Patient Access Specialist, FT, Days

Prisma Health•Richland, SC

1d•Onsite

About The Position

The Patient Access Specialist receives and interviews patients to collect and verify demographic and financial information. The role verifies insurance, initiates pre-authorization when required, collects payments or makes financial arrangements, and performs assigned duties courteously and professionally. The specialist may also perform business office functions. This position is scheduled Monday through Friday, 9:00 a.m. to 5:30 p.m., with no weekend requirements. It is located at Richland Hospital in the Patient Registration department.

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.
Knowledge of office equipment, including fax and copier.
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 status, demographic, and employment information.
Enter accurate information into the computer database, check Sovera for the most recent insurance card, scan documents according to departmental guidelines, and follow up on incomplete or missing information.
Verify insurance coverage and benefits through online eligibility tools or telephone inquiries, and document verification in the system.
Assign the appropriate insurance plan and ensure insurance priorities comply with third-party requirements and coordination of benefits.
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 policy.
Prepare and distribute required reports, documents, and patient identification items, including privacy notices, patient-rights materials, schedules, productivity logs, collection reports, armbands, and patient valuables.
Communicate estimated financial responsibility to patients 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 patients needing financial assistance to the appropriate program.
Perform other duties as assigned.