Patient Services Representative, Laurens Family Medicine-Main, FT, Days

Prisma Health•Laurens, SC

5d•Onsite

About The Position

Responsible for assigned aspects of front-office management and operation at Laurens Family Medicine - Main. The role supports patient registration, scheduling, billing, payment processing, insurance and pre-certification activity, collections, medical records, and communication between patients and medical support staff. The representative is expected to maintain confidentiality, a neat and professional appearance, a commitment to service, and compliance with office procedures and Prisma Health’s purpose: “Inspire health. Serve with compassion. Be the difference.” 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 procedures.

Nice To Haves

Associate degree in a technical specialty program of at least 18 months.
Experience in a multispecialty group practice setting.
Basic understanding of ICD-9 and CPT coding.

Responsibilities

Register patients completely and accurately; verify and update insurance and financial information, obtain required signatures, and maintain patient profiles and account records.
Collect and post payments, arrange prepayments and financial agreements, balance daily reports and cash drawers, prepare deposits, and maintain payment records.
Gather, code, enter, and post outpatient charges and diagnoses; verify superbills, coding, charge entry, and same-day payment information, and complete billing processes.
File insurance claims and forms, assist patients with pre-certification and insurance paperwork, follow up with insurers, and process benefit correspondence and claims.
Contact patients and third-party payers about unpaid accounts, support account resolution and collections, establish budget payment plans, and identify accounts for possible collection-agency referral.
Greet and assist patients and visitors; answer routine questions, provide front-office phone support, and serve as a liaison between patients and medical support staff.
Maintain appointment books and physician schedules; schedule surgeries, ancillary services, follow-up appointments, and admissions, and answer questions about appointments and testing.
Assemble and pull charts for scheduled visits; transport, sort, file, locate, repair, and create charts; manage medical reports and records in accordance with retention, destruction, and confidentiality procedures.
Coordinate patient movement and oversee the waiting area; 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 required time frames; assist with coding and error resolution, investigate billing complaints, and communicate trends or problems to management.
Perform daily computer and administrative procedures, including printing reports, balancing charge entry, backing up and closing computer files, and maintaining required logs.
Participate in educational activities and perform other related duties as assigned.