Patient Access Specialist, PRN, Days

Prisma Health • Greenville, SC

3d • Onsite

About The Position

The Patient Access Specialist receives and interviews patients to collect and verify demographic, financial, employment, and insurance information. The role enters and maintains accurate records, verifies insurance coverage and benefits, initiates pre-certification when required, obtains required forms and signatures, and collects payments or arranges financial terms. Work is performed courteously and professionally in accordance with departmental policies, procedures, and HIPAA guidelines. The specialist may also perform business office functions.

This is a non-management position reporting to a supervisor, manager, director, or executive. The role is based at Greenville Memorial Hospital in the Patient Registration department and is listed as PRN on the day shift.

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, following HIPAA guidelines, to gather financial, demographic, and employment information; enter accurate data, check that the latest insurance card is on file in Sovera, scan documents, and follow up on missing information.
• Verify insurance coverage and benefits online or by telephone, document verification in the system, assign the appropriate insurance plan, and ensure insurance priorities meet third-party and coordination-of-benefits requirements.
• Initiate pre-certification when required and obtain signed waivers when pre-certification is required but 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 and procedure.
• Prepare and distribute reports, documents, and patient identification items, including privacy notices, patient rights materials, Medicare booklets, schedules, productivity logs, monthly collection reports, patient armbands, and patient valuables.
• Explain patients’ estimated financial responsibility and request payment before or at the time of service; refer patients needing extended payment terms or financial assistance to appropriate programs.
• Perform other duties as assigned.

What This Job Offers

• Career Level: Entry Level
• Education Level: High school or GED