Patient Access Specialist, FT, Evenings

Prisma Health•Columbia, SC

2d•Onsite

About The Position

Receives and interviews patients to collect and verify pertinent demographic and financial data. Verifies insurance and initiates pre-authorization when required. Collects required payments or makes necessary financial arrangements. Performs assigned duties in a courteous and professional manner and may perform business office functions. This is a non-management role reporting to a supervisor, manager, director, or executive. The position is based at Baptist Parkridge Hospital in Parkridge, in the Patient Registration department, and works an evening shift.

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 preferred.
Familiarity with medical terminology preferred.

Responsibilities

Interview patients or another appropriate source, in accordance with HIPAA guidelines, to obtain financial status, demographic, and employment information; enter accurate information into the computer database, access Sovera to confirm the latest insurance card is on file, scan documents according to departmental guidelines, and follow up on missing or incomplete information.
Verify insurance coverage and benefits online or by telephone, document findings in the system, assign the appropriate insurance plan, and ensure insurance priorities comply with third-party requirements and coordination of benefits.
Initiate pre-certification as required by departmental guidelines and obtain a signed waiver when required pre-certification has not 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 departmental policies and procedures.
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.
Communicate patients’ 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.
Comply with Prisma Health’s purpose: “Inspire health. Serve with compassion. Be the difference.”