Patient Services Representative, Greenville OB/GYN, FT, Days

Prisma Health•Greenville, SC

About The Position

Responsible for assigned aspects of front office management and operation at Greenville OB/GYN. The role supports patient registration, scheduling, billing, payment processing, insurance coordination, medical records, and patient service. The representative serves as a liaison between patients and medical support staff, maintains accurate patient and account information, and helps ensure that charges, claims, and payments are processed correctly and promptly. The position requires frequent public contact, strong interpersonal skills, confidentiality, and a neat, professional appearance.

Requirements

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

Nice To Haves

Associate degree in a technical specialty program at least 18 months in length.
Experience in a multispecialty 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 profiles.
Collect, code, enter, and post outpatient charges and payments; balance daily reports and cash drawers, prepare deposits, issue receipts, and close computer batches according to policy.
Arrange prepayments and financial agreements, establish payment plans, monitor account status, and participate in account resolution and collection activities.
Prepare and submit billing information and insurance claims; assist patients with insurance forms, pre-certification, disability claims, workers’ compensation claims, and benefit correspondence; follow up with insurers on coverage and payment.
Greet and assist patients and visitors, answer account and appointment inquiries, provide front-office phone support, and assist patients with ambulatory difficulties.
Maintain appointment books and physician schedules; schedule surgeries, ancillary services, follow-up appointments, and admissions as requested; coordinate patient movement and oversee the waiting area.
Gather and verify superbills, obtain charge information from physicians, code diagnoses and procedures, process billing edits, and help resolve coding and billing errors.
Maintain medical records and files; assemble charts for upcoming visits, route, retrieve, sort, file, repair, purge, and destroy records according to established policies and procedures.
Identify and communicate trends or problems to management, maintain permanent patient account records, and uphold confidentiality and office procedures.
Participate in educational activities and perform other duties as assigned.