Healthcare Customer Service Specialist

3 weeks ago

Easley, South Carolina, United States Prisma Health Full time

Empower health. Serve with empathy. Make a difference.

Position Overview

The Patient Service Representative is integral to the management and operation of the front office within a medical practice. This role encompasses various front office responsibilities, ensuring smooth patient interactions and administrative efficiency.

Key Responsibilities

  • Ensure thorough and precise patient registration, pre-authorization, charge documentation, and accurate coding of diagnoses as provided by healthcare professionals. Responsible for processing payments and reconciling daily financial reports. This role demands exceptional public interaction and interpersonal abilities. Facilitate patient pre-payments and uphold financial agreements prior to service delivery. Collect and input charge data, complete billing procedures, and disseminate billing information. Submit insurance claims and assist patients in filling out insurance documentation. Manage outstanding accounts by liaising with patients and third-party payers. - 20%
  • Act as a liaison between patients and healthcare support staff. Welcome patients and visitors in a timely, courteous, and supportive manner. Check in patients, confirm and update necessary insurance details in the patient accounting system. Obtain required signatures on forms and documents. Assist patients with mobility challenges. Maintain the appointment schedule and adhere to office scheduling protocols. Provide front office telephone support as needed. Screen visitors and address routine inquiries. Gather, accurately code, and post outpatient charges. Process vouchers and private payments, updating registration screens based on check information. Conduct address verification as necessary. Manage mail return statements and outgoing correspondence. Collect billing information for all physicians for patients seen in practice. Perform cashiering duties, including monitoring and balancing the cash drawer daily, and preparing daily cash deposits. Accept payments from patients and issue receipts. Code and post payments while maintaining necessary records, reports, and files. Collaborate with patients to secure prepayment sources or financial agreements prior to service. Work with other staff to achieve account resolution. Assist with outpatient coding and resolve errors. Process edits and customer service requests for resolution within specified timeframes. Identify trends and communicate issues to management. Update the patient account database. Maintain current information on physician schedules. Schedule surgeries, ancillary services, and follow-up outpatient appointments as requested. Address inquiries regarding patient appointments and testing. Prepare patient charts for the next day’s visits. Update profiles for all patients, ensuring completeness and accuracy. Oversee the waiting area, coordinate patient flow, and report any issues or irregularities. - 20%
  • Assist patients with inquiries related to insurance claims, disability benefits, home healthcare, medical equipment, and surgical care. Process benefit correspondence, signatures, and insurance forms to expedite the payment of outstanding claims. Aid patients in completing necessary forms for hospitalization or surgical pre-authorization from insurance providers. Follow up with insurance companies to ensure coverage approval. Document all actions and maintain permanent records of patient accounts. Address patient questions and concerns regarding their accounts. Confirm all workers' compensation claims with employees. Prepare disability claims promptly. Follow up with insurance companies to ensure claims are paid as directed. Maintain files containing referral slips, medical authorizations, and insurance documentation. - 20%
  • Research all necessary information to complete the outpatient billing process, including obtaining charge details from physicians. Code information regarding procedures performed and diagnoses. Enter charge information into the online entry system. Process and distribute billing copies according to clinic policies. Assist with outpatient coding and error resolution. Retrieve charts for scheduled appointments in advance. Deliver, transport, sort, and file returned charts. Regularly check for misfiled charts and refile according to the established system. Maintain organized files and manage medical reports. Purge obsolete records and files stored. Destroy outdated records following established retention and destruction procedures. Create new patient charts and repair damaged ones. Collaborate with medical assistants and other staff to route patient charts appropriately. Adhere to medical records policies and procedures. - 20%
  • Collect payments at the time of service for outpatient visits. Review each account via the computer system to ensure timely payment. Conduct collection actions, including contacting patients by phone and resubmitting claims to third-party payers. Assess patient financial status and establish budget payment plans. Review accounts for potential assignment to collection agencies and make recommendations to the Clinical Department Practice Manager. Identify and resolve patient billing complaints. Collaborate with other staff to follow up on accounts until they reach a zero balance or are referred for collection. Participate in educational activities. Gather and verify superbills for specified practices daily. Enter all charge and same-day payment information for patient visits and hospital patients, ensuring accuracy in coding, charging, and patient insurance status. Print daily reports to verify charge entry balancing at day’s end. Back up and close computer files daily, logging as necessary. Register new patients after verifying their status in the computer system. Update financial information as required. Maintain strict confidentiality. Engage in educational activities. Perform related duties as necessary. As a representative of Prisma Health Clinical Department, maintain a professional appearance, demonstrate a commitment to service, and uphold the guidelines outlined in the office manual. - 20%

