Patient Services Representative, Greenville Memorial Hospital, FT, Days

Prisma Health•Greenville, SC

About The Position

Responsible for assigned aspects of front office management and operation in a clinical practice. The role supports patient registration, billing, payment collection, insurance processing, scheduling, medical records, and communication between patients and medical staff. The representative provides courteous service to patients and visitors, maintains accurate patient and account information, and follows Prisma Health policies and confidentiality requirements. This is a non-management position reporting to a supervisor, manager, director, or executive.

Requirements

High school diploma or equivalent, or post-high-school diploma.
No previous experience required.
Current Prisma Health team members with one year of Prisma Health experience in this job profile may qualify in lieu of the education requirements.
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

Complete accurate patient registration, pre-certification, charge capture, diagnosis coding, and patient-account updates.
Post payments, balance transactions against computer reports, monitor and balance the cash drawer, prepare deposits, receive payments, and issue receipts.
Arrange prepayments and financial agreements before services; assist patients with financial arrangements and participate in resolving accounts.
Gather, code, enter, and distribute billing information; file insurance claims and help patients complete insurance and billing forms.
Process unpaid accounts by contacting patients and third-party payers, resubmitting claims, following up on coverage and payment, and making recommendations about collection-agency referrals.
Serve as a liaison between patients and medical support staff; greet and check in patients, verify insurance information, obtain required signatures, and assist patients with ambulatory difficulties.
Maintain appointment books and physician schedules; schedule surgeries, services, follow-up appointments, and admissions as requested; answer appointment and testing questions.
Provide front-office phone support, screen visitors, respond to routine information requests, and oversee the waiting area and patient movement.
Assist patients with insurance claims, disability benefits, home health care, medical equipment, surgical care, and hospitalization or surgical pre-certification; follow up with insurers and maintain related records.
Research information needed for outpatient billing, including physician charge information; enter charges, process billing edits, resolve coding errors, and verify daily charge and payment balancing.
Assemble charts for upcoming visits; deliver, transport, sort, file, locate, repair, and maintain medical records and reports according to records policies and retention procedures.
Gather and verify superbills, enter charges and same-day payments, print daily reports, and close and back up computer files in accordance with policy.
Identify trends and communicate problems to management; resolve patient billing complaints and participate in educational activities.
Maintain confidentiality, a neat and professional appearance, and commitment to service; perform other duties as assigned.