Patient Services Representative, Care Today Clinic, PRN, Varied

Prisma Health•Maryville, TN

3d•Onsite

About The Position

Responsible for assigned aspects of front-office management and operations at the Care Today Clinic. The role supports patient registration, scheduling, billing, payments, insurance processing, medical records, and communication between patients and medical support staff. The representative is expected to provide courteous service, maintain confidentiality, follow clinic policies, and uphold a neat and professional appearance while helping Prisma Health inspire health, serve with compassion, and make a difference.

Requirements

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

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 current patient profiles and account data.
Collect and post charges and payments, balance daily transactions and cash drawers, prepare deposits, issue receipts, and maintain required records and reports.
Support billing and reimbursement processes by gathering and coding charges, entering billing information, filing insurance claims, processing statements and vouchers, and helping resolve coding and billing errors.
Assist patients with prepayments, financial agreements, payment plans, insurance forms, claims, pre-certification, disability benefits, and billing questions or complaints.
Contact patients and third-party payers about unpaid accounts, resubmit claims, follow up on coverage and payments, and participate in account resolution and collection activities.
Greet and assist patients and visitors; serve as a liaison to medical support staff; provide front-office phone support; screen visitors; and respond to routine information requests.
Maintain appointment schedules and physician schedules; schedule surgeries, ancillary services, follow-up appointments, and admissions; and answer questions about appointments and testing.
Coordinate patient flow and waiting-area activity, assist patients with ambulatory difficulties, and report problems or irregularities.
Prepare, route, transport, file, locate, repair, and maintain patient charts and medical records; retrieve and file reports and correspondence; and manage records according to retention and destruction procedures.
Gather and verify superbills, enter charge and same-day payment information, print daily reports, balance charge entry, and close or back up computer files according to policy.
Identify trends and communicate problems to management; participate in educational activities; perform related work and other assigned duties; and maintain confidentiality and professional standards.