Patient Services Representative, Laurens Family Practice, FT, Days

Prisma Health•Laurens, SC

About The Position

Responsible for assigned aspects of front office management and operation at Laurens Family Practice. The role supports patient registration, billing, payment processing, scheduling, medical records, and communication between patients and medical staff. It involves frequent public contact and requires excellent interpersonal skills, accuracy, confidentiality, and a professional appearance. The representative greets and assists patients and visitors; registers patients and maintains accurate account and insurance information; schedules appointments and services; and supports clinic phone operations. The role gathers, codes, enters, and posts charges and payments; balances cash and daily reports; prepares deposits; processes billing and insurance claims; and follows up on unpaid accounts and patient billing concerns. It also supports pre-certification and financial arrangements, coordinates referrals and authorizations, and helps patients with forms and account questions. Medical-records duties include preparing charts, filing and retrieving records and reports, maintaining orderly files, and following retention and destruction procedures. The representative coordinates patient movement and chart routing with medical assistants and other staff, maintains physician schedule information, and performs related duties as assigned. 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.
Current Prisma Health team members with one year of Prisma Health experience in this job profile may qualify in lieu of the education requirements.
Maintain strict confidentiality and a neat, professional appearance; demonstrate commitment to service and follow office guidelines.

Nice To Haves

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

Responsibilities

Complete accurate patient registration, pre-certification, charge capture, and coding of physician-provided diagnoses.
Post payments, balance computer reports and cash drawers at day end, prepare deposits, and issue receipts.
Collect patient prepayments and establish or enforce financial agreements before services are provided.
Gather, code, enter, and distribute charge and billing information; process outpatient charges and billing edits.
File insurance claims, help patients complete insurance forms, and follow up with insurers to verify coverage and payment.
Contact patients and third-party payers about unpaid accounts, participate in account resolution, and identify accounts for possible collection referral.
Greet patients and visitors, check patients in, obtain required signatures, answer routine questions, and serve as a liaison between patients and medical support staff.
Verify and update insurance, financial, registration, and patient-account information in the relevant systems.
Maintain appointment books and physician schedules; schedule surgeries, ancillary services, follow-up visits, and admissions as requested.
Provide front-office phone support, screen visitors, and respond to routine information requests.
Assist patients with ambulatory difficulties and coordinate patient movement in the waiting area.
Process vouchers, private payments, returned and outgoing statements, benefit correspondence, referrals, authorizations, and insurance forms.
Assist patients with insurance claims, disability benefits, home health care, medical equipment, surgical care, hospitalization, and pre-certification processes.
Confirm workers’ compensation claims and prepare disability claims in a timely manner.
Gather and verify superbills; enter charges and same-day payments; verify coding, charges, and insurance status; print balancing reports; and close and back up computer files according to policy.
Maintain permanent patient-account records and required reports, files, and documentation; answer account inquiries and resolve billing complaints.
Prepare charts for scheduled appointments, retrieve, transport, sort, route, and file charts and medical reports, and locate records as needed.
Maintain orderly medical-record files, check for and correct misfiled charts, create and repair charts, and purge or destroy records according to established procedures.
Coordinate with medical assistants and other staff to route patient charts appropriately and follow medical-records policies and procedures.
Maintain confidentiality, professional appearance, and compliance with office guidelines; participate in educational activities and perform other duties as assigned.