Patient Services Representative, BMPG Cardiology, Blount, Full-Time, Days

Prisma Health•Maryville, TN

2d•Onsite

About The Position

Responsible for aspects of front office management and operation as assigned. This role involves complete and accurate patient registration, pre-certification, charge capture, and accurately coding diagnoses given by physicians. It also includes posting all payments, balancing reports, and managing patient financial agreements. The position requires excellent interpersonal skills for direct patient contact, handling billing processes, filing insurance claims, and assisting patients with forms and financial inquiries. The representative acts as a liaison between patients and medical staff, greets patients courteously, checks them in, verifies insurance, and obtains necessary signatures. Responsibilities extend to maintaining appointment schedules, providing phone support, screening visitors, and processing outpatient charges. Cashiering functions, including balancing the cash drawer and preparing deposits, are also part of the role. The position involves working with patients on payment plans, resolving billing complaints, and participating in educational activities. Maintaining patient confidentiality and a professional appearance is essential.

Requirements

Associate degree in a technical specialty program of 18 months minimum in length preferred.
No previous experience required.
Multi-specialty group practice setting experience preferred.
Basic understanding of ICD-9 and CPT coding - Preferred.

Nice To Haves

Associate degree in a technical specialty program of 18 months minimum in length.
Multi-specialty group practice setting experience.
Basic understanding of ICD-9 and CPT coding.

Responsibilities

Complete and accurate patient registration, pre-certification, charge capture, and diagnosis coding.
Post all payments, balance computer reports at day end, and prepare daily cash deposits.
Arrange for patient pre-payments and enforce financial agreements.
Gather charge information, code, enter into database, and complete the billing process.
File insurance claims and assist patients with insurance forms.
Process unpaid accounts by contacting patients and third-party payers.
Serve as a liaison between patient and medical support staff.
Greet patients and visitors promptly, courteously, and helpfully.
Check in patients, verify and update insurance information in the patient accounting system.
Obtain signatures on all required forms and documents.
Assist patients with ambulatory difficulties.
Maintain appointment book and follow office scheduling policies.
Provide front office phone support as needed.
Screen visitors and respond to routine requests for information.
Gather, accurately code, and post outpatient charges.
Process vouchers and private payments, updating registration screens.
Research address verification as needed.
Help process mail return statements and outgoing statements.
Acquire billing information for all doctors for all patients seen in practice.
Perform cashiering functions, including monitoring and balancing the cash drawer daily.
Receive payments from patients and issue receipts.
Code and post payments and maintain required records, reports, and files.
Work with patients in securing prepayment sources or financial agreements.
Participate with other staff to achieve account resolution.
Assist with outpatient coding and error resolution.
Process edits and Customer Service and Collection Requests for resolution.
Identify trends and communicate problems to management.
Update patient account database.
Maintain and update current information on physician’s schedules.
Schedule surgeries, ancillary services, and follow-up outpatient appointments and admissions.
Answer questions regarding patient appointments and testing.
Assemble patients’ charts for next day visits.
Update profiles on all patients, ensuring completeness and accuracy.
Oversee waiting area, coordinate patient movement, and report problems or irregularities.
Assist patients with questions on insurance claims, disability insurance benefits, home health care, medical equipment, surgical care, etc.
Process benefit correspondence, signatures, and insurance forms to expedite payment of outstanding claims.
Assist patients in completing all necessary forms for hospitalization or surgical pre-certification.
Follow up with insurance companies to ensure coverage approval.
Post all actions and maintain a permanent record of patient accounts.
Answer patient questions and inquiries regarding their accounts.
Confirm all workers’ compensation claims with employees.
Prepare disability claims in a timely manner.
Follow up with insurance companies to ensure claims are paid.
Maintain files with referral slips, medical authorizations, and insurance slips.
Research all information needed to complete the outpatient billing process, including getting charge information from physicians.
Code information about procedures performed and diagnosis on charge.
Key charge information into an on-line entry program.
Process and distribute copies of billings according to clinic policies.
Pull charts for scheduled appointments in advance.
Deliver, transport, sort, and file returned charts.
Pick up lab reports, dictations, X-rays, and correspondence.
Continually check for misfiled charts and refile according to the filing system.
Maintain orderly files.
File all medical reports.
Purge obsolete records and files in storage.
Destroy outdated records following established procedures.
Make up new patient charts.
Repair damaged charts.
Assist in locating and filing records.
Work with medical assistants and other staff to route patient charts to the proper location.
Follow medical records policies and procedures.
Collect payments at the time of service for daily outpatient visit services.
Review each account via computer to ensure patient’s account(s) are being paid on a timely basis.
Perform collection actions, including contacting patients by telephone and resubmitting claims.
Evaluate patient financial status and establish budget payment plans.
Review accounts for possible assignment to a collection agency and make recommendations.
Identify and resolve patient billing complaints.
Participate with other staff to follow up on accounts until zero balance or turned over for collection.
Participate in educational activities.
Gather and verify superbills for specified practice on a daily basis.
Enter all charge and same-day payment information for patient visits and hospital patients, verifying accuracy of coding, charging, and patient insurance status.
Print daily reports, verifying charge entry balancing at day end.
Back up and close computer files on a daily basis, logging as appropriate.
Register new patients after verifying patient status on computer inquiry.
Update financial information as indicated.
Maintain strictest confidentiality.
Perform related work as required.
Maintain neat and professional appearance, demonstrate commitment to serve at all times and uphold guidelines set forth in office manual.
Perform other duties as assigned.