Patient Services Representative, Pediatric Endocrinology, FT, Days

Prisma Health•Columbia, SC

2d•Onsite

About The Position

The Patient Services Representative is responsible for assigned aspects of front-office management and operation in a pediatric endocrinology practice. The role supports patient registration, scheduling, billing, payment collection, insurance processing, medical records, and coordination between patients and clinical staff. The representative is expected to provide courteous service, maintain confidentiality, follow office and medical-records policies, and uphold Prisma Health’s purpose and professional standards.

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 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.
Greet and assist patients and visitors, answer routine questions, provide front-office phone support, and act as a liaison between patients and medical support staff.
Maintain appointment schedules; arrange surgeries, ancillary services, follow-up appointments, and admissions; answer questions about appointments and testing.
Gather, code, enter, and post outpatient charges and payments; verify coding and insurance information; balance daily reports and cash drawers; prepare deposits and issue receipts.
Collect payments at the time of service, arrange prepayments or financial agreements, and establish budget payment plans when appropriate.
Process billing, insurance claims, vouchers, benefit correspondence, pre-certifications, and related forms; follow up with insurers and patients regarding outstanding claims and payments.
Contact patients and third-party payers about unpaid accounts, help resolve billing complaints, process collection requests, and recommend accounts for possible collection-agency assignment.
Maintain patient account records, billing files, referral slips, authorizations, and insurance information; update databases and physician schedules.
Assemble, pull, transport, sort, file, repair, and locate patient charts and medical records; maintain orderly files and follow record-retention and destruction procedures.
Coordinate patient movement and oversee the waiting area; assist patients with ambulatory difficulties and questions about insurance claims, disability benefits, home health care, medical equipment, and surgical care.
Gather and verify superbills, enter charge and same-day payment information, print and balance daily reports, and close computer batches according to policy.
Identify trends and communicate problems to management; participate with other staff in resolving accounts and performing related work as required.
Maintain strict confidentiality, participate in educational activities, present a neat and professional appearance, and perform other assigned duties.