Patient Services Representative, Greer Medical Campus, FT, Days

Prisma Health•Greer, SC

1d•Onsite

About The Position

The Patient Services Representative is responsible for assigned aspects of front office management and operation at Prisma Health’s Greer Ob/Gyn practice. The role supports patient registration, scheduling, billing, payment collection, insurance processing, medical records, and communication between patients and medical support staff. Team members are expected to uphold Prisma Health’s purpose to inspire health, serve with compassion, and be the difference, while maintaining confidentiality, a neat and professional appearance, and the standards in the office manual. The position involves extensive public contact and requires courteous, helpful service to patients and visitors. The representative checks patients in, verifies and updates registration and insurance information, obtains required signatures, answers account and appointment questions, and assists patients with forms and financial arrangements. The role also handles charge and payment entry, coding information, billing and claims follow-up, cashiering, daily balancing and deposits, and resolution of account issues. Additional work includes maintaining appointment schedules and patient profiles; coordinating appointments, surgeries, services, and admissions; preparing and routing charts and medical records; supporting the outpatient billing process; and following up on insurance coverage, claims, unpaid accounts, and patient financial arrangements. The representative participates in educational activities and performs related duties as assigned.

Requirements

High school diploma or equivalent, or a post-high school diploma.
No previous experience required.
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, and entry of physician-provided diagnosis codes.
Post payments, balance transactions against computer reports at the end of the day, prepare deposits, issue receipts, and maintain required payment records.
Greet patients and visitors; check in patients; verify and update insurance and financial information; obtain required signatures; and assist patients with ambulatory difficulties.
Arrange patient prepayments and financial agreements before services are provided, and help patients secure payment sources or establish payment plans.
Gather, code, enter, and distribute charge and billing information; process outpatient charges, superbills, vouchers, and private payments; and support billing completion.
File insurance claims, help patients complete insurance and pre-certification forms, follow up with insurers on coverage and payment, and process benefit correspondence.
Contact patients and third-party payers about unpaid accounts, resubmit claims, participate in account resolution, identify accounts for possible collection referral, and help resolve billing complaints.
Maintain appointment books and physician schedules; schedule surgeries, ancillary services, follow-up appointments, and admissions; and answer questions about appointments and testing.
Provide front office phone support, screen visitors, respond to routine information requests, and act as a liaison between patients and medical support staff.
Maintain and update patient accounts and profiles, ensuring information is complete and accurate; research address verification as needed; and process returned and outgoing statements.
Assemble, pull, route, deliver, sort, file, repair, and locate patient charts and medical records; maintain orderly files; purge or destroy outdated records under established procedures; and follow medical records policies.
Pick up and file lab reports, dictations, X-rays, correspondence, and other medical reports; coordinate chart routing with medical assistants and other staff.
Process edits and Customer Service and Collection Requests within specified time frames; assist with outpatient coding and error resolution; identify trends and communicate problems to management.
Enter charge and same-day payment information, verify coding, charges, and insurance status, print and balance daily reports, and back up and close computer files and batches according to policy.
Confirm workers’ compensation claims, prepare disability claims in a timely manner, and maintain referral, authorization, and insurance slips.
Maintain strict confidentiality, participate in educational activities, uphold office standards, and perform other duties as assigned.