Patient Access Specialist, PRN, Every Other Weekend

Prisma Health•Columbia, SC

1d•Onsite

About The Position

This role involves receiving and interviewing patients to collect and verify demographic and financial data. The specialist will also verify insurance, initiate pre-authorization processes when needed, and collect required payments or make financial arrangements. All duties are to be performed in a courteous and professional manner. The position may also involve 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)
Mathematical skills

Nice To Haves

Registration and scheduling experience
Familiarity with medical terminology

Responsibilities

Interview patients or other sources to gather financial, demographic, and employment information, ensuring compliance with HIPAA.
Enter accurate patient data into the computer database, update insurance information, and scan documents.
Follow up on incomplete or missing patient information.
Verify insurance coverage and benefits through online eligibility checks or phone inquiries.
Document all insurance verification information in the system.
Assign appropriate insurance plans and ensure correct insurance priorities.
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, 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 appropriate programs.
Perform other duties as assigned.