Patient Service Representative

6 days ago

Lexington, United States Prisma Health Full time

Inspire health. Serve with compassion. Be the difference.

Job Summary

Incumbents are responsible for aspects of Physician Practice front office management and operation as assigned. May be responsible for some or all front office functions as detailed in the next section.

Accountabilities

  • Responsible for complete and accurate patient registration, pre-certification, charge capture and accurately coding diagnoses given by physicians. Responsible for posting all payments and balancing with the computer reports at day end. Requires a high level of public contact and excellent interpersonal skills. Arranges for patient pre-payments and enforces financial agreements prior to providing service. Gathers charge information, codes, enters into database, completes billing process, distributes billing information. Files insurance claims and assists patients in completing insurance forms. Processes unpaid accounts by contacting patients and third party payers. - 20%

  • Liaison between patient and medical support staff.Greets patients and visitors in a prompt, courteous, and helpful manner.Checks in patients, verifies and updates necessary insurance information in the patient accounting system.Obtains signatures on all forms and documents as required.Assists patients with ambulatory difficulties.Maintains appointment book and follows office scheduling policies.Provides front office phone support as needed and outlined throughcross trainingprogram.Screens visitors and responds to routine requests for information.Responsible for gathering, accurately coding and posting outpatient charges.Processes vouchers and private payments, to include updating registration screens based on information on checks.Researches address verification as needed.Helps to process mail return statements and outgoing statements.Acquires billing information for all doctors for all patients seen in practice.Performs cashiering functions including monitoring and balancing cash drawer daily. Prepares daily cash deposits.Receives payments from patients and issues receipts. Codes and posts payments and maintains required records, reports and files.Works with patients in securing prepayment sources or financial agreements prior to providing service.Participates with other staff to achieve account resolution. Assists with outpatient coding and error resolution. Processes edits and Customer Service and Collection Request for resolution within specified time frames.Identify trends and communicates problems to management.Updates patient account database.Maintains and updates current information on physician‘s schedules.Schedules surgeries, ancillary services and follow-up outpatient appointments and admissions as requested.Answers questions regarding patient appointments and testing.Assembles patients‘ charts for next day visit.Updates profiles on all patients, ensuring completeness and accuracy.Oversees waiting area, coordinates patient movement, reports problems or irregularities.- 20%

  • Assist patients with questions on insurance claims, obtaining disability insurance benefits, home health care, medical equipment, surgical care, etc.Processes benefit correspondence, signature, and insurance forms to expedite payment of outstanding claims.Assists patients in completing all necessary forms to obtain hospitalization or Surgical pre-certification from insurance companies.Follows-up with insurance companies ensuring that coverage is approved.Posts all actions and maintains permanent record of patient accounts.Answers patient questions and inquiries regarding their accounts.Confirms all workers‘ compensation claims with employees.Prepares disability claims in a timely manner.Follows-up with insurance companies ensuring that claims are paid as directed.Maintains files with referral slips, medical authorizations, and insurance slips. - 20%

  • Researches all information needed to complete outpatient billing process including getting charge information from physicians.Codes information about procedures performed and diagnosis on charge.Keys charge information into on-line entry program.Processes and distributes copies of billings according to clinic policies.Assists with outpatient coding and error resolution.Pulls charts for scheduled appointments in advance.Delivers, transports, sorts and files returned charts.Picks up lab reports, dictations, X-rays, and correspondence.Continually checks for misfiled charts and refiles according to filing system. Maintains orderly files.Files all medical reports. Purges obsolete records and files in storage.Destroys outdated records following established procedures for retention and destruction.Makes up new patient charts. Repairs damaged charts. Assists in locating and filing records.Works with medical assistants and other staff to route patient charts to proper location.Follows medical records policies and procedures. - 20%

  • Collects payments at time of service for daily outpatient visit services.Reviews each account via computer to ensure patient‘s account(s) are being paid on a timely basis.Performs collection actions including contacting patients by telephone and resubmitting claims to third party reimburses.Evaluates patient financial status and establishes budget payment plans.Reviews accounts for possible assignment to collection agency, makes recommendation to Clinical Dept. Practice Manager.Identifies and resolves patient billing complaints.Participates with other staff to follow up on accounts until zero balance, or turned over for collection.Participates in educational activities.Gathers and verifies superbills for specified practice on a daily basis.Enters all charge and same day payment information for patient visits and hospital patients, verifying accuracy of coding, charging and patient insurance status.Prints daily reports, verifying charge entry balancing at day end.Backs up and closes computer files on a daily basis, logging as appropriate (i.e. closing all batches in accordance to policy).Registers new patients after verifying patient status on computer inquiry. Updates financial information as indicated. Maintains strictest confidentiality.Participates in educational activities.Performs related work as required.As representative of GHS Clinical Department, is expected to maintain neat and professional appearance, demonstrate commitment to serve at all times and uphold guidelines set forth in office manual. - 20%

Supervisory/Management Responsibility

This is a non-management job that will report to a supervisor, manager, director, or executive.

