Patient Access Specialist, PRN, Variable

Prisma Health; Easley (SC); On-site; USD 36,000 - 48,000; Full time

Job summary

Prisma Health is seeking an Admissions/Billing Clerk to interview patients, verify demographics and financial data, and process payments at Baptist Easley Med Campus. The role involves insurance verification, pre-certification initiation, and creating accurate records in the system.

The position supports the Patient Access-Baptist Easley department, with responsibilities including reporting, scheduling, and assisting patients with payment arrangements and financial counseling.

Qualifications

• Basic computer skills (word processing, spreadsheets, data entry).
• Mathematical skills for financial calculations and accuracy.
• Registration and scheduling experience preferred.
• Familiarity with medical terminology preferred.

Responsibilities

• Interviews patient to collect demographic and financial data and enters into the system.
• Verifies insurance coverage and initiates pre-certification when required; documents in system.
• Collects payments, issues receipts, and works toward collection goals.
• Prepares and distributes reports, schedules, and patient identification items per department guidance.
• Communicates estimated patient financial responsibility and refers to payment programs as needed.

Skills

Basic computer skills

Mathematical skills

Registration scheduling

Medical terminology

Education

High School diploma or equivalent

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.

ED (PRN, 7a-3:30p, Sat-Sun, EOW

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 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.

• 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

Variable (United States of America)

Location

Baptist Easley Med Campus

Facility

Corporate

Department

Patient Access-Baptist Easley

Share 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.