Patient Services Representative, OBGYN, FT Days

Prisma Health•Richland, WA

8d•Onsite

About The Position

The Patient Services Representative supports front-office management and operations in a physician practice. The role may include patient registration, insurance and pre-certification work, charge capture and coding, payment posting, billing, cashiering, appointment scheduling, patient account follow-up, and medical-records maintenance. The representative serves as a liaison between patients and medical support staff, provides courteous assistance to patients and visitors, and helps resolve account and billing issues. The position also supports insurance claims and authorizations, maintains accurate patient and physician scheduling information, and follows practice policies for patient accounts, records, confidentiality, and professional conduct. This is a non-management position reporting to a supervisor, manager, director, or executive.

Requirements

High school diploma or equivalent.
No previous experience required.

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

Register patients accurately; verify and update insurance and financial information; obtain required signatures and maintain complete patient profiles.
Capture, code, enter, and post charges, diagnoses, payments, and billing information; balance daily reports and cash drawer, prepare deposits, and close computer batches as required.
Greet and assist patients and visitors, check in patients, provide front-office phone support, answer routine questions, screen visitors, and assist patients with ambulatory difficulties.
Maintain appointment books and physician schedules; schedule surgeries, ancillary services, follow-up appointments, and admissions as requested; coordinate patient movement and waiting-area operations.
Arrange patient prepayments and financial agreements; collect payments, issue receipts, and help patients resolve account balances and billing complaints.
Assist patients with insurance claims, benefits, disability claims, workers’ compensation claims, pre-certifications, and related forms; follow up with insurers regarding coverage and payment.
Contact patients and third-party payers about unpaid accounts, resubmit claims, participate in account resolution, and recommend accounts for collection agency assignment when appropriate.
Research outpatient billing information, obtain procedure and diagnosis details from physicians, process and distribute bills, and resolve coding and billing errors.
Prepare, locate, route, file, repair, and maintain patient charts and medical records; handle reports and correspondence; purge and destroy records according to established procedures.
Maintain account records, files, reports, referral slips, authorizations, and insurance documents; identify trends and communicate problems to management.
Maintain confidentiality, participate in educational activities, follow office and medical-records policies, and uphold professional appearance and service expectations.
Perform related work as required.