Patient Access Specialist, FT, Days

Prisma Health•Greenville, SC

37d

About The Position

The Patient Access Specialist interviews patients or other authorized sources to collect and verify demographic, financial, employment, and insurance information. The role enters accurate information 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 appropriate insurance plans and priorities, and initiates pre-certification when required. The specialist obtains required signatures and forms, collects payments, issues receipts, maintains cash funds and verification logs, and makes daily deposits in accordance with departmental policies. The role communicates patients’ estimated financial responsibility, requests payment before or at the time of service, and refers patients to payment or financial assistance programs as appropriate. It also prepares and distributes reports, documents, patient identification items, and other required materials; may perform business office functions and other assigned duties. The position is non-management and reports 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.
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 authorized sources to obtain financial, demographic, and employment information.
Enter accurate information into computer databases, access Sovera to check 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, and document verification in the system.
Assign appropriate insurance plans and ensure insurance priorities comply with third-party requirements and coordination of benefits.
Initiate pre-certification when required and obtain signed waivers 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 departmental policies and procedures.
Prepare and distribute required reports, documents, and patient identification items, including privacy notices, patient rights materials, 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.