Patient Access Coordinator

1 month ago


Simpsonville, South Carolina, United States Prisma Health Full time

About the Role

We are seeking a skilled Patient Access Specialist to join our team at Prisma Health. As a key member of our healthcare team, you will play a vital role in ensuring seamless patient access to our medical services.

Key Responsibilities

  • Interviews and Verifies Patient Information
    • Conduct thorough interviews with 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.
  • Processes Insurance and Financial Transactions
    • Assigns appropriate insurance plans from the third-party database, ensuring correct priorities based on third-party requirements and COB.
    • Initiates pre-certification processes as required, obtaining signed waivers for cases where pre-certification is needed but not yet obtained.
  • Manages Patient Payments and Communications
    • Receives payments and issues receipts, actively working towards collection goals.
    • Communicates estimated financial responsibility to patients, requesting payment prior to or at the time of service.
  • Supports Patient Registration and Scheduling
    • Prepares and distributes reports, documents, and patient identification items as required.
    • Coordinates with patients to ensure accurate and timely registration and scheduling.

Requirements and Qualifications

To be successful in this role, you will need:

  • A high school diploma or equivalent.
  • 2 years of experience in admissions, billing, collections, insurance, and/or customer service.
  • Basic computer skills, including knowledge of office equipment and software.
  • Mathematical skills and attention to detail.

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 dynamic, requiring strong communication and organizational skills.



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