Patient Access Coordinator
1 month ago
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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