Patient Services Representative, Seneca Medical Associates, FT, Days

Prisma Health•Seneca, SC

3d•Onsite

About The Position

The Patient Services Representative is responsible for assigned aspects of front office management and operation at Seneca Medical Associates. The role supports patient registration, scheduling, billing, payment collection, insurance processing, medical records, and communication between patients and medical support staff. It requires frequent public contact, excellent interpersonal skills, accurate recordkeeping, and strict confidentiality. The representative is expected to maintain a neat, professional appearance, demonstrate a commitment to service, and follow office policies and procedures.

Requirements

High school diploma or equivalent, or a post-high school diploma.
No previous experience required.
Maintain strict confidentiality and follow office policies and procedures.

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 update patient profiles and account databases.
Handle pre-certification, charge capture, outpatient coding, billing entry, payment posting, and billing distribution; assist with coding and error resolution.
Post payments, balance daily computer reports and cash drawers, prepare deposits, receive payments, issue receipts, and maintain payment records.
Arrange prepayments and financial agreements, evaluate patient financial status, establish budget payment plans, and pursue account resolution with patients and third-party payers.
File insurance claims, assist patients with insurance forms and claims questions, follow up with insurers on coverage and payment, and process workers’ compensation and disability claims.
Greet and assist patients and visitors, check in patients, answer routine questions, 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 the waiting area and patient movement, assemble charts for upcoming visits, and route records with medical assistants and other staff.
Pull, deliver, transport, sort, file, repair, and maintain medical charts and reports; locate records, purge and destroy outdated records under established procedures, and follow medical records policies.
Process returned and outgoing statements, research address verification, gather physician charge information, and help resolve billing complaints and account issues.
Process edits and customer service and collection requests within specified time frames; identify trends and communicate problems to management.
Participate in educational activities and perform other duties as assigned.