Patient Services Representative, Care Today Clinic, PRN, Varied

Prisma Health•Maryville, TN

1d•Onsite

About The Position

Responsible for assigned aspects of front office management and operation at Care Today Clinic. The role supports patient registration, billing and charge processing, payment collection, appointment scheduling, insurance-related processes, patient records, and communication between patients and medical support staff. The representative is expected to provide courteous service, maintain accurate patient and financial records, protect confidentiality, and uphold Prisma Health’s service and appearance standards. This is a non-management position reporting 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.
Ability to maintain strict confidentiality and provide courteous, professional service.

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, pre-certification, charge capture, and coding of physician-provided diagnoses.
Post payments, balance transactions against computer reports, perform cashiering, monitor and balance the cash drawer, prepare deposits, and issue receipts.
Arrange patient prepayments and financial agreements, evaluate financial status, establish budget payment plans, and participate in account resolution and collection activities.
Gather, code, enter, and distribute charge and billing information; process billing, insurance claims, vouchers, private payments, and related forms.
Contact patients and third-party payers about unpaid accounts, resubmit claims, follow up on coverage and payment, and help resolve billing complaints.
Greet patients and visitors, check in patients, verify and update insurance and financial information, obtain required signatures, and assist patients with ambulatory difficulties.
Maintain appointment books and physician schedules; schedule surgeries, ancillary services, follow-up appointments, admissions, and testing as requested.
Provide front office phone support, screen visitors, respond to routine information requests, and answer questions about appointments, testing, and patient accounts.
Assist patients with insurance claims, disability benefits, home health care, medical equipment, surgical care, hospitalization, and surgical pre-certification.
Maintain patient account databases, profiles, permanent account records, referral slips, authorizations, insurance slips, reports, and files.
Gather and verify superbills; enter charges and same-day payments; verify coding, charges, and insurance status; print daily reports; balance charge entry; and close computer files and batches according to policy.
Assemble charts for upcoming visits, pull, transport, sort, file, locate, repair, and create charts, file medical reports, and maintain orderly records according to medical records procedures.
Purge and destroy obsolete records according to established retention and destruction procedures.
Coordinate patient movement and the waiting area, report problems or irregularities, and work with medical assistants and other staff to route charts appropriately.
Identify trends and communicate problems to management; process edits and customer service and collection requests within specified time frames.
Maintain strict confidentiality, participate in educational activities, maintain a neat and professional appearance, and perform other duties as assigned.