Patient Access Specialist, FT, Day - Remote

Davita Inc.; Columbia (SC); Remote; USD 35,000 - 50,000; Full time

Job summary

A healthcare organization is seeking a Patient Access Specialist to collect and verify patient income and demographic data, as well as manage insurance verification and payment processing at their Columbia, SC location. This role is crucial for ensuring smooth patient admission and service provision. Candidates need a High School Diploma and 2 years' relevant experience in a healthcare setting.

Qualifications

• 2 years in Admissions, Billing, Collections, Insurance, and/or Customer Service.
• Familiarity with medical terminology is preferred.

Responsibilities

• Interviews patients to secure demographic and financial information.
• Verifies insurance coverage and initiates pre-authorization processes.
• Communicates estimated financial responsibilities to patients.

Skills

Basic computer skills

Mathematical Skills

Data Entry

Registration and scheduling experience

Knowledge of office equipment

Education

High School Diploma or equivalent

Job description

Patient Access Specialist, FT, Day - Remote

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 financial responsibility. 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

2 years-Admissions, Billing, Collections, Insurance and/or Customer Service

Required Certifications/Registrations/Licenses

N/A

In Lieu Of The Minimum Requirements Noted Above

N/A

Other Required Skills and Experience

Basic computer skills

Knowledge of office equipment (fax/copier)

Word Processing

Spreadsheets

Database

Data Entry

Mathematical Skills

Registration and scheduling experience- Preferred
Familiarity with medical terminology- Preferred

Work Shift

Day (United States of America)

Location

Colonial Life Building

Facility

7001 Corporate

Department

70019073 PreAccess Services

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