Patient Services Representative, Maxwell Pte, FT, Days

Prisma Health•Greenville, SC

About The Position

Responsible for assigned aspects of front office management and operation at Christie Pediatrics-Maxwell Point. The role supports patient registration, scheduling, billing, payment processing, insurance and account follow-up, medical records management, and communication between patients and medical support staff. The representative is expected to maintain confidentiality and a neat, professional appearance, provide courteous service, and uphold office policies and Prisma Health’s purpose: “Inspire health. Serve with compassion. Be the difference.” Performs related work and other duties as assigned.

Requirements

High school diploma or equivalent, or a post-high-school diploma.
No previous experience required.
Basic understanding of ICD-9 and CPT coding preferred.
Current Prisma Health team members with one year of Prisma Health experience in this job profile may meet the education requirements in lieu of the stated education requirements.
Maintain strict confidentiality and a neat, professional appearance; demonstrate commitment to service and follow office policies.

Nice To Haves

Associate 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

Complete accurate patient registration, verify and update insurance and financial information, obtain required signatures, and maintain accurate patient profiles and account records.
Gather, code, enter, and post outpatient charges and payments; verify coding and insurance status, balance daily charge entry, and complete billing processes and reports.
Collect patient payments, arrange prepayments or financial agreements, perform cashiering functions, balance the cash drawer, prepare deposits, and issue receipts.
File insurance claims, help patients complete insurance and other forms, process benefit correspondence, and follow up with insurers regarding coverage and payment.
Contact patients and third-party payers about unpaid accounts, participate in account resolution, establish payment plans, identify accounts for possible collection referral, and resolve billing complaints.
Greet and assist patients and visitors, answer account and appointment questions, provide front-office phone support, screen visitors, and serve as liaison between patients and medical support staff.
Maintain appointment books and physician schedules; schedule surgeries, ancillary services, follow-up appointments, and admissions as requested.
Assemble charts for upcoming visits; retrieve, route, transport, sort, file, repair, and maintain medical records in accordance with established policies and retention procedures.
Coordinate patient movement and monitor the waiting area; assist patients with ambulatory difficulties and questions about claims, benefits, and services.
Process billing edits and Customer Service and Collection Requests within specified time frames; identify trends and communicate problems to management.
Back up and close computer files daily, close batches according to policy, and maintain required records, reports, and files.
Participate in educational activities and perform other duties as assigned.