Minimum Requirements

High School diploma or equivalent OR Post-high school diploma

No previous experience required

Required Certifications/Registrations/Licenses

N/A

In Lieu Of The Above Minimum Requirements

N/A

Other Required Skills and Experience

  • Associate‘sDegree in technical specialty program of 18 months minimum in length- Preferred
  • Multi-specialty group practice setting experience - Preferred
  • Basic understanding of ICD-9 and CPT coding- Preferred

Work Shift

Day (United States of America)

Location

5336 Sunset Blvd Lexington

Facility

3161 Internal Medicine 5336 Sunset Boulevard Suite F5

Department

31611000 Multispecialty 5336 Sunset Blvd - Practice Operations

Share your talent with us Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

  • Patient Services Representative

    6 days ago

    Lexington, United States Prisma Health Full time

    Inspire health. Serve with compassion. Be the difference.Job SummaryIncumbents are responsible for aspects of Physician Practice front office management and operation as assigned. May be responsible for some or all front office functions as detailed in the next section.AccountabilitiesResponsible for complete and accurate patient registration,...

  • Customer Service Representative

    3 weeks ago

    Lexington, South Carolina, United States Service Experts Full time

    About the RoleWe are seeking a skilled Customer Service Representative to join our team as a Service Delivery Specialist. This is a full-time position that requires excellent communication and problem-solving skills.Key Responsibilities:Answer incoming phone calls from customers and provide assistance or route calls to the appropriate personMaintain good...

  • Patient Service Representative

    3 months ago

    Lexington, United States Dental Care Alliance Full time

    Overview: Dental Health Associates is looking for a full-time Dental Receptionist for our office located in Lexington, VA 24450. Would prefer the Team member we hire to have some hands on dental experience with the knowledge of filing claims and insurance but willing to hire the right candidate with no experience who has a strong desire to join the dental...

  • Patient Access Representative

    1 month ago

    Lexington, Kentucky, United States Ensemble Health Partners Full time

    Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. As a Patient Access Representative at Ensemble Health Partners, you will be responsible for performing admitting duties for all patients admitted for services at the hospital. This...

  • USPS Rural Carriage Service Representative

    2 days ago

    Lexington, Nebraska, United States US Postal Service Full time

    **Job Title:** USPS Rural Carriage Service Representative**Estimated Salary:** $58,000 - $76,000 per yearWe are seeking a highly skilled rural carrier associate to join our team at the US Postal Service. As a rural carrier associate, you will be responsible for delivering mail and packages along a designated rural route. Your duties will include delivering...

  • Patient Service Representative-Orthopedics-Upper Extremity

    4 months ago

    Lexington, United States Prisma Health Full time

    Inspire health. Serve with compassion. Be the difference. Job Summary Incumbents are responsible for aspects of Physician Practice front office management and operation as assigned. May be responsible for some or all front office functions as detailed in the next section. Accountabilities Responsible for complete and accurate patient registration,...

  • Healthcare Customer Service Representative

    5 months ago

    Lexington, United States Credit Solutions LLC Full time

    Credit Solutions of Lexington, KY is seeking to hire a full-time Customer Service Representative to assist patients in resolving their medical balances so they can focus on the healing process. If you have experience in healthcare billing and finance and want a career where you can actually make a difference, apply today! Customer Service Representatives...

  • STEPS Patient Relations Representative

    2 weeks ago

    Lexington, United States InsideHigherEd Full time

    Job Title:STEPS Patient Relations RepresentativeRequisition Number:TE08621Department Name:3J532:STEPS Temporary EmploymentWork Location:Lexington, KYSalary Range:$16.20Type of Position:TemporaryPosition Time Status :Full-TimeRequired Education:High School DiplomaRequired Related Experience:Customer service, data entryPhysical Requirements:The physical...

