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

Prisma Health•Seneca, SC

7d•Onsite

About The Position

Responsible for assigned aspects of front office management and operation at the Family Medicine-Walhalla practice. The role supports patient registration, scheduling, billing, payment collection, insurance and pre-certification processes, medical records, and communication between patients and medical support staff. The representative is expected to maintain confidentiality, provide courteous service, follow office and medical-records policies, and uphold Prisma Health’s purpose: “Inspire health. Serve with compassion. Be the difference.”

Requirements

High school diploma or equivalent, or a post-high-school diploma.
No previous experience required.
In lieu of the education requirements, current Prisma Health team members with one year of Prisma Health experience in this job profile will be accepted.
Basic understanding of ICD-9 and CPT coding is 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 and financial 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 help patients with ambulatory difficulties.
Maintain appointment books and physician schedules; schedule surgeries, ancillary services, follow-up appointments, and admissions as requested; answer questions about appointments and testing.
Arrange and enforce prepayments and financial agreements before services; collect payments, issue receipts, monitor and balance the cash drawer, prepare daily deposits, and post payments.
Gather, code, enter, and post outpatient charges and diagnoses; process billing, distribute billing information, file insurance claims, assist with insurance forms, and resolve coding and billing errors.
Contact patients and third-party payers about unpaid accounts, follow up on claims, identify accounts for possible collection, assist with payment plans, and resolve billing complaints.
Assist patients with insurance claims, disability benefits, home health care, medical equipment, surgical care, and hospitalization or surgical pre-certification; follow up with insurers on coverage and payment.
Process vouchers, private payments, benefit correspondence, referrals, authorizations, insurance slips, and workers’ compensation claims; maintain permanent patient-account records.
Prepare daily reports, verify charge-entry balances, close computer batches and files in accordance with policy, and update the patient-account database.
Assemble charts for upcoming visits; deliver, sort, file, locate, repair, and maintain medical records; pick up lab reports, dictations, X-rays, and correspondence; purge and destroy records according to established procedures.
Coordinate patient movement and oversee the waiting area; report problems or irregularities and work with medical assistants and other staff to route charts appropriately.
Identify trends and communicate problems to management; participate in educational activities and perform other duties as assigned.
Maintain a neat, professional appearance, demonstrate a commitment to service, and maintain strict confidentiality.