Patient Access Specialist, PRN, Evenings

Prisma Health•Greenville, SC

22h•Onsite

About The Position

The Patient Access Specialist interviews patients or other sources, in accordance with HIPAA guidelines, to collect and verify demographic, financial, employment, and insurance information. The role enters accurate data into computer systems, checks that current insurance documentation is on file, scans documents, and follows up on missing or incomplete information. It verifies insurance coverage and benefits, documents verification, assigns the appropriate insurance plan and priorities, and initiates required pre-certification processes. The specialist obtains signatures and required documents, collects payments, issues receipts, works toward collection goals, maintains cash funds and verification logs, and makes daily deposits according to policy. The role communicates estimated financial responsibility and requests payment before or at the time of service. It refers patients to payment or financial assistance programs when appropriate, prepares and distributes required reports and patient materials, and may perform business office functions. All duties are performed courteously and professionally, in support of Prisma Health’s purpose to inspire health, serve with compassion, and be the difference. This is a non-management position reporting to a supervisor, manager, director, or executive.

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.
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 information into the computer database, confirm that the most recent insurance card is on file in Sovera, and scan documents according to departmental guidelines.
Follow up on incomplete or missing information.
Verify insurance coverage and benefits through online eligibility tools or telephone inquiries, and document the information in the system.
Assign the appropriate insurance plan from the third-party database and ensure insurance priorities meet third-party and coordination-of-benefits requirements.
Initiate required pre-certification and obtain a signed waiver when required pre-certification has not yet been obtained.
Obtain signatures and information on required forms and documents, including consent forms, liability assignments, and waiver letters.
Receive payments, issue receipts, and work toward collection goals.
Maintain cash funds and verification logs and make daily deposits according to 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, armbands, and patient valuables.
Communicate estimated financial responsibility and request payment before or at the time of service.
Refer patients who may need extended payment terms to the Medical Services Payment Program and patients needing financial assistance to the appropriate program.
Perform other duties as assigned.