Patient Access Specialist, Woodward Center Greenville, FT, Days

Prisma Health • Greenville, SC

2d

About The Position

The Patient Access Specialist receives and interviews patients to collect and verify demographic and financial information. The role verifies insurance coverage, initiates pre-authorization when required, communicates estimated financial responsibility, and collects payments or arranges payment terms. The specialist performs assigned duties courteously and professionally and may perform business office functions. This is a non-management position reporting to a supervisor, manager, director, or executive.

Requirements

• High school diploma or equivalent, or a 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 appropriate sources, in accordance with HIPAA guidelines, to obtain financial, demographic, and employment information; enter and update records in the computer database, check Sovera for the most recent insurance card, scan documents, and follow up on missing information.
• Verify insurance coverage and benefits through online eligibility tools or telephone inquiries, document findings, assign the appropriate insurance plan, and ensure insurance priorities meet third-party and coordination-of-benefits requirements.
• Initiate pre-certification as required and obtain a signed waiver 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 departmental 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.
• Explain patients’ estimated financial responsibility and request payment before or at the time of service; refer patients who need extended payment terms or financial assistance to the appropriate programs.
• Perform other duties as assigned.

What This Job Offers

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