Patient Service Representative, Neurology, FT, Days

Prisma Health•Richland, WA
•Onsite

About The Position

Responsible for assigned aspects of front office management and operation in a neurology practice. The role supports patient registration, scheduling, billing, payment processing, insurance verification and pre-certification, medical records, and communication between patients and medical support staff. The representative provides courteous service to patients and visitors, maintains accurate and confidential patient and account information, and helps resolve billing and account issues. The role also supports the practice’s daily operations and is expected to maintain a neat, professional appearance and demonstrate a commitment to service.

Requirements

  • High school diploma or equivalent, or a post-high-school diploma.
  • No previous experience required.
  • In lieu of the education requirements, current Prisma Health team members with one year of Prisma Health experience in this job profile will be accepted.

Nice To Haves

  • Associate degree in a technical specialty program at least 18 months in length.
  • Experience in a multi-specialty group practice setting.
  • Basic understanding of ICD-9 and CPT coding.

Responsibilities

  • Register patients accurately and completely; verify and update insurance and financial information, obtain required signatures, and create or update patient profiles.
  • Manage front-office interactions, including greeting patients and visitors, checking patients in, answering routine questions, screening visitors, and providing phone support.
  • Maintain appointment schedules and physician schedule information; schedule surgeries, ancillary services, follow-up appointments, and admissions as requested.
  • Collect and post payments, issue receipts, balance cash and computer reports, prepare daily deposits, and maintain required payment records.
  • Gather, code, enter, and post outpatient charges and diagnoses; verify coding, charge entry, patient insurance status, and daily balancing reports.
  • Complete billing processes, distribute billing information, file insurance claims, assist with insurance forms, and follow up with patients and third-party payers on unpaid accounts.
  • Arrange patient prepayments and financial agreements; evaluate financial status, establish budget payment plans, and participate in account resolution and collections follow-up.
  • Assist patients with insurance claims, disability benefits, workers’ compensation claims, pre-certification, and related benefit correspondence and forms.
  • Process billing edits and customer service or collection requests within required time frames; resolve patient billing complaints and communicate trends or problems to management.
  • Maintain patient account databases and permanent account records, post actions, and review accounts for timely payment or possible referral to a collection agency.
  • Prepare and maintain patient charts and medical records, including pulling, assembling, transporting, sorting, filing, repairing, locating, and purging records according to policy.
  • Coordinate patient movement and monitor the waiting area; report problems or irregularities and route charts with medical assistants and other staff.
  • Maintain confidentiality and follow office, medical-records, billing, and records-retention policies.
  • Participate in educational activities and perform other duties as assigned.
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