Patient Services Representative, Family Medicine, Full-Time Days

Prisma Health•Richland, SC

1d•Onsite

About The Position

The Patient Services Representative supports front-office management and operations in a physician practice. The role may cover patient registration, scheduling, billing, coding, payment processing, insurance and pre-certification support, medical-records management, and patient account follow-up. It requires frequent public contact, strong interpersonal skills, accurate recordkeeping, and strict confidentiality. The representative works with patients, physicians, medical support staff, and other practice staff to resolve account issues and support daily clinic operations. This is a non-management position reporting to a supervisor, manager, director, or executive.

Requirements

High school diploma or equivalent.
No previous experience required.
Maintain strict confidentiality and demonstrate professional, service-oriented conduct.

Nice To Haves

Associate's 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, financial, and other patient information; obtain required signatures; and maintain patient profiles.
Greet and assist patients and visitors, answer routine questions, provide front-office phone support, screen visitors, and assist patients with ambulatory difficulties.
Maintain appointment books and physician 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; verify coding, charges, insurance status, and charge-entry accuracy; and distribute billing information.
Collect patient payments, process vouchers and private payments, issue receipts, balance the cash drawer, prepare deposits, and reconcile daily reports.
Arrange prepayments and financial agreements, evaluate patient financial status, establish budget payment plans, and participate in account resolution and collection follow-up.
File insurance claims; help patients complete insurance, disability, hospitalization, and surgical pre-certification forms; and follow up with insurers on coverage and payment.
Process unpaid accounts by contacting patients and third-party payers; review accounts for possible collection-agency assignment and recommend action to the Clinical Department Practice Manager.
Respond to patient billing questions and complaints, process billing edits and customer service or collection requests, and identify trends or problems for management.
Maintain patient account records, post account actions, update databases, process statements and returned mail, and maintain required files and reports.
Prepare patient charts for upcoming appointments; deliver, sort, file, locate, repair, and create charts; file medical reports; and route charts with medical staff.
Maintain orderly medical-record files, identify and correct misfiled charts, purge and destroy obsolete records according to established retention procedures, and follow medical-records policies.
Gather and verify superbills, enter charges and same-day payments, print daily reports, balance charge entry, and back up and close computer files according to policy.
Maintain confidentiality, participate in educational activities, perform related work as required, and maintain a neat, professional appearance while representing the clinical department.