Patient Services Representative, Christie Pediatrics, FT, Days

Prisma Health•Greenville, SC

1d•Onsite

About The Position

Responsible for assigned aspects of front office management and operation at Christie Pediatrics. The role supports patient registration, scheduling, billing, payment collection, insurance processing, medical records, and communication between patients and medical support staff. The representative is expected to provide courteous service, maintain accurate patient and account information, protect confidentiality, and uphold Prisma Health’s service standards and office policies.

Requirements

High school diploma or equivalent, or 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 maintain complete patient profiles.
Complete pre-certification, capture and code charges and diagnoses, enter billing information, distribute bills, and assist with outpatient coding and error resolution.
Post payments, balance transactions and computer reports at day end, prepare deposits, issue receipts, and maintain payment records.
Collect payments at the time of service, arrange prepayments or financial agreements, evaluate financial status, establish budget payment plans, and participate in account resolution and collection follow-up.
File insurance claims, assist patients with insurance forms and claims questions, process benefit correspondence, and follow up with insurers regarding coverage and payment.
Serve as a liaison between patients and medical support staff; greet and assist patients and visitors, answer routine questions, provide phone support, screen visitors, and assist patients with ambulatory difficulties.
Maintain appointment schedules; schedule surgeries, ancillary services, follow-up appointments, and admissions as requested; answer questions about appointments and testing.
Assemble charts for upcoming visits; deliver, transport, sort, file, repair, and locate records; maintain orderly files and follow records retention and destruction procedures.
Coordinate patient movement and oversee the waiting area; report problems or irregularities and communicate trends or issues to management.
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.
Maintain current physician schedules, update patient account databases, research address information, and process returned and outgoing statements.
Perform related duties as assigned and maintain a neat, professional appearance, strict confidentiality, and commitment to patient service.