Patient Services Representative, Greenville Medical Campus, FT, Days

Prisma Health•Greenville, SC

12d•Onsite

About The Position

Responsible for assigned aspects of front office management and operations in a clinical practice. The role supports patient registration, insurance verification and pre-certification, billing and charge entry, payment collection, account follow-up, appointment scheduling, and medical-records management. It serves as a liaison between patients and medical support staff, providing courteous assistance and maintaining accurate patient and account information while following practice policies and maintaining confidentiality.

Requirements

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

Nice To Haves

Associate degree in a technical specialty program at least 18 months in length.
Experience in a multispecialty 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 patient profiles.
Complete pre-certification and assist patients with insurance, hospitalization, surgical, disability, workers’ compensation, and other benefit forms and claims.
Capture, code, enter, and post outpatient charges and payments; verify coding and insurance information, balance daily reports, and complete billing processes.
Collect payments, issue receipts, balance the cash drawer, prepare deposits, arrange prepayments or payment plans, and maintain payment records.
Follow up on unpaid accounts by contacting patients and third-party payers, resubmitting claims, resolving billing complaints, and assisting with account resolution or collection referrals.
Greet and assist patients and visitors; answer routine questions, provide front-office phone support, screen visitors, and assist patients with ambulatory difficulties.
Maintain appointment books and physician schedules; schedule surgeries, ancillary services, follow-up appointments, and admissions; answer questions about appointments and testing.
Coordinate patient flow and waiting-area operations, and communicate problems or irregularities to management.
Prepare, locate, transport, sort, file, repair, and maintain patient charts and medical records; obtain and file medical reports and follow records-retention procedures.
Gather billing and charge information from physicians, process billing edits and service requests, and distribute billing information according to clinic policies.
Maintain patient account databases, files, reports, and permanent account records; identify trends and communicate problems to management.
Participate in educational activities and perform other duties as assigned.
Maintain a neat, professional appearance, serve patients, uphold office-manual guidelines, and maintain strict confidentiality.