Patient Services Representative, Orthopedics-Patewood, FT, Days

Prisma Health•Greenville, SC

11h•Onsite

About The Position

Responsible for assigned aspects of front office management and operation in an orthopedic practice. The role supports patient registration, scheduling, billing, payment collection, insurance processing, medical records, and communication between patients and medical support staff. The representative is expected to maintain confidentiality and a neat, professional appearance, provide courteous service, and uphold office policies and Prisma Health’s purpose: “Inspire health. Serve with compassion. Be the difference.”

Requirements

High school diploma or equivalent, or a post-high-school diploma.
Basic understanding of ICD-9 and CPT coding is preferred.
Maintain strict confidentiality and a neat, professional appearance.
Demonstrate courteous interpersonal skills and commitment to service.

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 patient account records.
Greet and assist patients and visitors, answer routine questions, provide front office phone support, and serve as a liaison between patients and medical support staff.
Maintain appointment schedules; schedule surgeries, ancillary services, follow-up visits, and admissions as requested; and answer questions about appointments and testing.
Gather, code, enter, and post outpatient charges and payments; verify coding, charging, and insurance information; balance daily reports; and close computer batches according to policy.
Collect patient payments, issue receipts, prepare deposits, monitor and balance the cash drawer, and arrange prepayments or financial agreements before services are provided.
Submit and distribute billing information, file insurance claims, assist patients with insurance forms, process billing correspondence, and follow up with insurers on coverage and claim payment.
Resolve unpaid accounts by contacting patients and third-party payers, resubmitting claims, evaluating payment status, establishing payment plans, and recommending accounts for collection when appropriate.
Assist patients with billing complaints and questions, insurance claims, disability benefits, workers’ compensation claims, pre-certification, and other financial or care-related paperwork.
Maintain and update physician schedules, patient profiles, account databases, billing records, reports, files, referrals, authorizations, and insurance slips.
Prepare patient charts for upcoming visits; transport, sort, file, repair, and locate charts and medical records; retrieve related reports and correspondence; and follow records retention and destruction procedures.
Oversee the waiting area, coordinate patient movement, assist patients with ambulatory difficulties, and report problems or irregularities.
Identify trends and communicate problems to management; process edits and customer service or collection requests within specified time frames.
Participate in educational activities and perform other related duties as assigned.