Patient Services Representative, Peds Associates - Greer, FT, Days

Prisma Health•Greer, SC

About The Position

The Patient Services Representative is responsible for assigned aspects of front office management and operation at Pediatric Associates in Greer. The role supports patient registration, scheduling, billing, payment collection, insurance processing, medical records, and communication between patients and medical support staff. It requires frequent public contact, strong interpersonal skills, accuracy, confidentiality, and a professional, service-oriented manner. The representative greets and assists patients and visitors, maintains schedules and patient records, processes charges and payments, supports insurance and billing matters, and helps resolve account issues. The position is non-management and reports to a supervisor, manager, director, or executive. The role is full-time, day shift.

Requirements

High school diploma or equivalent, or a post-high-school diploma.
No previous experience required.
Basic understanding of ICD-9 and CPT coding is preferred.
In lieu of the education requirements, current Prisma Health team members with one year of Prisma Health experience in this job profile will be accepted.

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

Register patients accurately; verify and update insurance and financial information, obtain required signatures, and update patient profiles and account databases.
Collect and post payments, balance daily transactions and cash drawers, prepare cash deposits, issue receipts, and complete daily reports and computer file closing procedures.
Capture, code, enter, and distribute outpatient charges and billing information; gather and verify superbills; assist with coding and error resolution.
File insurance claims and assist patients with insurance forms, pre-certification, benefit correspondence, and other coverage matters; follow up with insurers to secure approvals and payments.
Contact patients and third-party payers about unpaid accounts, assist with financial agreements and payment plans, resolve billing complaints, and support account resolution or collection processes.
Schedule appointments, surgeries, ancillary services, follow-up visits, and admissions; maintain physician schedules and appointment books; answer appointment and testing inquiries.
Provide front office phone support, screen visitors, respond to routine information requests, and coordinate patient movement and waiting-area needs.
Assist patients with ambulatory difficulties and questions about claims, disability benefits, home health care, medical equipment, and surgical care.
Maintain, retrieve, assemble, route, file, repair, and purge medical charts and records in accordance with established policies and procedures.
Maintain records, reports, files, referral slips, medical authorizations, and insurance slips; research address verification and process returned and outgoing statements.
Identify trends and communicate problems to management; participate in educational activities and perform other duties as assigned.
Maintain confidentiality, a neat and professional appearance, and a commitment to service while following office policies and procedures.