Patient Services Representative, Family Medicine, Full-Time Days

Prisma Health•Richland, WA

1d•Onsite

About The Position

The Patient Services Representative supports front-office management and operations in a physician practice. The role may include patient registration, insurance verification and pre-certification, charge capture, coding, payment posting, billing, and account balancing. It involves frequent public contact and requires courteous, helpful communication with patients, visitors, medical support staff, and insurers. The representative checks in patients, maintains appointment and physician schedules, schedules services and follow-up visits, answers routine questions, supports patient movement through the practice, and prepares charts and records. The role also assists patients with insurance claims, forms, pre-certification, disability and workers’ compensation matters, and payment arrangements. Additional duties include outpatient billing and coding support, medical-record filing and maintenance, collecting payments, account follow-up and resolution, daily cash balancing and deposits, and maintaining confidentiality and professional conduct.

Requirements

High school diploma or equivalent.
No previous experience required.

Nice To Haves

Associate's 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.
Capture, code, enter, and post charges and payments; process billing information and insurance claims; balance daily transactions and reports.
Greet and assist patients and visitors, provide front-office phone support, answer routine questions, and liaise with medical support staff.
Maintain appointment books and physician schedules; schedule surgeries, ancillary services, follow-up appointments, and admissions as requested.
Arrange patient prepayments and financial agreements; collect payments, issue receipts, prepare deposits, and monitor cash drawers.
Assist patients with insurance claims, benefits, pre-certification, disability and workers’ compensation claims, and related forms and correspondence.
Follow up with patients and insurers on unpaid accounts and claims; assist with account resolution, payment plans, billing complaints, and collection actions.
Support outpatient coding and billing, research and resolve errors, process edits and service requests, and communicate trends or problems to management.
Prepare, route, file, maintain, repair, and purge patient charts and medical records according to established procedures.
Assemble charts for upcoming visits and coordinate records with medical assistants and other staff.
Maintain confidentiality, participate in educational activities, and uphold professional appearance and office policies.