Patient Services Representative, Peds Associates - Greer, FT, Days

Prisma Health•Greer, SC

About The Position

The Patient Services Representative is responsible for assigned aspects of front-office management and operation at Pediatric Associates in Greer. The role supports patient registration, billing, payment collection, scheduling, medical records, and communication between patients and clinical staff. It requires frequent public contact, strong interpersonal skills, accuracy, confidentiality, and a professional appearance and commitment to service. The representative registers patients, verifies and updates insurance and financial information, obtains required signatures, collects payments, balances cash and computer reports, and supports billing and account resolution. Duties also include scheduling appointments and services, answering routine questions, coordinating patient flow, assisting patients with insurance and financial matters, and maintaining accurate patient accounts. The position also supports outpatient charge entry and coding, claim processing and follow-up, and the preparation, routing, filing, and maintenance of patient charts and medical records. The employee follows office and medical-records policies, participates in educational activities, identifies and communicates problems to management, performs related work as required, and carries out other assigned duties.

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 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, financial, and demographic information in the patient accounting system.
Obtain required signatures and forms, and maintain patient profiles and account records with accuracy and confidentiality.
Collect and post patient payments, issue receipts, process vouchers and private payments, balance the cash drawer and computer reports, and prepare daily cash deposits.
Arrange prepayments and financial agreements, evaluate patient financial status, establish budget payment plans, and help resolve patient billing complaints and outstanding accounts.
Gather, code, enter, and post outpatient charges and diagnoses; verify coding, charges, and insurance status; and assist with coding and error resolution.
Process billing information, insurance claims, benefit correspondence, and related forms; contact patients and third-party payers about unpaid accounts and follow up on claims and coverage approvals.
Schedule appointments, surgeries, ancillary services, follow-up visits, and admissions as requested; maintain appointment books and physician schedules.
Provide front-office phone support, greet patients and visitors, answer routine questions, screen visitors, and serve as a liaison between patients and medical support staff.
Coordinate patient movement and oversee the waiting area; assist patients with ambulatory difficulties and questions about insurance, claims, and related services.
Prepare charts for scheduled visits; deliver, transport, sort, file, repair, and locate records; maintain orderly files; and follow medical-record retention and destruction procedures.
Gather and verify superbills, enter charge and same-day payment information, print daily reports, balance charge entry, and close and back up computer files according to policy.
Process edits and customer service or collection requests within required time frames, identify trends, and communicate problems to management.
Participate in educational activities, maintain a neat and professional appearance, uphold office guidelines, perform related work, and complete other duties as assigned.