Patient Services Representative, Maternal Fetal Medicine, Full -Time Days

Prisma Health•Columbia, SC

1d•Onsite

About The Position

The Patient Services Representative supports front-office management and operations for a physician practice in Maternal Fetal Medicine. The role may cover some or all front-office functions and involves frequent public contact, patient service, registration, scheduling, billing, payment processing, insurance support, collections, and medical-records management. The representative maintains patient-account and physician-schedule information, supports communication between patients and medical staff, handles routine inquiries, and follows practice policies and procedures. The position is non-management and reports to a supervisor, manager, director, or executive.

Requirements

High school diploma or equivalent.
No previous experience required.
Maintain strictest confidentiality.
Demonstrate a neat and professional appearance and commitment to service.

Nice To Haves

Associate's 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 transactions against computer reports, monitor and balance the cash drawer, prepare daily deposits, and issue receipts.
Arrange patient prepayments and financial agreements before services; collect payments at the time of service and help resolve outstanding accounts.
Gather, code, enter, and distribute billing information; file insurance claims; assist patients with insurance forms; and process unpaid accounts by contacting patients and third-party payers.
Greet patients and visitors courteously, check in patients, verify and update insurance information, obtain required signatures, assist patients with ambulatory difficulties, and respond to routine requests.
Maintain appointment books and physician schedules; schedule surgeries, ancillary services, follow-up appointments, and admissions as requested; answer appointment and testing questions; and provide phone support as needed.
Screen visitors, oversee the waiting area, coordinate patient movement, and report problems or irregularities.
Process vouchers, private payments, returned mail, outgoing statements, and registration updates based on payment information; research address verification and acquire billing information for physicians and patients.
Assist patients with insurance claims, disability benefits, home health care, medical equipment, surgical care, and hospitalization or surgical pre-certification; follow up with insurers regarding coverage and payment.
Maintain permanent patient-account records and files, post account actions, confirm workers’ compensation claims, prepare disability claims, and maintain referral slips, medical authorizations, and insurance slips.
Research information needed for outpatient billing, obtain physician charge information, code procedures and diagnoses, enter charges, distribute bills, and assist with coding and billing error resolution.
Pull, assemble, deliver, transport, sort, file, locate, repair, and create patient charts and records; retrieve lab reports, dictations, X-rays, and correspondence; maintain orderly files; and purge or destroy records according to retention procedures.
Route patient charts to the appropriate locations in coordination with medical assistants and other staff, and follow medical-records policies and procedures.
Review accounts for timely payment, contact patients, resubmit claims, evaluate financial status, establish budget payment plans, identify accounts for possible collection-agency assignment, and help resolve billing complaints through resolution or collection.
Gather and verify superbills daily; enter charges and same-day payments for outpatient and hospital visits; verify coding, charges, and insurance status; print daily reports and balance charge entry; and back up and close computer files and batches according to policy.
Register new patients after checking patient status, update financial information, maintain strict confidentiality, participate in educational activities, maintain a neat and professional appearance, and uphold office-manual guidelines and service standards.
Perform related work as required.