Patient Access Specialist, FT, Days

Prisma Health•Greenville, SC

3d•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 and benefits, initiates pre-certification when required, collects payments or arranges financial terms, and performs assigned duties courteously and professionally. The specialist may also perform business office functions. This position interviews patients or other appropriate sources in accordance with HIPAA guidelines, enters and verifies information in computer systems, follows up on incomplete information, and scans documents. It obtains required signatures and documents, communicates estimated financial responsibility, requests payment before or at the time of service, and directs patients to payment or financial assistance programs as appropriate. The role also handles receipts, cash funds, logs, deposits, reports, and patient identification materials.

Requirements

High school diploma or equivalent, or post-high-school diploma/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.
Knowledge of office equipment such as fax machines and copiers.
Mathematical skills.

Nice To Haves

Registration and scheduling experience.
Familiarity with medical terminology.

Responsibilities

Interview patients or other appropriate sources to obtain financial, demographic, and employment information in accordance with HIPAA guidelines.
Enter accurate information into computer databases, check Sovera for the most recent insurance card, scan documents, and follow up on missing or incomplete information.
Verify insurance coverage and benefits through online eligibility tools or telephone inquiries, document verification results, assign appropriate insurance plans, and ensure insurance priorities meet third-party and coordination-of-benefits requirements.
Initiate pre-certification when required and obtain a signed waiver 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.
Prepare and distribute required reports, documents, and patient identification items, including notices, brochures, schedules, productivity logs, collection reports, armbands, and patient valuables.
Explain estimated financial responsibility and request payment before or at the time of service.
Refer patients who need extended payment terms to the Medical Services Payment Program and patients needing financial assistance to the appropriate program.
Perform other duties as assigned.