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Patient Access Coordinator

2 months ago


Greer, South Carolina, United States Prisma Health Full time
Job Summary

We are seeking a highly skilled Patient Access Specialist to join our team at Prisma Health. As a Patient Access Specialist, you will play a critical role in ensuring that patients receive the best possible care by accurately collecting and verifying demographic and financial data.

Key Responsibilities
  • Interview patients to collect and verify demographic and financial data, including insurance information and employment details.
  • Verify insurance coverage and benefits using online eligibility or telephone inquiries to ensure accurate information is documented in the system.
  • Assign appropriate insurance plans and ensure priorities are correct based on third-party requirements and COB.
  • Initiate pre-certification processes as required and obtain signed waivers for cases where pre-certification is not yet obtained.
  • Obtain necessary signatures and information on appropriate forms and documents, including consent forms, liability assignments, and waiver letters.
  • Receive payments and issue receipts, actively working towards collection goals and maintaining cash funds and verification logs.
  • Prepare and distribute reports, documents, and patient identification items as required, including privacy notices, patient rights and responsibilities, and patient valuables.
  • Communicate estimated financial responsibility to patients and request payment prior to or at the time of service.
Requirements
  • High School diploma or equivalent OR post-high school diploma/highest degree earned.
  • 2 years of experience in admissions, billing, collections, insurance, and/or customer service.
Preferred Qualifications
  • Basic computer skills and knowledge of office equipment, including fax and copier.
  • Word processing, spreadsheets, and database skills.
  • Mathematical skills and registration and scheduling experience.
  • Familiarity with medical terminology.
Work Environment

This is a non-management role that will report to a supervisor, manager, director, or executive. The work environment is fast-paced and requires excellent communication and organizational skills.