Patient Services Representative, Greenville Memorial Hospital, FT, Days

Prisma Health•Greenville, SC

5d•Onsite

About The Position

Responsible for assigned aspects of front office management and operation at Prisma Health. The role handles patient registration, pre-certification, charge capture, diagnosis and procedure coding, billing, payment posting, cashiering, and account follow-up. It requires extensive public contact and strong interpersonal skills, with a commitment to courteous service, confidentiality, and professional conduct. The representative greets and checks in patients and visitors, verifies and updates insurance and financial information, obtains required signatures, schedules appointments and services, and supports patients with questions about appointments, billing, insurance claims, and financial arrangements. The role also maintains physician schedules, patient profiles, charts, files, and records; gathers and enters charges; submits and follows up on claims; and works with patients, insurers, and clinical staff to resolve accounts and billing issues. This is a non-management position reporting to a supervisor, manager, director, or executive. The listed work shift is day shift at Greenville Memorial Hospital, in the Midwifery-Practice Operations department.

Requirements

High school diploma or equivalent, or a post-high-school diploma.
No previous experience required.
Current Prisma Health team members with one year of Prisma Health experience in this job profile may qualify in lieu of the education requirements.
Maintain strict confidentiality and a neat, professional appearance.
Demonstrate commitment to service and follow office guidelines.

Nice To Haves

Associate degree in a technical specialty program of at least 18 months.
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 coding of diagnoses provided by physicians.
Post payments, balance transactions against computer reports, and complete end-of-day reporting and cash drawer balancing.
Arrange patient prepayments and financial agreements before services are provided; evaluate financial status and establish budget payment plans.
Gather, code, enter, and distribute charge and billing information, including outpatient charges and information obtained from physicians.
File insurance claims, assist patients with insurance forms, process benefit correspondence, and follow up with insurers to confirm coverage and payment.
Contact patients and third-party payers about unpaid accounts, participate in account resolution, identify accounts for possible collection agency referral, and address billing complaints.
Greet and check in patients and visitors; verify and update insurance and financial information; obtain required signatures; 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.
Provide front-office phone support, screen visitors, and respond to routine information requests.
Process vouchers and private payments, prepare daily cash deposits, receive patient payments, issue receipts, and maintain payment records and files.
Process account edits and Customer Service and Collection Requests within specified time frames; identify trends and communicate problems to management.
Maintain and update patient accounts and profiles, ensuring information is complete and accurate; register new patients after checking their status and update financial information as needed.
Assemble charts for upcoming visits; pull, transport, sort, file, repair, and locate charts and records; route charts with medical assistants and other staff; and maintain orderly files.
Pick up and file lab reports, dictations, X-rays, correspondence, medical reports, referral slips, authorizations, and insurance slips.
Purge obsolete records and destroy outdated records according to established retention and destruction procedures; follow medical records policies and procedures.
Gather and verify superbills; enter charges and same-day payments for patient visits and hospital patients; verify coding, charges, and insurance status; print daily reports; and balance charge entry.
Back up and close computer files daily and log closures as required by policy.
Confirm workers' compensation claims with employees and prepare disability claims in a timely manner.
Assist patients with questions and needs involving insurance claims, disability benefits, home health care, medical equipment, and surgical care.
Participate in educational activities and maintain confidentiality, a neat and professional appearance, and the service standards and guidelines in the office manual.
Perform other duties as assigned.