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Patient Access Coordinator
2 months ago
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 collecting and verifying demographic and financial data, verifying insurance coverage, and initiating pre-authorization processes when required.
Key Responsibilities- Interview patients to collect and verify demographic and financial data, ensuring accuracy and completeness.
- Verify insurance coverage and benefits, utilizing online eligibility or telephone inquiries to the employer and/or third-party payor.
- Assign appropriate insurance plans from the third-party database, ensuring insurance priorities are correct based on third-party requirements/COB.
- Initiate pre-certification processes as required, obtaining signed waivers for cases where pre-certification is required but not yet obtained.
- Obtain necessary signatures and other information on appropriate forms and documents, including consent forms, liability assignments, and waiver letters.
- Receive payments and issue receipts, actively working toward collection goals.
- Prepare and distribute reports, documents, and patient identification items as required, including privacy notices, patient rights and responsibilities, and patient valuables.
- Communicate with patients regarding their estimated financial responsibility and request payment prior to or at the time of service.
- 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.
- Basic computer skills.
- Knowledge of office equipment (fax/copier).
- Word processing, spreadsheets, and database skills.
- Mathematical skills.
- Registration and scheduling experience.
- Familiarity with medical terminology.
