Patient Access Specialist, PRN, Days

Prisma Health•Richland, WA

3d•Onsite

About The Position

This position is located in the Emergency Department. The Patient Access Specialist receives and interviews patients to collect and verify pertinent demographic and financial data. They are responsible for verifying insurance, initiating the pre-authorization process when required, and collecting required payments or making necessary financial arrangements. The role requires performing all assigned duties in a courteous and professional manner, and may include performing business office functions.

Requirements

High School diploma or equivalent OR post-high school diploma/highest degree earned
Two (2) years of Admissions, Billing, Collections, Insurance and/or Customer Service experience
Basic computer skills (word processing, spreadsheets, database, data entry)
Knowledge of office equipment (fax/copier)
Mathematical skills

Nice To Haves

Registration and scheduling experience
Familiarity with medical terminology

Responsibilities

Interview patients or other sources to gather demographic, financial, and employment information, ensuring compliance with HIPAA.
Enter accurate information into the computer database, access Sovera for the most recent insurance card, and scan documents.
Follow up on incomplete or missing information.
Verify insurance coverage and benefits using online eligibility tools or by telephone.
Document all insurance verification information in the system.
Assign the appropriate insurance plan and ensure correct insurance priorities based on third-party requirements/COB.
Initiate the pre-certification process as required and obtain signed waivers when necessary.
Obtain required signatures and information on forms such as Consent Form, Liability Assignment, and Waiver Letter.
Receive payments, issue receipts, and work towards collection goals.
Maintain cash funds/verification logs and make daily deposits.
Prepare and distribute reports, documents, and patient identification items, including Privacy Notice, Patient Rights and Responsibilities, Medicare Booklet, schedules, productivity logs, collection reports, armbands, and valuables.
Communicate estimated financial responsibility to patients and request payment prior to or at the time of service.
Refer patients needing extended terms to the Medical Services Payment Program and those needing financial assistance to the appropriate program.
Perform other duties as assigned.