Patient Access & Insurance Verification Specialist

Prisma Health; Seneca (SC); On-site; USD 32,000 - 44,000; Full time

Job summary

Prisma Health in Oconee Medical Campus seeks a Patient Access Specialist to gather patient demographic and financial information, verify insurance, and initiate pre-authorization as needed. The role involves collecting payments and arranging financial terms while ensuring HIPAA compliance and accurate record-keeping.

The position focuses on courteous, professional service, with responsibility for referrals to payment programs and financial assistance when appropriate, supporting smooth patient

Qualifications

• Basic computer skills (word processing, spreadsheets, data entry)
• Experience with registration, scheduling, and cash handling preferred
• Familiarity with medical terminology and payment processes helpful

Responsibilities

• Interview patients to collect demographic and financial data.
• Verify insurance coverage and benefits using online eligibility or third-party payors.
• Initiate pre-certification process as required and obtain signatures on forms.
• Collect payments, issue receipts, and maintain cash logs and daily deposits.
• Prepare and distribute reports and patient identification items as required.

Skills

Basic computer skills

Mathematical skills

Registration and scheduling experience

Familiarity with medical terminology

HIPAA knowledge

Education

High School diploma or equivalent

Post-high school diploma/highest degree earned

Tools

Sovera system

Job description

Prisma Health in Oconee Medical Campus seeks a Patient Access Specialist to gather patient demographic and financial information, verify insurance, and initiate pre-authorization as needed. The role involves collecting payments and arranging financial terms while ensuring HIPAA compliance and accurate record-keeping.

The position focuses on courteous, professional service, with responsibility for referrals to payment programs and financial assistance when appropriate, supporting smooth patient