Outpatient Pediatric and Adult Patient Access Specialist, FT, Days

3 weeks ago


Columbia, United States Prisma Health Full time

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 or post high school education

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

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

Richland-14MP

Facility

1510 Richland Hospital

Department

15107374 Rehabilitative Services Admin

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.


  • Outpatient Pediatrics

    1 month ago


    Columbia, South Carolina, United States Jackson Physician Search Full time

    Highlights: Join a well-established and friendly team of providers in an outpatient pediatric primary care practice. Epic EMR. This federally qualified health center is expanding services to provide care access to high-risk and underserved patients in the local community, partnering with a UNC non-profit community hospital working under an employed model....

  • Outpatient Pediatrics

    1 month ago


    Columbia, South Carolina, United States Jackson Physician Search Full time

    Outpatient Pediatrics opening joining a community-minded, family-oriented, and collegial practice just south of Chesapeake, VA. Make every week a 3-day weekend with this quality of life, 4-day work week scheduleThe Opportunity: Well-established and friendly team of 7 providers and 13 patient focused pediatric nurses Outpatient practice model with telephone...

  • Outpatient Pediatrics

    2 weeks ago


    Columbia, South Carolina, United States Jackson Physician Search Full time

    Highlights: Join a well-established and friendly team of providers in an outpatient pediatric primary care practice. Epic EMR. This federally qualified health center is expanding services to provide care access to high-risk and underserved patients in the local community, partnering with a UNC non-profit community hospital working under an employed model....

  • Outpatient Pediatrics

    4 weeks ago


    Columbia, South Carolina, United States Jackson Physician Search Full time

    Highlights: Join a well-established and friendly team of providers in an outpatient pediatric primary care practice. Epic EMR. This federally qualified health center is expanding services to provide care access to high-risk and underserved patients in the local community, partnering with a UNC non-profit community hospital working under an employed model. ...


  • Columbia, United States Prisma Health Full time

    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...


  • Columbia, South Carolina, United States Jackson Physician Search Full time

    As one of the fastest growing cities in the nation, this established Pediatrics practice is recruiting to replace a retiring provider. Join a physician-led organization dedicated to delivering exceptional care to patients and to offering a supportive work environment to providers. Outstanding lifestyle opportunity - no night, weekend, or hospital call...


  • Columbia, United States University of Missouri Healthcare Full time

    Job Opportunity at the University of MissouriPediatric Surgeon - Assistant/Associate Professor  The University of Missouri Department of Surgery, Division of Pediatric Surgery is seeking a Pediatric Surgeon to join our team as we open a new children’s hospital on the main university campus.  A collaborative and collegial group, including Pediatric...


  • Columbia, United States University of Missouri Healthcare Full time

    Job Opportunity at the University of MissouriPediatric Surgeon - Assistant/Associate Professor  The University of Missouri Department of Surgery, Division of Pediatric Surgery is seeking a Pediatric Surgeon to join our team as we open a new children’s hospital on the main university campus.  A collaborative and collegial group, including Pediatric...

  • Adult Rheumatologist

    2 weeks ago


    Columbia, United States Arthritis Care Specialists of Maryland Full time

    Come join our large and thriving rheumatology practice located in Columbia, MD, between Baltimore, Washington, DC, and the beautiful Chesapeake Bay. Columbia is a very diverse city with one of the best school systems in the country and has been regularly at the top of America s Most Livable cities and America's safest cities lists.See Full...


  • Columbia, United States Prisma Health Full time

    Inspire health. Serve with compassion. Be the difference. Job Summary As a Community Health Worker, the PASO Resource Specialist plans, develops, markets, and delivers public health education to local health program participants at Prisma Health Upstate and community groups. Facilitates enrollment of eligible participants in Medicaid, WIC and SNAP...


  • Columbia, South Carolina, United States Arthritis Care Specialists of Maryland Full time

    Come join our large and thriving rheumatology practice located in Columbia, MD, between Baltimore, Washington, DC, and the beautiful Chesapeake Bay. Columbia is a very diverse city with one of the best school systems in the country and has been regularly at the top of America s Most Livable cities and America's safest cities lists.See Full...


  • Columbia, South Carolina, United States Jackson Physician Search Full time

    New pediatrics opening joining a community - minded, family oriented, collegial, and physician - owned multi - specialty private practice that has been in practice for 110 yearsThe Opportunity: Well - established and friendly team of 7 providers 100% outpatient practice model with minimal phone call only Full support to include RN's and dedicated MA's On -...


  • Columbia, United States Prisma Health Full time

    Inspire health. Serve with compassion. Be the difference. Job Summary Incumbents are responsible for aspects of Physician Practice front office management and operation as assigned. May be responsible for some or all front office functions as detailed in the next section. Accountabilities * Responsible for complete and accurate patient registration,...


  • Columbia, MO, United States University of Missouri Healthcare Full time

    Job Opportunity at the University of Missouri Pediatric Surgeon - Assistant/Associate Professor   The University of Missouri Department of Surgery, Division of Pediatric Surgery is seeking a Pediatric Surgeon to join our team as we open a new children’s hospital on the main university campus. A collaborative and collegial group, including...


  • Columbia, South Carolina, United States Healthcare Connections Full time

    Start Date: ASAP4.5 day work week Adult Primary Care in South CarolinaEstablished healthcare system in South Carolina is recruiting a Primary Care physician to join a mature practice rooted in the community for 30+ years. With a pending retirement on the horizon, an exceptional opportunity is being offered to take over an established patient panel of ages...


  • Columbia, South Carolina, United States Jackson Physician Search Full time

    New pediatrics opening joining a community - minded, family oriented, collegial, and physician - owned multi - specialty private practice that has been in practice for 110 years The Opportunity: Well - established and friendly team of 7 providers 100% outpatient practice model with minimal phone call only Full support to include RN's and dedicated MA's On...


  • Columbia, United States Arthritis Care Specialists of Maryland Full time

    Come join our large and thriving rheumatology practice located in Columbia, MD, between Baltimore, Washington, DC and the beautiful Chesapeake Bay. Columbia is a very diverse city with one of the best school systems in the country and has been regularly at the top of America’s Most Livable cities and America's safest cities lists. See Full...


  • Columbia, United States Prisma Health Full time

    Inspire health. Serve with compassion. Be the difference. Job Summary To provide our patients a seamless entry in to the Prisma Health experience. The Referral Specialist interfaces with patients and physician office team members to accurately authorize various consultations, procedures and tests. The Referral Specialist utilizes each patient's preferred...


  • Columbia, South Carolina, United States Arthritis Care Specialists of Maryland Full time

    Come join our large and thriving rheumatology practice located in Columbia, MD, between Baltimore, Washington, DC and the beautiful Chesapeake Bay. Columbia is a very diverse city with one of the best school systems in the country and has been regularly at the top of America's Most Livable cities and America's safest cities lists.See Full...


  • Columbia, United States Prisma Health Full time

    Inspire health. Serve with compassion. Be the difference. Job Summary This position performs duties necessary to treat patients in accordance with the physician's order and departmental policy. Works independently in all acute and critical care settings. Consults with physicians and other personnel and makes recommendations on treatment as appropriate....