Patient Services Rep

Prisma Health•Sumter, SC

10h

About The Position

Responsible for assigned aspects of front office management and operation in a clinical department. The role supports patient registration, scheduling, billing, payment collection, insurance processing, medical records, and communication between patients and medical support staff. The representative is expected to provide prompt, courteous service, maintain confidentiality, follow office and medical-records policies, and uphold Prisma Health’s purpose: “Inspire health. Serve with compassion. Be the difference.”

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.
Maintain strict confidentiality and comply with applicable office and medical-records 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, pre-certification, charge capture, diagnosis and procedure coding, and billing.
Post payments, balance transactions against computer reports, monitor and balance the cash drawer, prepare deposits, and issue receipts.
Arrange patient prepayments and financial agreements before services; evaluate financial status and establish payment plans.
Gather, code, enter, and distribute charge and billing information; process billing edits and resolve coding or account errors.
File insurance claims, assist patients with insurance forms, process benefit correspondence, and follow up with insurers on coverage and payment.
Contact patients and third-party payers about unpaid accounts, help resolve billing complaints, and participate in account resolution through payment or referral to collections.
Greet patients and visitors, check patients in, verify and update insurance and financial information, obtain required signatures, and answer account and appointment questions.
Maintain appointment books and physician schedules; schedule surgeries, ancillary services, follow-up appointments, and admissions as requested.
Provide front-office phone support, screen visitors, respond to routine information requests, and serve as a liaison between patients and medical support staff.
Assist patients with ambulatory difficulties and questions about claims, disability benefits, home health care, medical equipment, and surgical care.
Maintain patient account databases, profiles, records, files, reports, referral slips, authorizations, and insurance slips; preserve confidentiality and follow records procedures.
Assemble charts for upcoming visits; create and repair charts, route and file returned charts and medical reports, locate records, and purge or destroy outdated records according to policy.
Gather and verify superbills, enter charges and same-day payments, check coding and insurance status, print daily reports, balance charge entry, and close computer batches and files as required.
Process mail-return and outgoing statements, research address verification, and acquire billing information from physicians.
Identify trends and communicate problems to management; participate in educational activities and perform other duties as assigned.
Maintain a neat, professional appearance and demonstrate commitment to service in accordance with office guidelines.