Patient Service Representative, FT, Days

4 weeks ago


Greenville, 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. 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. 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. 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. 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. 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. 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 Other Required Skills and Experience Associate's Degree 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 Patewood Outpt Ctr/Med Offices Facility 2116 Plastics Surgery - Patewood Department 21161000 Plastics Surgery - Patewood-Practice Operations Share your talent with us Our vision is simple: to transform healthcare for the benefits of the communities we serve. #J-18808-Ljbffr



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