Patient Services Representative, Family Medicine, Full-Time Days

Prisma Health•Richland, SC

1d•Onsite

About The Position

Responsible for assigned aspects of front office management and operation in a family medicine practice. The role supports patient registration, scheduling, billing, coding, payment collection, insurance processes, medical records, and communication between patients and medical support staff. The representative provides courteous service to patients and visitors, maintains accurate patient and account information, and follows practice policies and confidentiality requirements. 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.
Current Prisma Health team members with one year of Prisma Health experience in this job profile may meet the education requirements in lieu of the stated education requirements.

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 daily transactions against computer reports, monitor and balance the cash drawer, prepare cash deposits, and issue receipts.
Arrange patient prepayments and financial agreements; collect payments for outpatient services and assist with account resolution and collection activity.
Gather, code, enter, and distribute charge and billing information; file insurance claims and assist patients with insurance forms and claims.
Contact patients and third-party payers about unpaid accounts, resubmit claims, follow up on coverage and payment, and help resolve billing complaints.
Greet and assist patients and visitors; check patients in, verify and update insurance information, obtain required signatures, and assist patients with ambulatory difficulties.
Maintain appointment books and physician schedules; schedule surgeries, ancillary services, follow-up appointments, and admissions as requested; answer appointment and testing inquiries.
Provide front-office phone support, screen visitors, respond to routine information requests, and liaise between patients and medical support staff.
Process vouchers and private payments, update registration screens, research address verification, and process returned and outgoing statements.
Maintain patient account databases, profiles, payment records, reports, and files; identify trends and communicate problems to management.
Assist with outpatient coding and error resolution; process edits and Customer Service and Collection Requests within specified time frames.
Assist patients with pre-certification, disability benefits, home health care, medical equipment, surgical care, and other insurance-related matters; prepare disability claims and confirm workers’ compensation claims.
Maintain referral slips, medical authorizations, insurance slips, and other billing documentation; acquire billing information and code procedures and diagnoses.
Assemble charts for upcoming visits, make new charts, pull and route records, file reports, retrieve and deliver records, repair damaged charts, and maintain orderly files.
Purge and destroy obsolete records in accordance with established retention and destruction procedures and follow medical records policies.
Enter charges and same-day payments for office and hospital visits, verify coding, charges, and insurance status, print daily reports, balance charge entry, and close computer batches and files in accordance with policy.
Register new patients after verifying their status and update financial information as needed.
Maintain strict confidentiality, professional appearance, and commitment to service; participate in educational activities and perform other duties as assigned.