Patient Services Representative, Greenville Medical Campus, FT, Days

Prisma Health•Greenville, SC

About The Position

Responsible for assigned aspects of front office management and operation for the Trauma Surgery practice at Greenville Memorial Hospital. The role supports patient registration, scheduling, billing, payment processing, insurance and pre-certification workflows, account follow-up, and medical-record management. It requires frequent public contact, strong interpersonal skills, confidentiality, and a neat, professional appearance. The representative is expected to uphold office guidelines, participate in educational activities, perform related work, and complete other duties as assigned.

Requirements

High school diploma or equivalent, or a post-high-school diploma.
No previous experience required.
Maintain strict confidentiality and a neat, professional appearance.
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

Complete accurate patient registration, verify and update insurance and financial information, obtain required signatures, and maintain patient account records.
Gather, code, enter, and post outpatient charges and diagnoses; assist with coding and billing error resolution; prepare and distribute billing information.
Post payments, process vouchers and private payments, balance daily transactions, monitor the cash drawer, prepare deposits, and issue receipts.
Arrange prepayments and financial agreements; collect payments at the time of service and establish budget payment plans when appropriate.
File insurance claims and forms; assist patients with insurance, disability, workers’ compensation, hospitalization, and surgical pre-certification; follow up with insurers regarding approvals and payments.
Contact patients and third-party payers about unpaid accounts, resubmit claims, resolve billing complaints, and participate in account resolution through payment or referral for collection.
Greet and assist patients and visitors, check in patients, answer account and appointment questions, screen visitors, and provide front-office phone support.
Maintain appointment books and physician schedules; schedule surgeries, ancillary services, follow-up appointments, and admissions as requested.
Coordinate patient movement and waiting-area operations, assist patients with ambulatory difficulties, and liaise with medical support staff.
Prepare, update, transport, sort, file, repair, and locate patient charts and medical records; manage reports and correspondence, maintain orderly files, and handle retention and destruction of records according to procedures.
Gather and verify superbills; enter charge and same-day payment information; print daily reports, verify charge-entry balancing, and back up and close computer files in accordance with policy.
Process returned and outgoing statements, research address verification, maintain patient profiles and databases, and identify and communicate trends or problems to management.
Perform other duties as assigned.