Prisma Health · 1 month ago
Patient Financial Specialist, FT
Columbia, SC
Full-time
Onsite
Mid Level
3+ years expPrisma Health is committed to transforming healthcare for the communities they serve. The Patient Financial Specialist performs in-depth demographic and financial assessments to determine payor sources and assists patients with financial needs, ensuring optimal collection and customer service.
Health CareHospitalMedical
Responsibilities
Interviews patient and/or patient's representative (in accordance with HIPPA Guidelines) to obtain complete and accurate demographic and financial information
Possesses and demonstrates knowledge of computer systems and financial counseling processes allowing the ability to follow through with all assigned accounts timely and accurately to the satisfaction of the internal and external customer
Exercises judgement in analyzing the information collected and following through to ensure the patient receives every consideration for financial assistance
Ensures elimination of all possible payor sources prior to consideration of hospital sponsorship
Communicates patient's estimated financial responsibility and requests payment prior to or at the time of service; appropriately explaining insurance terms to the patient
Receives payments and issues receipts in accordance with departmental cash handling procedures
Continually excels at the performance benchmark standards
Monitors high dollar accounts that represent significant exposure to ensure complete and accurate financial and demographic information necessary for timely submission and reimbursement of the account
Initiates authorization and insurance verification processes as necessary and communicates changes to those departments who need to be made aware
Coordinates and delegates referrals to the Department of Health and Human Services for an application to be completed
Monitors to ensure applications are secured in a timely manner
Demonstrates superior interpersonal relationship skills necessary for developing and maintaining positive professional relationships with patients, peers, clinical departments, payor organizations, and industry organizations
Maintains superior revenue cycle knowledge through an ongoing review of governmental, managed care and other third-party payor regulations and guidelines
Explores any possible payor source options such as Cobra, Liability, Worker's Compensation or other Governmental Agencies
Participates in appropriate departmental training and career developmental opportunities
Contacts Social Security Administration and makes appointments for patients as needed
As needed, assists the patient with the interview process and completing required forms
Facilitates the disability determination process by working with the clinical staff and disability examiner to gather information needed for a disability determination to be made
Exercises superior judgement in coordinating referrals to the appropriate outsource vendor for cases which may require additional follow up once the patient is discharged from the hospital
Works in accordance with Patient Friendly standards consistent with company policies and procedures resulting in optimal collection and customer service
Performs other duties as assigned
Qualification
Required
High School diploma or equivalent OR post-high school diploma/highest degree earned
Three (3) years health care revenue cycle experience (such as Billing, Collections, and/or Customer Service)
Preferred
In lieu of education and experience noted above, a Bachelor's degree and three (3) years of experience in a service industry may be considered
Company
Prisma Health
Prisma Health is the largest not-for-profit health organization in South Carolina, serving more than 1.2 million patients annually.
10001+ employees
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
CDA Foundation
2024-07-30Grant
Leadership Team
Mark O'Halla
President & CEO
B
Barrett Ludley
Facility Chief Financial Officer
Recent News
2026-01-16
Precedence Research
2025-09-09
Company data provided by crunchbase