Patient Services Representative, Christie Pediatrics, FT, Days

Prisma Health•Greenville, SC

12d•Onsite

About The Position

Responsible for assigned aspects of front office management and operation at Christie Pediatrics. The role supports patient registration, billing, scheduling, medical records, cashiering, collections, and communication between patients and medical staff. The representative is expected to provide courteous service, maintain confidentiality and accurate records, follow office policies, and represent Prisma Health with a neat, professional appearance and a commitment to service. Performs other duties as assigned.

Requirements

High school diploma or equivalent, or post-high-school diploma.
No previous experience required.
In lieu of the education requirement, 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 of at least 18 months.
Experience in a multi-specialty group practice setting.
Basic understanding of ICD-9 and CPT coding.

Responsibilities

Complete accurate patient registration, pre-certification, charge capture, and coding of physician-provided diagnoses.
Post payments, balance accounts and daily reports, monitor and balance the cash drawer, prepare deposits, and issue receipts.
Collect payments at the time of service; arrange prepayments and financial agreements; evaluate patient financial status and establish payment plans.
Gather, code, enter, and distribute charge and billing information; prepare and submit insurance claims and assist patients with insurance forms.
Contact patients and third-party payers about unpaid accounts, resubmit claims, support account resolution, and recommend accounts for collection agency assignment when appropriate.
Greet patients and visitors, check in patients, verify and update insurance and financial information, obtain required signatures, and assist patients with ambulatory difficulties.
Maintain appointment schedules; schedule surgeries, ancillary services, follow-up appointments, and admissions; answer appointment and testing questions.
Provide front-office phone support, screen visitors, respond to routine information requests, and act as a liaison between patients and medical support staff.
Prepare, update, route, retrieve, file, repair, and maintain patient charts and medical records; purge or destroy records according to established procedures.
Coordinate patient movement and oversee the waiting area; report problems or irregularities.
Assist patients with insurance claims, disability benefits, home health care, medical equipment, surgical care, and hospitalization or surgical pre-certification.
Follow up with insurance companies to confirm coverage and ensure claims are paid as directed; maintain records of account actions and related referral, authorization, and insurance documents.
Resolve outpatient coding, billing, and account errors; process edits and customer service and collection requests within required time frames.
Gather and verify superbills; enter charges and same-day payments; verify coding, charges, insurance status, and end-of-day charge-entry balancing; close computer batches and files as required.
Identify trends and communicate problems to management; answer patient account questions and resolve billing complaints.
Participate in educational activities and maintain strict confidentiality while following medical records and office policies.