Patient Services Representative, Greenville Medical Campus, FT, Days

Prisma Health•Greenville, SC

10d

About The Position

Responsible for assigned aspects of front-office management and operation in a pulmonary practice. The role supports patient registration, scheduling, billing, payment processing, insurance and pre-certification workflows, medical-records handling, and communication between patients and medical staff. The representative is expected to provide prompt, courteous service, maintain confidentiality and accurate patient and account information, and uphold Prisma Health’s professional and office standards. 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.
Maintain strict confidentiality and a neat, professional appearance; demonstrate commitment to service and follow office guidelines.
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 data.
Gather, code, enter, and post outpatient charges, diagnoses, payments, and same-day payment information; verify coding and charge-entry accuracy and balance daily reports.
Collect patient payments, arrange prepayments and financial agreements, perform cashiering, balance the cash drawer, prepare deposits, and issue receipts.
Submit and distribute billing information and insurance claims; assist patients with insurance forms, pre-certification, benefit correspondence, and claims questions.
Contact patients and third-party payers about unpaid accounts, follow up on claims, support account resolution, establish payment plans, and identify accounts for possible collection referral.
Greet and assist patients and visitors; answer routine questions, support the front-office phone function, screen visitors, and coordinate patient movement in the waiting area.
Maintain appointment books and physician schedules; schedule surgeries, ancillary services, follow-up visits, and admissions as requested; answer questions about appointments and testing.
Assemble, pull, route, transport, sort, file, repair, and maintain patient charts and medical records; retrieve related reports and correspondence; purge or destroy records according to established procedures.
Assist patients with ambulatory difficulties and questions about insurance claims, disability benefits, home health care, medical equipment, and surgical care.
Process billing edits and customer service or collection requests within specified time frames; identify trends and communicate problems to management.
Prepare and maintain patient profiles, referral slips, medical authorizations, insurance slips, required account records, reports, and files.
Back up and close computer files daily and close batches in accordance with policy.
Participate in educational activities and perform other related duties as assigned.