Patient Services Representative F/T Day

Prisma Health•Boiling Springs, NC

1d•Onsite

About The Position

Responsible for assigned aspects of front office management and operation in a clinical practice. The role supports patient registration, scheduling, billing, coding, payment collection, insurance processing, medical records, and account resolution. It requires frequent public contact, strong interpersonal skills, accurate data entry, and careful handling of confidential patient and account information. The representative serves as a liaison between patients and medical support staff, provides courteous service, and maintains a neat, professional appearance while representing Prisma Health.

Requirements

High school diploma or equivalent, or a post-high school diploma.
Basic understanding of ICD-9 and CPT coding is preferred.

Nice To Haves

Associate degree in a technical specialty program at least 18 months in length.
Experience in a multi-specialty group practice setting.

Responsibilities

Complete accurate patient registration, verify and update insurance and financial information, obtain required signatures, and maintain patient profiles.
Perform pre-certification, charge capture, diagnosis and procedure coding, billing entry, and distribution of billing information.
Post payments, process vouchers and private payments, balance daily reports and cash drawers, prepare deposits, and issue receipts.
Arrange patient prepayments and financial agreements; evaluate financial status and establish budget payment plans as appropriate.
File insurance claims, assist with insurance and benefit forms, follow up with insurers, and process workers’ compensation and disability claims.
Contact patients and third-party payers about unpaid accounts, resubmit claims, assist with account resolution, and identify accounts for possible collection agency assignment.
Greet patients and visitors, check in patients, answer account and appointment questions, screen visitors, and provide front-office phone support as assigned.
Maintain appointment schedules, schedule surgeries and ancillary services, and arrange follow-up appointments and admissions as requested.
Coordinate patient movement and waiting areas, assist patients with ambulatory difficulties, and assemble charts for upcoming visits.
Gather, code, enter, and verify outpatient charges and payments; review edits and resolve coding or billing errors within specified time frames.
Maintain, route, retrieve, file, repair, and purge medical records according to established policies and retention procedures.
Update patient account information, maintain physician schedules, keep required records and reports, and communicate trends or problems to management.
Maintain confidentiality, participate in educational activities, follow office policies and procedures, and perform other duties as assigned.