Patient Access Specialist, PRN, Days

Prisma Health•Greenville, SC

1d•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 accurate information into computer systems, checks that current insurance documentation is on file, follows up on missing information, verifies coverage and benefits, assigns appropriate insurance plans, and initiates pre-certification when required. The specialist obtains required signatures and forms, explains estimated financial responsibility, requests payment, makes financial arrangements, and refers patients to payment or financial-assistance programs as appropriate. The position also receives payments and issues receipts, works toward collection goals, maintains cash funds and verification logs, and makes daily deposits in accordance with departmental procedures. It prepares and distributes required reports, documents, and patient identification items, performs assigned duties courteously and professionally, and may perform business office functions. 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 higher degree.
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 appropriate sources, consistent 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, and scan documents according to departmental guidelines.
Follow up to obtain 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 meet third-party payer and coordination-of-benefits requirements.
Initiate pre-certification as required and obtain signed waivers when required pre-certification has not 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, patient information 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 the appropriate program.
Perform other duties as assigned and carry out assigned work courteously and professionally.