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 specialist enters and updates information in computer systems, verifies insurance coverage and benefits, initiates pre-certification when required, obtains signatures and required documents, collects payments, and makes financial arrangements. The role also communicates estimated financial responsibility, prepares and distributes patient and departmental materials, and may perform business office functions. Duties are performed courteously and professionally in accordance with HIPAA guidelines and departmental policies.

Requirements

• High school diploma or equivalent.
• Two years of experience in admissions, billing, collections, insurance, and/or customer service.
• Basic computer skills.
• Knowledge of office equipment such as fax machines and copiers.
• Word processing, spreadsheets, database, and data-entry skills.
• Mathematical skills.

Nice To Haves

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

Responsibilities

• Interview patients or other sources, in accordance with HIPAA guidelines, to obtain financial, demographic, and employment information; enter accurate data, check that the most recent insurance card is 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, assign the appropriate insurance plan, ensure insurance priorities meet third-party and coordination-of-benefits requirements, and initiate pre-certification as required.
• Obtain required signatures and information on forms and documents, including consent forms, liability assignments, and waiver letters.
• Receive payments and issue receipts; work toward collection goals, maintain cash funds and verification logs, and make daily deposits according to policy.
• Prepare and distribute reports, documents, and patient identification items, including privacy notices, patient rights materials, Medicare booklets, schedules, productivity logs, monthly 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 or financial assistance to the appropriate programs.

What This Job Offers

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