Patient Access Specialist

• Interview patients or other sources to collect financial, demographic, employment, and insurance information
• Enter accurate information into computer databases, access Sovera, and scan documents
• Follow up on incomplete or missing information
• Verify insurance coverage and benefits and document verification in the system
• Assign appropriate insurance plans and ensure insurance priorities are correct
• Initiate pre-certification processes and obtain signed waivers when required
• Obtain required signatures and information on forms and documents
• Receive payments, issue receipts, maintain cash funds and verification logs, and make daily deposits
• Prepare and distribute reports, documents, schedules, productivity logs, collection reports, and patient identification items
• Communicate estimated financial responsibility and request payment before or at service
• Refer patients to payment or financial assistance programs when appropriate
• Perform other duties as assigned

• Perform admitting duties for patients admitted for hospital services
• Assign accurate medical record numbers (MRNs)
• Complete medical necessity and compliance checks
• Provide patient instructions and collect insurance information
• Receive and process physician orders
• Operate the telephone switchboard
• Provide compassionate customer service
• Meet assigned point-of-service goals
• Use quality auditing and reporting systems to correct accounts
• Conduct account audits and provide statistical data to Patient Access leadership
• Pre-register patient accounts before visits
• Make inbound and outbound calls to obtain demographic, insurance, and financial liability information
• Collect point-of-service payments and past-due balances, including payment plan options
• Explain consent and patient education forms, obtain signatures, and document witnesses
• Review insurance eligibility and select applicable plan codes
• Enter benefit data to support point-of-service collections and billing
• Screen medical necessity using ABN software and distribute required notices and forms

Patient Access Specialist jobs in South Carolina

Patient Access Specialist

Patient Access Associate Specialist