Patient Access Specialist, FT, Days

Prisma Health • Greenville, SC

3d

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 patient records, verifies insurance coverage and benefits, and initiates pre-certification when required. It also obtains required signatures and documents, collects payments or arranges payment, communicates estimated financial responsibility, and refers patients to payment or financial-assistance programs as appropriate. The specialist performs assigned duties courteously and professionally and may perform business office functions.

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, in accordance with HIPAA guidelines, to obtain financial, demographic, and employment information; enter accurate data, check that current insurance cards are on file, scan documents, and follow up on missing or incomplete information.
• Verify insurance coverage and benefits through online eligibility tools or telephone inquiries, document verification in the system, assign the appropriate insurance plan, and ensure insurance priorities meet third-party requirements and coordination-of-benefits rules.
• 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 department policies and procedures.
• Prepare and distribute required reports, documents, and patient identification items, including privacy notices, patient-rights materials, schedules, productivity logs, 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 need extended payment terms to the Medical Services Payment Program and patients needing financial assistance to an appropriate program.
• Perform other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED