Patient Services Representative, Hillcrest Gastroenterology, FT, Days

Prisma Health•Simpsonville, SC

10d•Onsite

About The Position

Responsible for assigned aspects of front-office management and operation at Prisma Health’s Gastroenterology-Simpsonville practice. The role supports patient registration, scheduling, billing, coding, cashiering, insurance and financial processes, medical records management, and communication between patients and medical support staff. The representative is expected to provide courteous, helpful service, maintain confidentiality and a professional appearance, follow office policies and procedures, and support the organization’s purpose: “Inspire health. Serve with compassion. Be the difference.”

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 be accepted in lieu of the education requirements.
Maintain strict confidentiality and a neat, professional appearance; demonstrate commitment to service 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, obtain required signatures, and update patient account records.
Perform pre-certification, capture and enter charges, code diagnoses and procedures, process billing, distribute billing information, and assist with coding and error resolution.
Post payments, process vouchers and private payments, balance daily reports and cash drawers, prepare cash deposits, issue receipts, and maintain related records.
Collect payments at the time of service, arrange prepayments and financial agreements, establish budget payment plans, and participate in account resolution and collections.
File insurance claims, assist patients with insurance forms and claims questions, process benefit correspondence, and follow up with insurers regarding coverage and payment.
Serve as a liaison between patients and medical support staff; greet and screen visitors, answer routine questions, provide phone support, and assist patients with ambulatory difficulties.
Maintain appointment books and physician schedules; schedule surgeries, ancillary services, follow-up appointments, and admissions; answer questions about appointments and testing.
Prepare and manage patient charts and medical records, including pulling, transporting, sorting, filing, repairing, locating, purging, and destroying records in accordance with policies.
Coordinate patient movement and oversee the waiting area; report problems or irregularities and communicate trends or issues to management.
Process edits and customer service or collection requests within specified time frames; identify and resolve patient billing complaints and maintain permanent account records.
Gather and verify superbills, enter charges and same-day payments, print daily reports, balance charge entry, and back up and close computer files according to policy.
Perform other duties as assigned and participate in educational activities.