Admission Specialist

Prisma Health

. Act as the initial point of contact to payors for Inpatient admissions and Observation .

Posted 11/11/2026full-timeRemote • South Carolina • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Revenue Cycle Management and Patient Access, with a strong focus on insurance verification, data entry, and compliance with HIPAA and EMTALA guidelines. Proficient in collaborating across departments to enhance operational efficiency and problem-solving.

Highest-signal resume keywords

Revenue Cycle ManagementInsurance VerificationData EntryMedical TerminologyHIPAA Compliance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data EntryMedical TerminologyInsurance VerificationPre-Certification ProcessesStatistical Data Communication

Soft Skills

CollaborationProblem SolvingCommunication

Tools & Technologies

SoveraComputer DatabasesWord Processing Software

Industry Keywords

Patient AccessBillingCollectionsEMTALA GuidelinesThird-Party Requirements

About the role

Key responsibilities & impact

Act as the initial point of contact to payors for Inpatient admissions and Observation
Submit required documentation for initial authorization/notification purposes
Obtain and communicate statistical data for assigned patient population areas
Update and maintain authorization numbers and approved days in registration and other applicable systems
Secure discharge dates for payers as assigned
Verify insurance coverage and benefits through online eligibility systems or telephone inquiries
Document insurance verification information in the system
Ensure insurance priorities are correct based on third-party requirements/COB
Initiate pre-certification processes according to departmental guidelines
Interview patients or representatives to obtain financial, demographic, and employment information
Enter accurate information into computer databases
Access Sovera to review whether the most recent insurance card is on file
Follow up on incomplete and missing information
Collaborate with other departments to ensure efficient processes and facilitate problem solving

Requirements

What you’ll need

High School diploma or equivalent
3 years of experience in Revenue Cycle, Patient Access/Billing, Collections and/or Customer Service
Medical Terminology
Basic computer skills
Knowledge of office equipment
Proficient computer skills (word processing)
Data entry
Ability to comply with HIPAA and EMTALA Guidelines

Benefits

Comp & perks

Full-time employment
Day shift
Remote work arrangement