Patient Access Specialist Hospital, FT, Days

Prisma Health•Maryville, TN

About The Position

The Patient Access Specialist receives and interviews patients to collect and verify demographic, employment, insurance, and financial information. The specialist enters accurate information into the computer database, checks that current insurance documentation is on file, scans documents, and follows up on missing or incomplete information. The role verifies insurance coverage and benefits, documents verification, assigns appropriate insurance plans, and initiates pre-certification when required. The specialist obtains required signatures and forms, collects payments, issues receipts, works toward collection goals, maintains cash funds and verification logs, and makes daily deposits. The role also prepares and distributes reports, documents, patient identification items, and required patient information materials. Specialists communicate estimated financial responsibility, request payment before or at the time of service, and refer patients to payment or financial-assistance programs as appropriate. Other duties may be assigned.

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, database use, 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 collect demographic, employment, and financial information in accordance with HIPAA guidelines.
Enter accurate information into the computer database, confirm the most recent insurance card is on file, scan documents according to departmental guidelines, and follow up on missing or incomplete information.
Verify insurance coverage and benefits, document verification, assign the appropriate insurance plan, and ensure insurance priorities are correct.
Initiate pre-certification when required and obtain signed waivers when pre-certification has not yet been obtained.
Obtain signatures and information for required 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.
Prepare and distribute required reports, documents, patient identification items, and patient information materials.
Communicate estimated financial responsibility and request payment before or at the time of service.
Refer patients who need extended payment terms or financial assistance to appropriate programs.
Perform other duties as assigned.