Patient Access Specialist, FT, Evenings

Prisma Health•Columbia, SC

22h•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 maintains accurate information in computer systems, verifies insurance coverage and benefits, and initiates pre-certification when required. The specialist obtains required signatures and documents, communicates estimated financial responsibility, requests payment, and refers patients to payment or financial assistance programs when appropriate. The position may also perform business office functions and is expected to carry out all duties courteously and professionally, in accordance with departmental procedures and HIPAA guidelines.

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 appropriate sources in accordance with HIPAA guidelines to collect 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 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 are correct according to third-party requirements and coordination of benefits.
Initiate required pre-certification and obtain a signed waiver when pre-certification is required but has not yet 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, including notices, brochures, schedules, logs, reports, armbands, and patient valuables.
Communicate patients’ estimated financial responsibility 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 refer patients needing financial assistance to the appropriate program.
Perform other duties as assigned.