Patient Services Representative, Ambulatory Internal Resource Pool, FT, Days

Prisma Health•Greenville, SC

6d•Onsite

About The Position

This is an entry-level position responsible for assigned aspects of physician practice front-office management and operations. The Ambulatory Internal Resource Pool provides short-term staffing assignments at medical offices in Greenville and surrounding areas, ranging from one day to 12 weeks. Team members must be flexible and willing to work across specialties, including family medicine, pediatrics, urology, orthopedics, and OB/GYN. The position includes a float differential in addition to an experience-based hourly pay rate. The role supports patient registration, precertification, charge capture, diagnosis coding, payment posting, account balancing, billing, insurance claims, and collections. It involves substantial public contact and requires strong interpersonal skills. The representative arranges prepayments and financial agreements, assists with patient and insurance forms, and helps resolve unpaid accounts. The position reports to a supervisor, manager, director, or executive and is a non-management job.

Requirements

High school diploma or equivalent.
No previous experience required.
Flexible and willing to work across specialties and at medical offices in Greenville and surrounding areas.

Nice To Haves

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

Responsibilities

Register patients accurately, verify and update insurance information, obtain required signatures, and maintain patient accounting records.
Greet and assist patients and visitors, serve as a liaison between patients and medical support staff, and help patients with ambulatory difficulties.
Maintain appointment schedules, provide front-office phone support, schedule surgeries and other services, and coordinate patient movement through the waiting area.
Gather, code, enter, and post outpatient charges and diagnoses; process vouchers and payments; prepare billing information; and distribute billing documents.
Perform cashiering functions, balance the cash drawer, prepare daily deposits, issue receipts, and maintain payment records and reports.
Process billing edits and customer service and collection requests within specified time frames.
Maintain physician schedules and process statements, returned mail, and outgoing statements.
Research information needed for outpatient billing, including obtaining charge information from physicians, and enter procedure and diagnosis details into the billing system.
Transport, sort, file, repair, create, locate, and route medical charts and records; file reports; and purge or destroy records according to retention procedures.
Assist patients with insurance claims and forms, precertification, preauthorization, disability benefits, and related inquiries; follow up with insurers to confirm coverage.
Post account actions and maintain permanent patient account records; confirm workers’ compensation claims and prepare disability claims.
Collect payments at the time of service, contact patients and third-party payers about unpaid accounts, resubmit claims, establish budget payment plans, and recommend accounts for collection agency assignment.
Enter charge and same-day payment information, verify coding, charges, and insurance status, and close and back up computer files according to policy.
Maintain confidentiality, participate in educational activities, maintain a professional appearance, and follow office guidelines.