Patient Services Representative-Cherrydale F/T Day

Prisma Health•Greenville, VA

1d•Onsite

About The Position

Responsible for aspects of front office management and operation as assigned. This role involves complete and accurate patient registration, pre-certification, charge capture, and accurately coding diagnoses given by physicians. The position also requires posting all payments, balancing computer reports at day end, and maintaining excellent interpersonal skills due to a high level of public contact. The representative will arrange for patient pre-payments, enforce financial agreements, gather charge information, complete the billing process, and file insurance claims. They will also assist patients with insurance forms, process unpaid accounts, and act as a liaison between patients and medical staff. Key duties include greeting patients, checking them in, verifying insurance information, obtaining necessary signatures, assisting patients with mobility issues, maintaining the appointment book, providing phone support, screening visitors, and processing outpatient charges. The role also involves cashiering functions, preparing deposits, receiving payments, coding and posting payments, and working with patients to secure pre-payment sources or financial agreements. Participation in educational activities and maintaining a neat, professional appearance are also expected.

Requirements

High school diploma or equivalent OR Post-high school diploma.
No previous experience required.
Basic understanding of ICD-9 and CPT coding preferred.

Nice To Haves

Associate degree in technical specialty program of 18 months minimum in length preferred.
Multi-specialty group practice setting experience preferred.

Responsibilities

Complete and accurate patient registration, pre-certification, charge capture, and coding of diagnoses.
Post all payments and balance computer reports at day end.
Arrange for patient pre-payments and enforce financial agreements.
Gather charge information, code, enter into database, and complete the billing process.
File insurance claims and assist patients in completing insurance forms.
Process unpaid accounts by contacting patients and third-party payers.
Act as a liaison between patient and medical support staff.
Greet patients and visitors in a prompt, courteous, and helpful manner.
Check in patients, verify and update necessary insurance information in the patient accounting system.
Obtain signatures on all required forms and documents.
Assist patients with ambulatory difficulties.
Maintain appointment book and follow office scheduling policies.
Provide front office phone support as needed.
Screen visitors and respond to routine requests for information.
Gather, accurately code, and post outpatient charges.
Process vouchers and private payments, including updating registration screens.
Research address verification as needed.
Process mail return statements and outgoing statements.
Acquire billing information for all doctors for all patients seen in practice.
Perform cashiering functions including monitoring and balancing cash drawer daily.
Prepare daily cash deposits.
Receive payments from patients and issue receipts.
Code and post payments and maintain required records, reports, and files.
Work with patients in securing prepayment sources or financial agreements prior to providing service.
Participate with other staff to achieve account resolution.
Assist with outpatient coding and error resolution.
Process edits and Customer Service and Collection Requests for resolution within specified time frames.
Identify trends and communicate problems to management.
Update patient account database.
Maintain and update current information on physician’s schedules.
Schedule surgeries, ancillary services, and follow-up outpatient appointments and admissions.
Answer questions regarding patient appointments and testing.
Assemble patients’ charts for next day visit.
Update profiles on all patients, ensuring completeness and accuracy.
Oversee waiting area, coordinate patient movement, and report problems or irregularities.
Assist patients with questions on insurance claims, obtaining disability insurance benefits, home health care, medical equipment, surgical care, etc.
Process benefit correspondence, signature, and insurance forms to expedite payment of outstanding claims.
Assist patients in completing all necessary forms to obtain hospitalization or surgical pre-certification from insurance companies.
Follow up with insurance companies ensuring that coverage is approved.
Post all actions and maintain a permanent record of patient accounts.
Answer patient questions and inquiries regarding their accounts.
Confirm all workers’ compensation claims with employees.
Prepare disability claims in a timely manner.
Follow up with insurance companies ensuring that claims are paid as directed.
Maintain files with referral slips, medical authorizations, and insurance slips.
Research all information needed to complete outpatient billing process, including getting charge information from physicians.
Code information about procedures performed and diagnosis on charge.
Key charge information into on-line entry program.
Process and distribute copies of billings according to clinic policies.
Pull charts for scheduled appointments in advance.
Deliver, transport, sort, and file returned charts.
Pick up lab reports, dictations, X-rays, and correspondence.
Continually check for misfiled charts and refile according to filing system.
Maintain orderly files.
File all medical reports.
Purge obsolete records and files in storage.
Destroy outdated records following established procedures for retention and destruction.
Make up new patient charts.
Repair damaged charts.
Assist in locating and filing records.
Work with medical assistants and other staff to route patient charts to proper location.
Follow medical records policies and procedures.
Collect payments at time of service for daily outpatient visit services.
Review each account via computer to ensure patient’s account(s) are being paid on a timely basis.
Perform collection actions including contacting patients by telephone and resubmitting claims to third-party reimburses.
Evaluate patient financial status and establish budget payment plans.
Review accounts for possible assignment to collection agency and make recommendations to Clinical Dept. Practice Manager.
Identify and resolve patient billing complaints.
Participate with other staff to follow up on accounts until zero balance or turned over for collection.
Participate in educational activities.
Gather and verify superbills for specified practice on a daily basis.
Enter all charge and same-day payment information for patient visits and hospital patients, verifying accuracy of coding, charging, and patient insurance status.
Print daily reports, verifying charge entry balancing at day end.
Back up and close computer files on a daily basis, logging as appropriate (i.e., closing all batches in accordance with policy).
Register new patients after verifying patient status on computer inquiry.
Update financial information as indicated.
Maintain strictest confidentiality.
Perform related work as required.
Maintain neat and professional appearance, demonstrate commitment to serve at all times and uphold guidelines set forth in office manual.
Perform other duties as assigned.