Patient Service Representative, Neurology, FT, Days

Prisma Health•Columbia, SC
•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, coding, payments, insurance and medical-record processes, while serving as a liaison between patients and medical support staff. The representative is expected to provide courteous service, maintain confidentiality, uphold office policies, and represent Prisma Health with a neat and professional appearance and a commitment to service. This is a non-management position reporting to a supervisor, manager, director, or executive.

Requirements

  • High school diploma or equivalent, or a post-high-school diploma.
  • No previous experience required.
  • Basic understanding of ICD-9 and CPT coding is preferred.
  • Current Prisma Health team members with one year of Prisma Health experience in this job profile may qualify in lieu of the education requirements.

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

  • Complete accurate patient registration, pre-certification, charge capture, and coding of physician-provided diagnoses.
  • Post payments, balance transactions against computer reports, monitor and balance the cash drawer, prepare deposits, and issue receipts.
  • Collect patient payments and arrange prepayments, financial agreements, or budget payment plans before services when required.
  • Gather, code, enter, and distribute charge and billing information; process outpatient billing, vouchers, private payments, claims, and statements.
  • File insurance claims, assist patients with insurance forms, follow up with insurers on coverage and payment, and process benefit correspondence and pre-certification forms.
  • Contact patients and third-party payers about unpaid accounts, participate in account resolution, identify accounts for possible collection, and address billing complaints.
  • Greet and check in patients and visitors; verify and update insurance and financial information; obtain required signatures; and answer routine questions and requests.
  • Maintain appointment books and physician schedules; schedule surgeries, ancillary services, follow-up visits, and admissions; answer appointment and testing inquiries.
  • Provide front-office phone support, screen visitors, coordinate patient movement, oversee the waiting area, and assist patients with ambulatory difficulties.
  • Assemble, pull, transport, sort, file, update, repair, and maintain patient charts and medical records; manage retention, storage, and destruction of obsolete records according to policy.
  • Gather and verify superbills, enter charges and same-day payments, check coding and insurance status, print balancing reports, and close computer batches and files daily.
  • Process coding edits and customer service or collection requests within required time frames; identify trends and communicate problems to management.
  • Maintain referral, authorization, insurance, billing, and patient-account records; confirm workers’ compensation claims and prepare disability claims.
  • Participate in educational activities, maintain confidentiality, follow office and medical-record policies, perform related work, and complete other assigned duties.
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