Patient Access Representative

7 days ago


Greenville, South Carolina, United States Prisma Health Full time

Job Summary

We are seeking a skilled Patient Access Specialist to join our team at Prisma Health. In this role, you will be responsible for receiving and interviewing patients to collect and verify demographic and financial data, verifying insurance coverage, and initiating pre-authorization processes as required.

Key Responsibilities

  • Interview patients to secure information relative to financial status, demographic data, and employment information, and enter accurate information into the computer database.
  • Verify insurance coverage and benefits using online eligibility or by telephone inquiry, and document the information in the system.
  • Assign appropriate insurance plans and ensure insurance priorities are correct based on third-party requirements.
  • Obtain necessary signatures and information on appropriate forms and documents, including consent forms and liability assignments.
  • Receive payments and issue receipts, and maintain cash funds and verification logs.
  • Prepare and distribute reports, documents, and patient identification items as required.

Requirements

  • High School Diploma or equivalent.
  • 2 years of experience in admissions, billing, collections, insurance, and/or customer service.
  • Basic computer skills and knowledge of office equipment.
  • Mathematical skills and data entry experience.

Preferred Qualifications

  • Registration and scheduling experience.
  • Familiarity with medical terminology.

Work Environment

This is a non-management job that will report to a supervisor, manager, director, or executive.

Location

Patewood Outpt Ctr/Med Offices



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