-certification when required and obtain a signed waiver when required pre-certification has not yet been obtained.
• Obtain necessary 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.
• Prepare and distribute required reports, documents, and patient identification items, including notices, patient-rights materials, schedules, productivity logs, collection reports, armbands, and patient valuables.
• Explain 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 other duties as assigned.

What This Job Offers

• Education Level: High school or GED