Prisma Health
Patient Access Specialist F/T
Greenville, SC
Sponsorship not specifiedDetected 1 day ago
ComplianceCustomer SupportHIPAA
About the role
- Receives and interviews patients to collect and verify pertinent demographic and financial data.
- Interviews patient or other source (in accordance with HIPAA Guidelines) to secure information relative to financial status, demographic data and employment information.
- Follows up for incomplete and missing information. - 40%
Responsibilities
- 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.
- Maintains cash funds/verification logs and makes daily deposits according to departmental policies and procedures.
Requirements
- 2 years- Admissions, Billing, Collections, Insurance and/or Customer Service
- Required Certifications/Registrations/Licenses
- In Lieu Of The Minimum Requirements Noted Above
- Other Required Skills and Experience
- Knowledge of office equipment (fax/copier)
- 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.
Nice to have
- Registration and scheduling experience- Preferred
Skills
- Assigns appropriate insurance plan from the third party database
Benefits
- Verifies insurance coverage/benefits utilizing online eligibility or by telephone inquiry to the employer and/or third party payor.
- Refers patients who may need extended terms to the Medical Services Payment Program and patients needing financial assistance to appropriate program.
- 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.
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This listing is sourced directly from Prisma Health's careers page and normalized into a canonical job model.