Patient Services Representative - Family Medicine, Full-Time

Prisma Health•Columbia, SC

1d•Onsite

About The Position

The Patient Services Representative supports front-office management and operations in a family medicine physician practice. Responsibilities may include patient registration, insurance verification and pre-certification, charge capture and coding, payment processing, billing, collections, scheduling, medical records, and customer service. The role requires frequent public contact, strong interpersonal skills, accuracy, confidentiality, and a professional appearance. The position is non-management and reports to a supervisor, manager, director, or executive.

Requirements

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

Nice To Haves

Associate’s 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 account records.
Greet and assist patients and visitors; check patients in; answer routine questions; provide front-office phone support; and assist patients with ambulatory difficulties.
Maintain appointment schedules and physician schedules; schedule surgeries, ancillary services, follow-up visits, and admissions; and answer appointment and testing questions.
Gather, code, enter, and verify diagnoses, procedures, charges, and payment information; process billing information and distribute bills according to clinic policies.
Collect payments and prepayments, issue receipts, post payments, balance daily transactions, prepare cash deposits, and maintain cashiering records.
File insurance claims and assist patients with insurance, disability, workers’ compensation, hospitalization, and surgical pre-certification forms; follow up with insurers regarding coverage and payment.
Contact patients and third-party payers about unpaid accounts, support account resolution, establish payment plans, identify accounts for possible collection referral, and address billing complaints.
Maintain and update patient profiles and account databases; research address information; process returned and outgoing statements; and maintain permanent account records.
Assemble, transport, sort, file, locate, repair, and maintain patient charts and medical records; handle reports and correspondence; and purge or destroy records according to established procedures.
Coordinate patient movement and oversee the waiting area; route charts with medical assistants and other staff; and identify and communicate trends or problems to management.
Process edits and customer service or collection requests within required time frames; print daily reports, verify charge-entry balancing, and close and back up computer files according to policy.
Maintain confidentiality, participate in educational activities, follow office and medical-records policies, and perform related work as required.