Patient Financial Specialist

Prisma Health

. Resolve patient accounts through timely and appropriate financial counseling and collections .

Posted 9/29/2026full-timeRemote • South Carolina • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Health Care Revenue Cycle processes, including financial counseling, billing, and collections, while ensuring compliance with HIPAA guidelines. Proficient in analyzing demographic and financial information to facilitate effective patient account resolution and communication with various stakeholders.

Highest-signal resume keywords

Health Care Revenue Cycle ExperienceFinancial Counseling ProcessesHIPAA ComplianceInsurance Verification ProcessesKnowledge of Payor Regulations

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

BillingCollectionsFinancial AssessmentDemographic AnalysisAuthorization Initiation

Soft Skills

Effective CommunicationCollaborationProblem-Solving

Tools & Technologies

Computer Systems

Industry Keywords

Managed CareThird-Party PayorDepartment of Health and Human ServicesSocial Security Administration

About the role

Key responsibilities & impact

Resolve patient accounts through timely and appropriate financial counseling and collections
Collect deductibles, co-pays, co-insurance, self-pay amounts, and other payments
Perform in-depth demographic and financial assessments, generally at the bedside, to determine appropriate payor sources
Assist patients with financial assistance, outside agency referrals, Social Security Administration appointments, and disability determination processes
Interview patients or representatives to obtain accurate demographic and financial information in accordance with HIPAA guidelines
Explain insurance terms and estimated financial responsibility; request and receive payments and issue receipts
Monitor high-dollar accounts and ensure accurate information for timely submission and reimbursement
Initiate authorization and insurance verification processes and communicate changes to relevant departments
Coordinate and monitor Department of Health and Human Services applications
Collaborate with Social Work and Outcomes Management to support appropriate patient care continuums
Maintain revenue cycle knowledge through review of payor regulations and guidelines
Complete special revenue-cycle projects, including complex patient reviews and financial counseling support at other facilities
Escalate issues to appropriate management

Requirements

What you’ll need

High School diploma or equivalent OR Post High School Diploma
3 years of Health Care Revenue Cycle Experience (such as Billing, Collections, and/or Customer Service)
Bachelor's degree and 3 years experience in a service industry may be substituted for the above education/experience requirements
Knowledge of computer systems and financial counseling processes
Ability to analyze demographic and financial information
Ability to follow HIPAA guidelines and compliant processes
Ability to initiate authorization and insurance verification processes
Knowledge of governmental, managed care, and third-party payor regulations and guidelines
Ability to communicate effectively with patients, representatives, peers, clinical departments, payor organizations, and industry organizations