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Patient Service Representative

2 months ago

Seneca, South Carolina, United States Prisma Health Full time
Job Summary

As a Patient Service Representative at Prisma Health, you will play a vital role in the front office management and operation of our physician practice. Your responsibilities will include patient registration, pre-certification, charge capture, and accurate coding of diagnoses. You will also be responsible for posting payments, balancing computer reports, and maintaining accurate records.

Key Accountabilities
  1. Provide exceptional patient service, ensuring a positive experience for all patients and visitors.
  2. Manage patient registration, pre-certification, and charge capture processes, ensuring accuracy and efficiency.
  3. Process payments, balance computer reports, and maintain accurate records.
  4. Assist patients with insurance claims, disability insurance benefits, home health care, medical equipment, and surgical care.
  5. Process benefit correspondence, signatures, and insurance forms to expedite payment of outstanding claims.
  6. Follow up with insurance companies to ensure coverage is approved and claims are paid as directed.
  7. Maintain accurate and up-to-date patient records, including referral slips, medical authorizations, and insurance slips.
Requirements
  • High School diploma or equivalent.
  • No previous experience required.
  • Associate's degree in a 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 Environment

This is a non-management job that will report to a supervisor, manager, director, or executive. The work environment is a fast-paced, dynamic setting with a focus on providing exceptional patient care.