Patient Access Specialist, Woodward Center Greenville, PRN, Days

Prisma Health•Greenville, SC

2d•Onsite

About The Position

The Patient Access Specialist receives and interviews patients to collect and verify demographic, financial, employment, and insurance information. The role verifies insurance benefits, assigns the appropriate insurance plan, initiates pre-certification when required, collects payments, and makes financial arrangements. It also obtains required signatures, documents information in computer systems, follows up on incomplete information, and may perform business office functions. Duties are performed courteously and professionally in accordance with departmental policies and HIPAA guidelines.

Requirements

High school diploma or equivalent, or a post-high-school diploma or 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 appropriate sources to obtain financial, demographic, and employment information in accordance with HIPAA guidelines.
Enter accurate information into the computer database, use Sovera to confirm the most recent insurance card is on file, scan documents according to departmental guidelines, and follow up on missing or incomplete information.
Verify insurance coverage and benefits through online eligibility tools or telephone inquiries, and document the results in the system.
Assign the appropriate insurance plan and ensure insurance priorities meet 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 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 privacy notices, patient rights materials, schedules, productivity logs, collection reports, armbands, and patient valuables.
Communicate patients’ 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 refer patients needing financial assistance to the appropriate program.
Perform other duties as assigned.