Patient Services Representative - Family Medicine, Full-Time

Prisma Health•Columbia, SC

1d•Onsite

About The Position

Incumbents support front-office management and operations in a physician practice. Depending on assignment, responsibilities may include patient registration, insurance verification and pre-certification, charge capture and coding, billing, payment posting, cashiering, scheduling, medical-records handling, and account resolution. The role involves frequent public contact and requires excellent interpersonal skills, accuracy, confidentiality, and a neat, professional appearance. The representative serves as a liaison between patients and medical support staff, helps patients navigate insurance and billing matters, and works with practice staff to provide patient services and resolve accounts.

Requirements

High school diploma or equivalent.
No previous experience required.
Maintain strict confidentiality and a neat, professional appearance.
Demonstrate commitment to serving patients and follow applicable office guidelines and procedures.

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 demographic and insurance information, obtain required signatures, and maintain patient-account records.
Capture, code, enter, and distribute outpatient charges and billing information; assist with coding and billing-error resolution.
Post patient and insurance payments, balance daily computer reports and cash drawers, prepare deposits, issue receipts, and maintain payment records.
Arrange patient prepayments and financial agreements; collect payments at service, evaluate financial status, establish payment plans, and participate in account resolution and collection follow-up.
File insurance claims, assist patients with insurance forms and claims questions, process benefit correspondence, and follow up with insurers regarding coverage and payment.
Assist patients with disability claims, workers’ compensation claims, pre-certification, referrals, authorizations, home health care, medical equipment, and other account or care-related questions.
Greet and assist patients and visitors; check in patients, answer routine questions, provide front-office phone support, and assist patients with ambulatory difficulties.
Maintain appointment books and physician schedules; schedule surgeries, ancillary services, follow-up appointments, and admissions as requested.
Coordinate patient movement and oversee the waiting area; assemble charts for upcoming visits and update patient profiles for completeness and accuracy.
Research, retrieve, transport, sort, file, repair, and maintain medical records and charts; purge or destroy records according to established retention procedures.
Gather and verify superbills, enter charges and same-day payments, print daily reports, balance charge entry, and close and back up computer files according to policy.
Identify trends and problems and communicate them to management; process edits and service or collection requests within specified time frames.
Maintain confidentiality, follow office and medical-records policies, participate in educational activities, and perform related duties as required.