Patient Services Representative, Family Medicine, Full-Time Days

Prisma Health•Richland, WA

1d•Onsite

About The Position

Responsible for assigned aspects of front-office management and operation in a family medicine practice. The role supports patient registration, scheduling, billing, payment collection, insurance and pre-certification processes, medical records, and communication between patients and medical support staff. The representative greets and assists patients and visitors, maintains accurate patient and account information, and helps resolve billing and insurance issues while protecting patient confidentiality. The position is expected to maintain a neat, professional appearance, provide courteous service, follow office policies and procedures, participate in educational activities, and perform other duties as assigned.

Requirements

High school diploma or equivalent, or a 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.

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 and accurately register patients, verify and update insurance and financial information, obtain required signatures, and maintain patient profiles and account records.
Greet patients and visitors, assist patients with ambulatory difficulties, answer routine questions, screen visitors, and act as a liaison between patients and medical support staff.
Maintain appointment books and physician schedules; schedule surgeries, ancillary services, follow-up appointments, and admissions as requested; answer appointment and testing questions.
Provide front-office telephone support as assigned through cross-training.
Gather, code, enter, and post outpatient charges, diagnoses, procedures, and same-day payments; verify coding, charging, and insurance information; process and distribute billing information.
Collect patient payments, arrange prepayments or financial agreements, issue receipts, perform cashiering, balance the cash drawer, prepare deposits, and reconcile daily reports.
File insurance claims; assist patients with insurance, hospitalization, surgical pre-certification, disability, workers’ compensation, and other benefit forms; follow up with insurers on coverage and payment.
Review and resolve unpaid accounts, billing complaints, coding errors, and account edits; contact patients and third-party payers, resubmit claims, establish payment plans, and recommend accounts for collection when appropriate.
Maintain records of account actions and participate with staff in resolving accounts through payment or referral to collections.
Assemble charts for upcoming visits; pull, route, transport, sort, file, repair, and locate charts and medical records; handle reports and correspondence; maintain orderly files and follow retention and destruction procedures.
Oversee the waiting area and coordinate patient movement; report problems or irregularities and communicate trends or problems to management.
Back up and close computer files and batches daily, print reports, and maintain required records, reports, and files.
Maintain strict confidentiality and follow applicable office and medical-record policies and procedures.
Participate in educational activities and perform related work and other duties as assigned.