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

Prisma Health•Easley, SC

About The Position

Responsible for assigned aspects of front office management and operation at Blue Ridge Orthopedics in Easley. The role supports patient registration, scheduling, billing, payment collection, insurance and pre-certification processes, medical records, and communication between patients and medical staff. The representative is expected to maintain patient confidentiality, a neat and professional appearance, and a commitment to service while following office policies and procedures.

Requirements

High school diploma or equivalent, or a post-high-school diploma.
No previous experience required.
Maintain strict patient confidentiality and a neat, professional appearance; demonstrate commitment to service and follow office policies.

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, verify and update insurance and financial information, obtain required signatures, and maintain patient account profiles.
Gather, code, enter, and post outpatient charges and diagnoses; support billing processes, resolve coding errors, and distribute billing information.
Collect and post patient payments, balance daily transactions and cash drawers, prepare cash deposits, issue receipts, and maintain payment records.
Arrange patient prepayments and financial agreements, evaluate patient financial status, establish payment plans, and participate in account resolution and collection actions.
File insurance claims, help patients complete insurance forms, process benefit correspondence, and follow up with insurers regarding pre-certification, coverage, and claim payment.
Greet and assist patients and visitors, answer routine questions and account inquiries, provide front-office phone support, and serve as a liaison between patients and medical staff.
Maintain appointment schedules; arrange surgeries, ancillary services, follow-up appointments, and admissions; answer questions about appointments and testing.
Assemble, route, transport, file, repair, and maintain patient charts and medical records; retrieve and file reports and other documents; purge or destroy records according to retention procedures.
Coordinate patient movement and oversee the waiting area; assist patients with ambulatory difficulties and questions about insurance claims and related services.
Process account edits and customer service and collection requests within specified time frames, identify trends or problems, and communicate them to management.
Prepare disability claims, confirm workers’ compensation claims, and maintain referral slips, medical authorizations, and insurance slips.
Verify superbills and patient insurance status, enter charges and same-day payments, print and balance daily reports, and back up and close computer files according to policy.
Participate in educational activities, maintain confidentiality, follow office policies, and perform other duties as assigned.