Patient Access Representative

1 day ago


Easley, 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 care they need in a timely and efficient manner.

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.
Requirements
  • High School Diploma or equivalent or post-high school education.
  • 2 years of experience in admissions, billing, collections, insurance, and/or customer service.
  • Basic computer skills, knowledge of office equipment, and proficiency in word processing, spreadsheets, and database management.
Work Environment

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



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