  • Patient Services Rep

    1 month ago

    Lexington, United States Chi Full time

    Overview CHI Saint Joseph Medical Group now part of CommonSpirit Health formed between Catholic Health Initiatives (CHI) and Dignity Health includes 275 providers delivering quality care to patients across 88 locations in central and eastern Kentucky. Our full service network delivers a variety of Primary Care Services including Family Internal Geriatric and...

  • Patient Services Rep

    4 months ago

    Lexington, United States Chi Full time

    Overview CHI Saint Joseph Medical Group now part of CommonSpirit Health formed between Catholic Health Initiatives (CHI) and Dignity Health includes 275 providers delivering quality care to patients across 88 locations in central and eastern Kentucky. Our full service network delivers a variety of Primary Care Services including Family Internal Geriatric and...

  • Patient Services Rep

    5 months ago

    Lexington, United States CommonSpirit Health at Home Full time

    **Overview**CHI Saint Joseph Medical Group now part of CommonSpirit Health formed between Catholic Health Initiatives (CHI) and Dignity Health includes 275 providers delivering quality care to patients across 88 locations in central and eastern Kentucky. Our full service network delivers a variety of Primary Care Services including Family Internal Geriatric...

  • Patient Services Rep

    5 months ago

    Lexington, United States CommonSpirit Health at Home Full time

    Overview CHI Saint Joseph Medical Group now part of CommonSpirit Health formed between Catholic Health Initiatives (CHI) and Dignity Health includes 275 providers delivering quality care to patients across 88 locations in central and eastern Kentucky. Our full service network delivers a variety of Primary Care Services including Family Internal Geriatric...

  • Patient Services Rep

    5 months ago

    Lexington, United States CommonSpirit Health at Home Full time

    **Overview** CHI Saint Joseph Medical Group now part of CommonSpirit Health formed between Catholic Health Initiatives (CHI) and Dignity Health includes 275 providers delivering quality care to patients across 88 locations in central and eastern Kentucky. Our full service network delivers a variety of Primary Care Services including Family Internal Geriatric...

  • Customer Service Representative

    1 week ago

    Lexington, United States Mr. Appliance Full time

    Do you get excited when helping customers find solutions? Do you have a cheerful disposition and excellent telephone skills? Would you like to have a part in improving the home life of families in your community?If so, we are looking for you! Mr. Appliance is a World Class customer service company who happens to excel at repairing appliances. We are looking...

  • Customer Service Representative

    5 days ago

    Lexington, United States Mr. Appliance Full time

    Do you get excited when helping customers find solutions? Do you have a cheerful disposition and excellent telephone skills? Would you like to have a part in improving the home life of families in your community?If so, we are looking for you! Mr. Appliance is a World Class customer service company who happens to excel at repairing appliances. We are looking...

  • Bilingual Healthcare Customer Service Representative

    7 months ago

    Lexington, United States Credit Solutions LLC Full time

    Credit Solutions of Lexington, KY is seeking to hire a full-time Bilingual/Spanish speaking Customer Service Representative to assist patients in resolving their medical balances so they can focus on the healing process. If you have experience in healthcare billing and finance and want a career where you can actually make a difference, apply today! Customer...

  • Customer Service Representative

    2 weeks ago

    Lexington, Kentucky, United States The University of Kentucky Full time

    We are seeking a motivated Student to join our team as a Customer Service Representative. This is a great opportunity for students to gain retail experience and develop their customer service skills.As a Customer Service Representative, you will be responsible for:Providing excellent customer service to customersProcessing transactions at the cash...

  • Customer Service Representative

    2 weeks ago

    Lexington, Kentucky, United States Bass Pro Shops Full time

    Bass Pro Shops is seeking a Customer Service Representative to join our team. As a key member of our retail sales floor, you will be responsible for providing exceptional customer service and ensuring a positive shopping experience for all guests.Some key responsibilities include:Securing all firearms brought into the store with trigger locksChecking in...

  • Customer Service Representative

    2 days ago

    Lexington, South Carolina, United States Massage Envy Full time

    We are seeking a motivated individual to join our team as a Customer Service Representative at Massage Envy Lexington. In this role, you will be responsible for providing exceptional customer service, promoting the value of Total Body Care, and supporting clinic flow.Key Responsibilities:Provide outstanding customer service and help everyone feel valued and...

  • Client Services Representative

    3 months ago

    Lexington, United States Cetera Financial Group Full time

    Job DescriptionThis person supports Financial Advisors (Registered Representatives) with running their day-to-day Investment practice while enhancing the customer service level and experience. This person works directly with the Registered Representative(s) to prepare and process client paperwork, perform client financial transactions, maintain client...