Patient Access Specialist, Outpatient, Rehab, PRN, Days
Company: Prisma Health
Location: Lexington
Posted on: March 16, 2023
Job Description:
Inspire health. Serve with compassion. Be the difference.Job
SummaryReceives and interviews patients to collect and verify
pertinent demographic and financial data. Verifies insurance and
initiates pre-authorization process when required. Collects
required payments or makes necessary financial arrangements.
Performs all assigned duties in a courteous and professional
manner. May perform business office functions.Accountabilities
- Interviews patient or other source (in accordance with HIPAA
Guidelines) to secure information relative to financial status,
demographic data and employment information. Enters accurate
information into computer database, accesses Sovera to ensure the
most recent insurance card is on file, and scans documents
according to departmental guidelines. Follows up for incomplete and
missing information. - 40%
- Verifies insurance coverage/benefits utilizing online
eligibility or by telephone inquiry to the employer and/or third
party payor. Information obtained through insurance verification
must always be documented in the system. Assigns appropriate
insurance plan from the third party database; ensures insurance
priorities are correct based on third-party requirements/ COB.
Initiates pre-certification process as required according to
Departmental Guidelines; obtains signed waiver for cases where
pre-certification is required but not yet obtained. - 20%
- Obtains necessary signatures and other information on
appropriate forms and documents as required including, but not
limited to, Consent Form, Liability Assignment, and Waiver Letter.-
10%
- Receives payments and issues receipts, actively working toward
collection goals. Maintains cash funds/verification logs and makes
daily deposits according to departmental policies and procedures. -
10%
- Prepares and distributes appropriate reports, documents, and
patient identification items as required. This includes, but is not
limited to, Privacy Notice, Patient Rights and Responsibilities,
Patient Rights in Healthcare Decisions Brochure, Medicare Booklet,
schedules, productivity logs, monthly collection reports, patient
armbands, patient valuables, etc. - 10%
- Communicates to patients their estimated
financialresponsibility.Requests payment prior to or at the time of
service. Refers patients who may need extended terms to the Medical
Services Payment Program and patients needing financial assistance
to appropriate program. - 10%Supervisory/Management
ResponsibilitiesThis is a non-management job that will report to a
supervisor, manager, director, or executive.Minimum
RequirementsHigh School Diploma or equivalent or post high school
education2 years-Admissions, Billing, Collections, Insurance and/or
Customer ServiceOther Required Skills and ExperienceBasic computer
skillsKnowledge of office equipment (fax/copier)Word
ProcessingSpreadsheetsDatabaseData EntryMathematical
SkillsRegistration and scheduling experience- PreferredFamiliarity
with medical terminology- PreferredWork ShiftDay (United States of
America)LocationSCM-ORTHOPEDIC REHAB ADULT-LEXINGTONFacility1510
Richland HospitalDepartment15477370 Physical TherapyShare your
talent with us! Our vision is simple: to transform healthcare for
the benefits of the communities we serve. The transformation of
healthcare requires talented individuals in every role here at
Prisma Health.
Keywords: Prisma Health, Columbia , Patient Access Specialist, Outpatient, Rehab, PRN, Days, Healthcare , Lexington, South Carolina
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