Patient Access Specialist, FT, Day-REMOTE

Prisma Health•Greenville, SC

1d•Remote

About The Position

This position involves receiving and interviewing patients to collect and verify demographic and financial data. Key responsibilities include verifying insurance, initiating pre-authorization processes, collecting payments, and making financial arrangements. The role requires performing all duties in a courteous and professional manner and may include business office functions. Prisma Health, the largest not-for-profit health organization in South Carolina, serves over 1.2 million patients annually, and its 32,000 team members are dedicated to supporting the health and well-being of the community.

Requirements

High School Diploma or equivalent or post high school education
2 years- Admissions, Billing, Collections, Insurance and/or Customer Service experience
Basic computer skills
Knowledge of office equipment (fax/copier)
Word Processing
Spreadsheets
Database
Data Entry
Mathematical Skills

Nice To Haves

Registration and scheduling experience
Familiarity with medical terminology

Responsibilities

Interview patient or other source (in accordance with HIPAA Guidelines) to secure information relative to financial status, demographic data and employment information.
Enter accurate information into computer database, access Sovera to ensure the most recent insurance card is on file, and scan documents according to departmental guidelines.
Follow up for incomplete and missing information.
Verify insurance coverage/benefits utilizing online eligibility or by telephone inquiry to the employer and/or third party payor.
Document information obtained through insurance verification in the system.
Assign appropriate insurance plan from the third party database; ensure insurance priorities are correct based on third-party requirements/ COB.
Initiate pre-certification process as required according to Departmental Guidelines; obtain signed waiver for cases where pre-certification is required but not yet obtained.
Obtain necessary signatures and other information on appropriate forms and documents as required including, but not limited to, Consent Form, Liability Assignment, and Waiver Letter.
Receive payments and issue receipts, actively working toward collection goals.
Maintain cash funds/verification logs and make daily deposits according to departmental policies and procedures.
Prepare and distribute appropriate reports, documents, and patient identification items as required. This includes, but is not limited to, Privacy Notice, Patient Rights and Responsibilities, Patient Rights in Healthcare Decisions Brochure, Medicare Booklet, schedules, productivity logs, monthly collection reports, patient armbands, patient valuables, etc.
Communicate to patients their estimated financial responsibility.
Request payment prior to or at the time of service.
Refer patients who may need extended terms to the Medical Services Payment Program and patients needing financial assistance to appropriate program.