Patient Services Representative, Family Medicine Walhalla, FT, Days

Prisma Health•Seneca, SC

About The Position

Responsible for assigned aspects of front office management and operation in a family medicine practice. The representative supports patient registration, scheduling, billing, payment collection, insurance and pre-certification processes, medical records, and communication between patients and medical support staff. The role involves frequent public contact and requires excellent interpersonal skills, accuracy, confidentiality, and a neat, professional appearance. The position is non-management and reports to a supervisor, manager, director, or executive.

Requirements

High school diploma or equivalent, or a post-high-school diploma.
No previous experience required.
Maintain strict confidentiality and a neat, professional appearance.
Demonstrate a commitment to serving patients and comply with office guidelines.

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 patient account records.
Greet and assist patients and visitors, serve as a liaison to medical support staff, answer routine questions, and provide front-office phone support.
Maintain appointment schedules; schedule surgeries, ancillary services, follow-up appointments, and admissions as requested; and answer questions about appointments and testing.
Gather, code, enter, and post outpatient charges and diagnoses; process billing information and distribute bills according to clinic policies.
Collect and post patient payments, issue receipts, balance the cash drawer and daily reports, prepare deposits, and close computer batches and files according to policy.
Arrange prepayments and financial agreements; evaluate patient financial status, establish budget payment plans, and participate in account resolution and collection activity.
File insurance claims, assist patients with insurance and other forms, process benefit correspondence, and follow up with insurers regarding coverage and payment.
Process unpaid accounts, billing edits, customer service and collection requests, and patient billing complaints; identify trends and communicate problems to management.
Maintain physician schedule information and patient profiles, and assemble charts for upcoming visits.
Pull, deliver, sort, file, repair, and locate medical charts and reports; maintain orderly files and follow records-retention, destruction, and confidentiality procedures.
Assist patients with questions about claims, disability benefits, home health care, medical equipment, surgical care, and related services.
Verify workers’ compensation claims and prepare disability claims in a timely manner.
Gather and verify superbills, enter charges and same-day payments, and print daily reports to verify charge-entry balancing.
Participate in educational activities, maintain a professional appearance, follow office policies, and perform other duties as assigned.