Patient Access Specialist, PT, Days

Prisma Health•Richland, 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 enters and updates information in computer systems, verifies insurance coverage and benefits, initiates pre-certification when required, obtains necessary signatures and documents, and communicates estimated financial responsibility to patients. The specialist collects payments, issues receipts, maintains cash funds and verification logs, and makes daily deposits in accordance with departmental procedures. The role may also perform business office functions and other assigned duties, while providing courteous and professional service.

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, databases, and data entry.
Mathematical skills.

Nice To Haves

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

Responsibilities

Interview patients or other authorized sources, in accordance with HIPAA guidelines, to obtain financial, demographic, and employment information.
Enter accurate information into the computer database, check Sovera for the most recent insurance card, scan documents, and follow up on missing or incomplete information.
Verify insurance coverage and benefits through online eligibility tools or by contacting employers or third-party payors; document verification in the system.
Assign the appropriate insurance plan and ensure insurance priorities comply with third-party requirements and coordination-of-benefits rules.
Initiate pre-certification as required and obtain signed waivers when required pre-certification has not been obtained.
Obtain signatures and information on 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 according to policy.
Prepare and distribute required reports, documents, and patient identification items, such as privacy notices, patient rights materials, schedules, productivity logs, collection reports, armbands, and patient valuables.
Communicate estimated financial responsibility and request payment before or at the time of service.
Refer patients who need extended payment terms to the Medical Services Payment Program and patients needing financial assistance to an appropriate program.
Perform other duties as assigned.