Patient Services Representative, Greenville OB/GYN, FT, Days

Prisma Health•Greenville, SC

About The Position

Responsible for assigned aspects of front office management and operation at Greenville OB/GYN. The role supports patient registration, scheduling, billing, payment processing, insurance and pre-certification activities, medical records, and communication between patients and medical support staff. The representative is expected to maintain confidentiality, a neat and professional appearance, and a commitment to service while following office policies and procedures.

Requirements

High school diploma or equivalent, or post-high-school diploma.
No previous experience required.
Maintain strict confidentiality and a neat, professional appearance.
Demonstrate a commitment to serving patients and follow office policies and procedures.

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

Complete accurate patient registration, verify and update insurance and financial information, and obtain required signatures and forms.
Handle pre-certification, charge capture, diagnosis and procedure coding, billing information, and outpatient charge entry.
Post payments, balance computer reports and the cash drawer, prepare deposits, issue receipts, and maintain payment records.
Arrange patient prepayments and financial agreements; evaluate financial status, establish payment plans, and pursue account resolution.
File insurance claims, assist patients with insurance forms and benefits, and follow up with insurers on coverage and claim payment.
Contact patients and third-party payers about unpaid accounts; resolve billing complaints and recommend accounts for collection when appropriate.
Greet and assist patients and visitors, check patients in, answer appointment and account questions, and provide front-office phone support.
Maintain appointment books and physician schedules; schedule surgeries, services, follow-up appointments, and admissions as requested.
Coordinate patient movement and the waiting area, assist patients with ambulatory difficulties, and communicate problems or irregularities.
Assemble, route, deliver, transport, sort, file, repair, and maintain patient charts and medical records according to established procedures.
Gather and verify superbills, enter charges and same-day payments, print balancing reports, and close computer batches according to policy.
Process vouchers, private payments, returned mail and statements, benefit correspondence, workers’ compensation confirmations, and disability claims.
Participate in staff education and account-resolution activities, identify trends, and communicate problems to management.
Perform other duties as assigned.