Patient Access Specialist, FT, Days

Prisma Health • Richland, WA

3d

About The Position

The Patient Access Specialist interviews patients or other authorized sources to collect and verify demographic, financial, employment, and insurance information. The role enters accurate information into the computer database, checks that the most recent insurance card is on file in Sovera, scans documents, and follows up on missing information. The specialist verifies insurance coverage and benefits, documents verification results, assigns insurance plans and priorities, and initiates pre-certification when required. They obtain necessary signatures and forms, collect payments, issue receipts, maintain cash funds and verification logs, and make daily deposits. The role also communicates estimated patient financial responsibility, requests payment before or at service, and refers patients to appropriate payment or financial assistance programs. It prepares and distributes required reports, documents, and patient identification items, and may perform business office functions. The position is non-management and reports to a supervisor, manager, director, or executive.

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.
• Knowledge of office equipment such as fax machines and copiers.
• Mathematical skills.

Nice To Haves

• Registration and scheduling experience.
• Familiarity with medical terminology.

Responsibilities

• Interview patients or other authorized sources to obtain financial, 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 incomplete or missing information.
• Verify insurance coverage and benefits, 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 when required and obtain a signed waiver when pre-certification is required but 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 estimated financial responsibility to patients, request payment before or at the time of service, and refer patients to payment or financial assistance programs as appropriate.
• Perform other duties as assigned.

What This Job Offers

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