Patient Services Representative, Pediatric Endocrinology, FT, Days

Prisma Health•Richland, WA

4d•Onsite

About The Position

The Patient Services Representative is responsible for assigned aspects of front office management and operation in a pediatric endocrinology practice. The role supports patient registration, scheduling, billing, payment collection, insurance processing, medical records, and communication between patients and medical staff. The representative provides courteous service to patients and visitors, maintains accurate patient and financial records, and follows clinic policies and confidentiality requirements. The position includes registering patients, verifying insurance and financial information, obtaining required signatures, arranging prepayments or financial agreements, posting charges and payments, balancing daily reports and cash, preparing deposits, and assisting with billing and account resolution. It also involves scheduling appointments and services, assembling and maintaining charts, processing insurance and benefit paperwork, following up on claims, and responding to patient account questions and billing concerns. The representative works with clinical and administrative staff to support efficient patient flow and accurate practice operations. This is a non-management role reporting to a supervisor, manager, director, or executive. The position is based at Pediatric Endo 9 Med Park 230, 9 Medical Park Road, Richland, and is assigned to the day shift.

Requirements

High school diploma or equivalent, or a post-high-school diploma.
No previous experience required.
Basic understanding of ICD-9 and CPT coding is preferred.
Must maintain strict confidentiality and follow applicable office and medical-records policies.

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.
For current Prisma Health team members, one year of Prisma Health experience in this job profile may be accepted in lieu of the education requirements.

Responsibilities

Register patients accurately; verify and update insurance, financial, and other account information; obtain required signatures and maintain patient profiles.
Complete pre-certification, capture and code charges and diagnoses, enter billing information, and distribute billing documents according to clinic policies.
Post payments, process vouchers and private payments, balance computer reports and cash drawers, prepare daily deposits, issue receipts, and maintain required records.
Arrange patient prepayments and financial agreements, evaluate patient financial status, establish payment plans, and participate in resolving accounts and billing complaints.
File insurance claims, assist patients with insurance and benefit forms, follow up with insurers on coverage and payment, and process unpaid accounts and collection actions.
Serve as a liaison between patients and medical support staff; greet and assist patients and visitors, answer routine inquiries, and provide front-office phone support as needed.
Maintain appointment books and physician schedules; schedule surgeries, ancillary services, follow-up appointments, admissions, and testing as requested.
Coordinate patient movement and oversee the waiting area; assist patients with ambulatory difficulties and report problems or irregularities.
Assemble, deliver, sort, file, locate, repair, and maintain patient charts and medical records; process reports and correspondence and follow records-retention and destruction procedures.
Gather and verify superbills, enter charges and same-day payments, resolve coding and billing errors, process edits and service requests, and verify daily charge-entry balancing.
Maintain strict confidentiality, follow office and medical-records policies, participate in educational activities, maintain a neat and professional appearance, and perform other duties as assigned.