Patient Services Representative F/T Day

Prisma Health•Greenville, SC

21h

About The Position

Responsible for assigned aspects of front office management and operation in a clinical practice. The role supports patient registration, scheduling, billing, coding, payment collection, insurance processing, medical records management, and communication between patients and medical support staff. It requires frequent public contact, excellent interpersonal skills, confidentiality, and a neat, professional appearance. The representative is expected to uphold Prisma Health's purpose: “Inspire health. Serve with compassion. Be the difference.”

Requirements

High school diploma or equivalent, or a post-high-school diploma.
No previous experience required.
Basic understanding of ICD-9 and CPT coding is preferred.

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

Register patients accurately, verify and update insurance and financial information, and obtain required signatures and documents.
Complete pre-certification and pre-authorization processes, including following up with insurers to confirm coverage and approval.
Gather, code, enter, and post outpatient charges and diagnoses; assist with coding and error resolution; and distribute billing information.
Post payments, balance daily computer reports and cash drawers, prepare deposits, issue receipts, and maintain payment records.
Collect payments at the time of service, arrange prepayments or financial agreements, establish budget payment plans, and participate in account resolution.
File insurance claims, assist patients with insurance forms and claims questions, process benefit correspondence, and follow up with patients and third-party payers on unpaid accounts.
Answer patient account inquiries, identify and resolve billing complaints, and review accounts for possible referral to a collection agency.
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; and answer questions about appointments and testing.
Coordinate patient movement and oversee the waiting area, reporting problems or irregularities.
Assemble charts for upcoming visits; transport, sort, file, locate, repair, and maintain medical records; and follow records retention, destruction, and confidentiality procedures.
Gather and verify superbills, enter charge and same-day payment information, print daily reports, balance charge entry, and close and back up computer files according to policy.
Process returned and outgoing statements, research address verification, and update patient account and registration databases.
Confirm workers’ compensation claims, prepare disability claims, and maintain referral slips, medical authorizations, and insurance slips.
Participate in educational activities, identify trends and communicate problems to management, and perform other duties as assigned.