Patient Access Specialist, Woodward Center Greenville, PRN, Days

Prisma Health•Greenville, SC

8d•Onsite

About The Position

The Patient Access Specialist receives and interviews patients to collect and verify demographic and financial information, verifies insurance, initiates pre-authorization when required, and collects payments or arranges payment. The role performs assigned duties courteously and professionally and may also perform business office functions. The position interviews patients or other permitted sources, enters and updates information in computer systems, verifies insurance coverage and benefits, documents verification, assigns the appropriate insurance plan, and initiates pre-certification when required. It obtains signatures and required forms, receives payments, maintains cash funds and verification logs, makes daily deposits, and prepares and distributes reports, documents, and patient identification materials. The specialist communicates estimated financial responsibility, requests payment before or at service, and refers patients to payment or financial-assistance programs when appropriate. This is a non-management position reporting to a supervisor, manager, director, or executive. The posting lists a day shift and a PRN schedule at the Woodward Center in Greenville.

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 permitted sources to obtain financial status, demographic, and employment information in accordance with HIPAA guidelines.
Enter accurate information into the computer database, check Sovera for the most recent insurance card, scan documents, and follow up on missing or incomplete information.
Verify insurance coverage and benefits through online eligibility tools or by contacting employers or third-party payors, and document verification 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 and obtain signed waivers 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 notices, brochures, 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 patients needing financial assistance to the appropriate program.
Perform other duties as assigned.