Patient Services Representative, Internal Medicine, FT Days

Prisma Health•Richland, SC

2d•Onsite

About The Position

The Patient Services Representative supports front-office management and operations for an internal medicine physician practice. The role may perform some or all front-office functions, including patient registration, insurance verification, scheduling, billing, payment processing, medical-records handling, and patient account support. It involves frequent public contact and requires excellent interpersonal skills, accuracy, confidentiality, and a professional manner. The representative greets and assists patients and visitors, coordinates patient flow, maintains schedules, and supports communications between patients and medical staff. The role also gathers and enters charges, codes diagnoses and procedures, processes billing and insurance claims, collects and balances payments, and helps resolve account issues. Additional duties include assembling, transporting, filing, maintaining, and retiring medical records in accordance with established policies. The position participates in educational activities and performs related work as required.

Requirements

High school diploma or equivalent.
No previous experience required.
Excellent interpersonal skills for a role involving a high level of public contact.
Maintain strict confidentiality and a neat, professional appearance.

Nice To Haves

Associate's 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

Register patients accurately, verify and update insurance and financial information, obtain required signatures, and maintain patient account records.
Greet and assist patients and visitors, answer routine questions, provide front-office phone support, screen visitors, and coordinate patient movement.
Maintain appointment books and physician schedules; schedule surgeries, ancillary services, follow-up appointments, and admissions as requested.
Gather, code, enter, and post outpatient charges and payment information; complete billing processes and distribute billing information.
Process insurance claims and forms, assist patients with pre-certification and benefits paperwork, and follow up with insurers regarding coverage and payment.
Collect patient payments, arrange prepayments and financial agreements, issue receipts, balance the cash drawer, prepare deposits, and balance daily reports.
Contact patients and third-party payers about unpaid accounts, assist with account resolution, establish budget payment plans, and identify accounts for possible collection referral.
Assist with coding and billing error resolution, process edits and service or collection requests within specified time frames, and communicate trends or problems to management.
Assemble charts for upcoming visits; deliver, sort, file, locate, repair, and maintain medical records and reports; purge and destroy obsolete records according to established procedures.
Prepare disability claims, confirm workers’ compensation claims, maintain referral and authorization files, and assist patients with billing questions and complaints.
Maintain confidentiality, follow office and medical-records policies, participate in educational activities, and uphold professional appearance and service standards.