Patient Services Representative, Hillcrest Gastroenterology, FT, Days

Prisma Health•Simpsonville, SC

8d•Onsite

About The Position

Responsible for assigned aspects of front-office management and operations for Hillcrest Gastroenterology. The representative supports patient registration, scheduling, billing, payment collection, insurance and account resolution, medical-records maintenance, and communication between patients and medical support staff. The role requires frequent public contact, strong interpersonal skills, accurate handling of patient and financial information, strict confidentiality, and a neat, professional appearance. The position is non-management and reports to a supervisor, manager, director, or executive.

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.

Nice To Haves

Associate degree in a technical specialty program of at least 18 months.
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 account records.
Arrange patient prepayments and financial agreements before services; collect payments, issue receipts, balance the cash drawer, prepare deposits, and post payments.
Gather, code, enter, and post charges and diagnoses; support billing, charge capture, coding, and error resolution; prepare and distribute billing information and claims.
File insurance claims and assist patients with insurance forms, pre-certification, benefits, disability claims, and other coverage matters; follow up with insurers to secure approvals and payment.
Process unpaid accounts, contact patients and third-party payers, help resolve billing complaints, establish payment plans, and participate in account follow-up and collection decisions.
Greet and assist patients and visitors; check in patients, answer account and appointment questions, screen visitors, and provide front-office phone support as assigned.
Maintain appointment books and physician schedules; schedule surgeries, ancillary services, follow-up visits, and admissions; answer questions about appointments and testing.
Coordinate patient movement and the waiting area, assist patients with ambulatory difficulties, and serve as a liaison between patients and medical support staff.
Prepare charts for scheduled visits; transport, sort, file, locate, repair, and create charts; maintain orderly files and follow medical-records retention, destruction, and confidentiality procedures.
Gather and verify superbills, enter daily charge and payment information, print and balance daily reports, and close and back up computer files according to policy.
Identify trends and communicate problems to management; participate in educational activities and perform other related duties as assigned.