Patient Access Specialist, FT, Days
Company: Prisma Health Upstate
Location: Sumter
Posted on: August 5, 2022
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Job Description:
Inspire health. Serve with compassion. Be the difference.Job
Summary Receives 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 Responsibilities This is a non-management
job that will report to a supervisor, manager, director, or
executive.Minimum Requirements High School Diploma or equivalent or
post high school education2 years-Admissions, Billing, Collections,
Insurance and/or Customer ServiceOther Required Skills and
Experience Basic computer skillsKnowledge of office equipment
(fax/copier)Word ProcessingSpreadsheetsDatabaseData
EntryMathematical SkillsRegistration and scheduling experience-
PreferredFamiliarity with medical terminology- PreferredWork Shift
Day (United States of America)Location TuomeyFacility 7001
CorporateDepartment 70019239 Patient Access - TuomeyShare 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 Upstate, Columbia , Patient Access Specialist, FT, Days, Other , Sumter, South Carolina
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