Patient Access Specialist, PRN, Evenings

Prisma Health•Greenville, SC

2d•Onsite

About The Position

The Patient Access Specialist receives and interviews patients to collect and verify demographic, financial, employment, and insurance information. The role verifies insurance coverage and benefits, initiates pre-certification when required, obtains required forms and signatures, and collects payments or makes financial arrangements. The specialist enters and documents information in computer systems, follows up on missing information, prepares and distributes reports and patient materials, and performs assigned duties courteously and professionally. The position may also perform business office functions. The role communicates patients’ estimated financial responsibility, requests payment before or at the time of service, and refers patients to payment or financial-assistance programs when appropriate. 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 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 information into the computer database, access Sovera to confirm the latest insurance card is on file, scan documents according to departmental guidelines, and follow up on incomplete or missing information.
Verify insurance coverage and benefits through online eligibility tools or by contacting employers or third-party payors, and document verification in the system.
Assign the appropriate insurance plan and confirm insurance priorities according to 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 departmental policies and procedures.
Prepare and distribute required reports, documents, and patient identification items, including notices, patient-rights materials, schedules, productivity logs, collection reports, armbands, and patient valuables.
Explain patients’ estimated financial responsibility and request payment before or at the time of service.
Refer patients who may need extended payment terms to the Medical Services Payment Program and refer patients needing financial assistance to the appropriate program.
Perform other duties as assigned.