Patient Access Specialist, PRN, Days

Prisma Health•Columbia, SC

2d•Onsite

About The Position

The Patient Access Specialist role is responsible for receiving and interviewing patients to collect and verify demographic and financial data. This position verifies insurance, initiates pre-authorization when required, and collects payments or makes financial arrangements. The specialist performs all duties in a courteous and professional manner and may also perform business office functions. Team members are expected to uphold Prisma Health's values: Inspire health. Serve with compassion. Be the difference.

Requirements

High school diploma or equivalent OR post-high school diploma/highest degree earned
Two (2) years of Admissions, Billing, Collections, Insurance and/or Customer Service experience
Basic computer skills (word processing, spreadsheets, database, data entry)
Knowledge of office equipment (fax/copier)
Mathematical skills

Nice To Haves

Registration and scheduling experience
Familiarity with medical terminology

Responsibilities

Interview patients or other sources to gather demographic, financial, and employment information, ensuring compliance with HIPAA.
Accurately enter information into the computer database, access Sovera for current insurance cards, and scan documents.
Follow up on incomplete or missing information.
Verify insurance coverage and benefits using online eligibility tools or by phone, documenting all information obtained.
Assign appropriate insurance plans and ensure correct insurance priorities based on third-party requirements/COB.
Initiate the pre-certification process as required and obtain signed waivers when pre-certification is needed but not yet obtained.
Obtain necessary signatures and information on forms such as Consent Form, Liability Assignment, and Waiver Letter.
Receive payments, issue receipts, and work towards collection goals.
Maintain cash funds/verification logs and make daily deposits according to policy.
Prepare and distribute reports, documents, and patient identification items, including Privacy Notice, Patient Rights and Responsibilities, Medicare Booklet, schedules, productivity logs, collection reports, armbands, and valuables.
Communicate estimated financial responsibility to patients and request payment prior to or at the time of service.
Refer patients needing extended terms to the Medical Services Payment Program and those needing financial assistance to appropriate programs.
Perform other duties as assigned.