Patient Services Representative, Pediatric Urology - Patewood, FT, Days

Prisma Health•Greenville, SC

1d•Onsite

About The Position

The Patient Services Representative is responsible for assigned front-office management and operational functions for the Pediatric Urology practice at Patewood. The role supports patient registration, scheduling, billing, payment processing, insurance and pre-certification activities, medical records management, and communication between patients and clinical staff. The representative is expected to provide courteous, helpful service, maintain confidentiality, follow office and medical-records procedures, and uphold a neat, professional appearance.

Requirements

High school diploma or equivalent, or a post-high-school diploma.
No previous experience required.
Maintain strict confidentiality and comply with applicable office and medical-records policies and procedures.
Demonstrate excellent interpersonal skills and a commitment to courteous, professional service.

Nice To Haves

Associate degree in a technical specialty program of at least 18 months.
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 complete patient profiles.
Greet and assist patients and visitors, answer routine questions, provide front-office phone support, and serve as a liaison between patients and medical support staff.
Maintain appointment schedules; arrange surgeries, ancillary services, follow-up visits, and admissions; answer questions about appointments and testing.
Gather, code, enter, and post outpatient charges and payments; verify coding, charges, and insurance status; balance daily reports and close computer batches.
Collect payments, issue receipts, balance the cash drawer, prepare daily deposits, and maintain payment records.
Arrange prepayments and financial agreements; evaluate patient financial status and establish budget payment plans.
File insurance claims, assist with insurance forms and pre-certification, follow up with insurers on coverage and payment, and process benefit correspondence and claims.
Contact patients and third-party payers regarding unpaid accounts, resolve billing complaints, participate in account resolution, and recommend accounts for collection review when appropriate.
Process billing edits and customer-service or collection requests within required time frames; identify trends and communicate problems to management.
Maintain and update patient account databases, physician schedules, billing information, referral slips, authorizations, and insurance records.
Prepare and manage medical charts and records, including pulling, assembling, transporting, sorting, filing, repairing, locating, and creating charts; purge or destroy outdated records according to established procedures.
Coordinate patient movement in the waiting area, assist patients with ambulatory difficulties, and report problems or irregularities.
Assist patients with inquiries concerning insurance claims and related benefits or services, including disability benefits, home health care, medical equipment, and surgical care.
Participate in educational activities and perform other duties as assigned.