Business Office Rep, Outpatient Rehab, FT, Days

Prisma Health•Sumter, SC

About The Position

The Business Office Rep performs duties that support business operations and provides direct customer service and clerical or administrative support for Outpatient Rehabilitative Services. The role coordinates and optimizes patient scheduling across procedures and specialties, follows up with patients who have not responded to scheduling requests, and triages therapy referrals based on urgency and appropriate location or specialty. The representative verifies patient benefits, explains coverage and financial responsibility, calculates cost estimates, confirms and maintains payer authorizations, edits claims for clean submission, collects and posts payments, answers billing questions, and discusses available payment options. The position also handles office administration, including supply orders, invoices, work orders, deposits, accounting information, mail, and cash-box maintenance. It answers calls and voicemails, greets patients, responds to general therapy questions, and trains staff on office guidelines and procedures.

Requirements

High school diploma or equivalent.
Two years of related work experience, such as admissions, billing, collections, insurance, or customer service.
Computer skills, including word processing, spreadsheets, databases, and data entry.
Mathematical skills.

Nice To Haves

Registration and scheduling experience.
Familiarity with medical terminology.

Responsibilities

Coordinate schedules for multiple procedures and specialties to best serve patients.
Schedule patients to optimize therapists’ schedules and productivity, and adjust appointments or providers to optimize daily visit volumes.
Follow up with patients who have not responded to requests to schedule an initial visit.
Verify patient benefits, explain benefits and insurance coverage, calculate cost estimates, and communicate patients’ financial responsibility.
Confirm payer authorization for services and maintain authorization throughout the plan of care.
Edit patient claims to support clean submission for payment.
Collect payments at the time of care and after care is completed, including by phone; post payments and answer billing questions.
Discuss payment options and programs available to patients.
Respond to therapy referrals by triaging urgency and screening for the appropriate location and specialty of care.
Document authorizations and attach them to all appointments.
Order supplies and submit invoices for payment.
Maintain office cleanliness, submit work orders, and report broken equipment to Facilities.
Submit end-of-day deposits and accounting information, sort and address incoming mail, and maintain the cash box.
Train other staff on office guidelines and procedures.
Answer phones and patient voicemails, answer general questions about therapy and treatments, and greet incoming patients.
Perform other duties as assigned.