Patient Services Representative, Family Medicine-Walhalla, FT, Days

Prisma Health•Seneca, SC

About The Position

Responsible for assigned aspects of front office management and operation at Prisma Health’s Family Medicine–Walhalla practice. The role supports patient registration, scheduling, billing, charge and payment processing, insurance and financial arrangements, medical records, and communication between patients and medical support staff. The representative is expected to provide courteous service, maintain confidentiality and accurate records, follow office and medical-records policies, and uphold a neat, professional appearance and Prisma Health’s service standards. This is a non-management position reporting to a supervisor, manager, director, or executive.

Requirements

High school diploma or equivalent, or a 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.

Responsibilities

Register patients accurately; verify and update insurance, financial, and other patient information; obtain required signatures; and create or update patient profiles.
Greet and assist patients and visitors, answer routine questions, provide front-office phone support, screen visitors, and act as a liaison between patients and medical support staff.
Maintain appointment schedules and physician schedules; arrange follow-up appointments, surgeries, ancillary services, and admissions as requested; and answer questions about appointments and testing.
Gather, code, enter, and post outpatient charges and diagnoses; verify superbills, coding, patient insurance status, and charge-entry accuracy; and complete and distribute billing information.
Post payments, process vouchers and private payments, balance daily reports and cash drawers, prepare cash deposits, issue receipts, and complete daily computer-file closing procedures.
Collect payments at the time of service, arrange prepayments or financial agreements, assess patient financial status, establish payment plans, and participate in account-resolution and collection activities.
File insurance claims; assist patients with insurance forms and claims; follow up with insurers on pre-certification, coverage, and payment; and process workers’ compensation and disability claims.
Respond to patient account and billing questions, identify and resolve billing complaints, process account edits and service or collection requests, and communicate trends or problems to management.
Maintain medical records and files; assemble charts for upcoming visits; pull, route, transport, sort, and file charts and reports; locate and repair records; and follow retention and destruction procedures.
Oversee the waiting area and coordinate patient movement; assist patients with ambulatory difficulties; and report problems or irregularities.
Participate in educational activities, maintain strict confidentiality, follow office and medical-records policies, and perform other duties as assigned.