Patient Access Specialist, FT, Days

Prisma Health; Greenville (SC); On-site; USD 32,000 - 42,000; Full time

Job summary

Prisma Health, Greenville Memorial Hospital, is seeking a Revenue Cycle associate for cancer institute operations. The role interviews patients, verifies demographics and insurance, and handles pre-authorizations and payments in a courteous, professional manner.

Responsibilities include data entry in the computer system, insurance verification, form signoffs, reporting, and communicating estimated patient financial responsibility. Day shifts at Cancer Centers - Faris Road, Greenville.

Qualifications

• High School Diploma or equivalent is required.
• Basic computer skills are required for daily tasks.
• Familiarity with office equipment (fax/copier) is preferred.
• Proficiency in word processing, spreadsheets, and databases is expected.
• Accurate data entry and basic math skills are essential.

Responsibilities

• Interview patients to collect demographic and financial data and verify information.
• Verify insurance coverage and initiate pre-certification when required.
• Obtain signatures on forms such as consent and waiver documents.
• Receive payments, issue receipts, and contribute to daily deposits.
• Prepare and distribute reports and patient identification materials as needed.
• Explain patient financial responsibility and refer to payment programs when appropriate.

Skills

Basic computer skills

Word Processing

Spreadsheets

Database

Data Entry

Mathematical Skills

Knowledge of office equipment

Education

High School Diploma or equivalent

Tools

Sovera

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 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

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

Cancer Centers - Faris Road

Facility

Greenville Memorial Hospital

Department

Revenue Cycle-Cancer Institute-CIF

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