Patient Services Representative, Cardiology, FT, Days

Prisma Health•Columbia, SC

About The Position

Responsible for assigned aspects of front office management and operation in a cardiology practice. The role handles patient registration, insurance verification and pre-certification, charge capture and coding, payment posting, billing, collections, scheduling, patient records, and front office support. It involves frequent public contact and requires excellent interpersonal skills, confidentiality, accuracy, and a professional appearance. The representative serves as a liaison between patients and medical support staff and helps patients understand accounts, insurance claims, and financial arrangements. This is a non-management position reporting to a supervisor, manager, director, or executive.

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.

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 and financial information, obtain required signatures, and maintain complete patient profiles.
Arrange prepayments and financial agreements before services, collect payments, issue receipts, balance cash and computer reports, and prepare daily deposits.
Capture, code, enter, and post outpatient charges and payments; verify coding, charging, insurance status, and daily balancing reports.
Process billing, insurance claims, forms, authorizations, benefit correspondence, and pre-certifications; follow up with insurers to obtain approvals and payments.
Contact patients and third-party payers about unpaid accounts, support account resolution, establish payment plans, identify accounts for possible collection agency assignment, and resolve billing complaints.
Greet and assist patients and visitors; answer account, appointment, and testing inquiries; provide phone support and screen visitors.
Maintain appointment books and physician schedules; schedule surgeries, ancillary services, follow-up appointments, and admissions as requested.
Assemble, route, transport, file, repair, and maintain patient charts and medical records; manage obsolete records according to retention and destruction procedures.
Gather and verify superbills and charge information, including information from physicians; process and distribute billing information according to clinic policies.
Oversee the waiting area and coordinate patient movement; assist patients with ambulatory difficulties and questions about insurance, disability benefits, home health care, medical equipment, and surgical care.
Maintain patient account records, files, reports, referral slips, medical authorizations, and insurance documents; research address verification and process returned and outgoing statements.
Process edits and customer service and collection requests within specified time frames; identify trends and communicate problems to management.
Back up and close computer files daily and close batches according to policy.
Maintain confidentiality, participate in educational activities, follow office and medical-record policies, and perform other duties as assigned.