Patient Services Representative, Pediatric Urology - Patewood, FT, Days

Prisma Health•Greenville, SC

3d•Onsite

About The Position

Responsible for assigned aspects of front-office management and operation for the Pediatric Urology practice at Patewood. The role supports patient registration, scheduling, billing, payment processing, insurance and financial matters, medical records, and communication between patients and medical staff. The representative greets and assists patients and visitors, maintains patient and account information, and helps ensure accurate and timely completion of practice workflows. The position requires frequent public contact, strong interpersonal skills, strict confidentiality, a neat and professional appearance, and a commitment to service. Performs other duties as assigned.

Requirements

High school diploma or equivalent, or post-high-school diploma.
No previous experience required.
In lieu of the education requirements, current Prisma Health team members with one year of Prisma Health experience in this job profile will be accepted.
Basic understanding of ICD-9 and CPT coding is preferred.

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

Register patients accurately; verify and update insurance and financial information; obtain required signatures and maintain patient profiles.
Complete pre-certification, charge capture, outpatient coding, billing entry, and billing distribution; research charge information and resolve coding or billing errors.
Post payments, process vouchers and private payments, balance cash and computer reports, prepare daily cash deposits, issue receipts, and maintain required records.
Arrange prepayments and financial agreements; collect payments at service; contact patients and third-party payers about unpaid accounts; establish budget payment plans and support account resolution.
Assist patients with insurance claims, benefits, disability claims, pre-certification, and related forms; follow up with insurers regarding coverage and payment.
Greet patients and visitors, check patients in, answer routine questions, provide front-office phone support, and assist patients with ambulatory difficulties.
Maintain appointment schedules and physician schedule information; schedule surgeries, ancillary services, follow-up appointments, and admissions; answer questions about appointments and testing.
Assemble charts for upcoming visits; deliver, sort, file, locate, repair, and maintain medical records; manage obsolete records according to retention and destruction procedures.
Coordinate patient movement and oversee the waiting area; route charts with medical assistants and other staff; gather and verify superbills and process daily charge and payment information.
Print daily reports, verify charge-entry balancing, back up and close computer files, and maintain accurate patient account and billing records.
Identify account and workflow problems or trends, communicate them to management, process edits and service or collection requests within specified time frames, and participate in account follow-up.
Participate in educational activities and follow office, medical-records, confidentiality, and service policies.