Patient Services Representative, Greer Medical Campus, FT, Days

Prisma Health•Greer, SC

About The Position

Responsible for assigned aspects of front office management and operation at Greer Ob/Gyn. The representative supports patient registration, scheduling, billing, payment collection, insurance processing, medical records, and patient service. The role serves as a liaison between patients and medical support staff, maintains accurate patient account and practice information, and helps resolve billing and account issues. Team members are expected to support 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.
In lieu of the education requirement, current Prisma Health team members with one year of Prisma Health experience in this job profile will be accepted.
Maintain strict confidentiality and a neat, professional appearance; demonstrate commitment to service and follow office policies and procedures.

Nice To Haves

Associate degree in a technical specialty program at least 18 months in length preferred.
Experience in a multi-specialty group practice setting preferred.
Basic understanding of ICD-9 and CPT coding preferred.

Responsibilities

Register patients accurately, verify and update insurance and financial information, obtain required signatures, and maintain patient profiles and account records.
Handle pre-certification, charge capture, outpatient coding, billing entry and distribution, insurance claims, and related billing correspondence.
Collect and post payments, balance daily transactions and cash drawers, prepare deposits, issue receipts, and maintain required financial records and reports.
Arrange patient prepayments and financial agreements, establish budget payment plans, follow up on unpaid accounts, and assist with account resolution and collection actions.
Greet and assist patients and visitors; answer account, appointment, and testing questions; provide front-office phone support; and assist patients with ambulatory difficulties.
Maintain appointment schedules; schedule surgeries, ancillary services, follow-up appointments, and admissions as requested; and keep physician schedules current.
Coordinate patient flow and waiting areas, screen visitors, respond to routine information requests, and report problems or irregularities.
Assist patients with insurance claims, benefits, disability claims, pre-certification, and required forms; follow up with insurers regarding coverage and claim payment.
Maintain, assemble, route, file, repair, and locate patient charts and medical records; handle reports and correspondence; and follow records retention, storage, and destruction procedures.
Gather and verify superbills and charge information, enter charges and same-day payments, review coding and insurance status, and balance charge-entry reports at day end.
Process account edits and customer service or collection requests within required time frames; identify trends and communicate problems to management.
Maintain confidentiality, follow office and medical records policies, participate in educational activities, and maintain a neat and professional appearance.
Perform other duties as assigned.