Patient Access Specialist, PRN, Evenings

Prisma Health; Greenville (SC); On-site; USD 35,000 - 45,000; Full time

Job summary

Prisma Health is hiring for a position at Greenville Memorial Hospital. The role involves interviewing and collecting patient data, verifying insurance, and ensuring professional service delivery. Ideal candidates will have a focus on financial arrangements and documentation.

Minimum requirements include a High School diploma and two years of experience in related fields, along with basic computer and mathematical skills. Join us to inspire health and serve with compassion in a supportive environment.

Qualifications

• Two years of experience in Admissions, Billing, Collections, Insurance, and/or Customer Service.
• Ability to verify insurance coverage and benefits.
• Experience in computer data entry and processing.

Responsibilities

• Collect and verify patient demographic and financial data.
• Verify insurance coverage utilizing online eligibility.
• Initiate pre-certification processes as required.

Skills

Basic computer skills

Mathematical skills

Registration and scheduling experience

Familiarity with medical terminology

Education

High School diploma or equivalent

Post-high school diploma/highest degree

Job description

Overview

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.

Essential Functions

• All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference.
• 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.
• 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.
• 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.
• 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.
• 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.
• 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.
• Performs other duties as assigned.

Supervisory/Management Responsibilities

This is a non-management job that will report to a supervisor, manager, director, or executive.

Minimum Requirements

• Education - High School diploma or equivalent OR post-high school diploma/highest degree earned
• Experience - Two (2) years of Admissions, Billing, Collections, Insurance and/or Customer Service

In Lieu Of

• NA

Required Certifications, Registrations, Licenses

• NA

Knowledge, Skills And Abilities

• Basic computer skills (word processing, spreadsheets, database, data entry)
• Mathematical skills
• Registration and scheduling experience preferred
• Familiarity with medical terminology preferred

Work Shift

Evening (United States of America)

Location

Greenville Memorial Hospital

Facility

7001 Corporate

Department

70019065 Patient Access-GMH Campus