Patient Service Representative, Blue Ridge Orthopedics-Easley, FT, Days

Prisma Health•Easley, SC

3d•Onsite

About The Position

Responsible for assigned aspects of front office management and operation at Blue Ridge Orthopedics-Easley. The role supports patient registration, scheduling, billing, payment processing, insurance and pre-certification activities, account follow-up, medical records, and communication between patients and medical support staff. The representative is expected to provide courteous service, maintain confidentiality, follow office policies, and uphold Prisma Health’s values and standards for professional appearance and service.

Requirements

High school diploma or equivalent, or post-high-school diploma.
No previous experience required.
Maintain confidentiality and follow office policies and procedures.

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, verify and update insurance and financial information, obtain required signatures, and maintain patient account records.
Greet patients and visitors, serve as a liaison between patients and medical support staff, answer routine questions, and provide front-office phone support.
Schedule and maintain physician appointments, surgeries, ancillary services, follow-up appointments, and admissions as requested; assemble charts for upcoming visits.
Gather, code, enter, and post outpatient charges and payments; verify coding, charging, insurance status, and daily balancing reports.
Collect payments, issue receipts, balance the cash drawer, prepare daily cash deposits, and maintain required financial records and reports.
Arrange prepayments and financial agreements, evaluate patient financial status, establish payment plans, and participate in account resolution and collections follow-up.
File insurance claims, assist patients with insurance forms and claims, process pre-certification and benefit correspondence, and follow up with insurers on coverage and payment.
Assist with outpatient coding and billing error resolution; process edits and customer service or collection requests within required time frames.
Maintain and update patient accounts, physician schedules, patient profiles, referrals, authorizations, and insurance records.
Manage medical records, including pulling, routing, filing, repairing, locating, purging, and destroying records according to established policies and procedures.
Coordinate patient movement in the waiting area, assist patients with ambulatory difficulties, and report problems or irregularities.
Identify trends and communicate problems to management; participate in educational activities and perform related duties as assigned.
Maintain strict confidentiality and a neat, professional appearance while following office policies and Prisma Health service expectations.