Patient Services Representative, Laurens Family Practice, FT, Days

Prisma Health•Laurens, SC

About The Position

The Patient Services Representative is responsible for assigned aspects of front-office management and operation at Laurens Family Medicine. The role supports patients and clinical staff through registration, scheduling, billing, payment collection, insurance and pre-certification processing, medical-records handling, and general office coordination. The representative serves as a liaison between patients and medical support staff, provides courteous assistance, maintains accurate patient and account information, and follows clinic policies and confidentiality requirements. The position requires a high level of public contact and strong interpersonal skills. The representative helps patients understand accounts and insurance matters, coordinates appointments and patient movement, supports outpatient charge and coding workflows, and works with patients, insurers, and coworkers toward account resolution. The role also performs cashiering, record maintenance, reporting, and other duties as assigned.

Requirements

High school diploma or equivalent, or a post-high-school diploma; current Prisma Health team members with one year of Prisma Health experience in this job profile may qualify in lieu of the education requirement.
No previous experience required.
Basic understanding of ICD-9 and CPT coding 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.
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 patient profiles.
Greet and assist patients and visitors, support patients with ambulatory difficulties, answer routine inquiries, and serve as a liaison with medical support staff.
Maintain appointment schedules; schedule surgeries, ancillary services, follow-up appointments, and admissions as requested; and answer questions about appointments and testing.
Process pre-certifications, insurance forms, referrals, authorizations, benefit correspondence, workers’ compensation claims, and disability claims; follow up with insurers on coverage and payment.
Gather, code, enter, and post outpatient charges and diagnoses; verify coding, charge entry, patient insurance status, and superbills; process billing information according to clinic policies.
Collect patient payments, arrange prepayments and financial agreements, post payments, issue receipts, balance the cash drawer, prepare deposits, and complete daily reports and balancing.
Contact patients and third-party payers about unpaid accounts, resubmit claims, establish payment plans, resolve billing complaints, and recommend accounts for collection when appropriate.
Process billing edits and customer service or collection requests within specified time frames; identify trends and communicate problems to management.
Maintain patient-account records and databases, post account actions, and help ensure accounts are resolved or referred for collection.
Assemble charts for upcoming visits; transport, sort, file, locate, repair, and create charts; handle medical reports and other records; and follow records retention, destruction, and confidentiality procedures.
Coordinate patient movement and oversee the waiting area, report problems or irregularities, and route charts with medical assistants and other staff.
Participate in educational activities, maintain a neat and professional appearance, follow office policies, and perform other duties as assigned.