Supervisory/Management Responsibility

  • This position does not involve management responsibilities and will report to a supervisor, manager, director, or executive.

Minimum Qualifications

  • High School diploma or equivalent OR a post-high school diploma. An associate degree in a technical specialty program of at least 18 months in length is preferred.
  • No prior experience is required. Experience in a multi-specialty group practice setting is preferred.

In Lieu Of

  • N/A

Required Certifications, Registrations, Licenses

  • N/A

Knowledge, Skills, and Abilities

  • Basic understanding of ICD-9 and CPT coding is preferred.

Work Shift

Day (United States of America)

Facility

2404 BE Ortho-MCP

Department

BE Ortho-MCP-Practice Operations

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

  • Customer Service Specialist

    2 weeks ago

    Easley, South Carolina, United States Pro Cut Metal Roofing Full time

    Job OverviewPro Cut Metal Roofing is seeking a highly skilled Sales Representative to join our team. As an Inside Sales Specialist, you will play a crucial role in driving sales growth and providing exceptional customer service.Key ResponsibilitiesCustomer Interaction: Interact with customers and contractors in a professional manner, guiding them through...

  • Healthcare Customer Service Specialist

    1 week ago

    Easley, South Carolina, United States Prisma Health Full time

    Empower health. Serve with empathy. Make a difference.Position OverviewThe Patient Service Representative is integral to the management and operations of the front office within a physician practice. This role encompasses various front office responsibilities as outlined below.Key Responsibilities Ensure thorough and precise patient registration,...

  • Automotive Service Specialist

    3 weeks ago

    Easley, South Carolina, United States Christian Brothers Automotive Full time

    Position Title: Automotive Service SpecialistOverview:We are seeking skilled automotive service specialists who are enthusiastic, positive, and dedicated to delivering exceptional customer service. The ideal candidates will possess a strong desire to find solutions to complex automotive issues while maintaining a commitment to integrity and quality.Key...

  • Healthcare Specialist

    2 weeks ago

    Easley, South Carolina, United States TravelNurseSource Full time

    About the PositionWe are seeking a qualified Med/Surg RN to join our team at TravelNurseSource. This is a fantastic opportunity to work with a reputable healthcare organization and gain valuable experience in a dynamic environment.Key ResponsibilitiesProvide high-quality patient care in a Med/Surg settingCollaborate with healthcare professionals to ensure...

  • Automotive Service Specialist

    3 weeks ago

    Easley, South Carolina, United States Christian Brothers Automotive Full time

    Position Title: Automotive Service SpecialistLocation: Not specifiedOverview:We are seeking dedicated automotive service specialists who possess a vibrant personality and a proactive approach to their work. The ideal candidates will demonstrate a commitment to resolving complex automotive issues while prioritizing customer satisfaction.Key...

  • Healthcare Administrative Support Specialist

    3 weeks ago

    Easley, South Carolina, United States Patriot Hospice Full time

    Role Overview: Administrative Support SpecialistCompany Overview: At Patriot Hospice, we are dedicated to providing exceptional care and support to our patients and their families. We are currently seeking a skilled individual to assist our Referral Coordinator and Medical Records Nurse with a variety of administrative responsibilities.Position...

  • Customer Service Representative

    1 week ago

    Easley, South Carolina, United States Allstate - Chad Kish Agency Full time

    Job DescriptionAt Allstate - Chad Kish Agency, we are seeking a highly skilled and motivated Customer Service Representative to join our team. As a key member of our customer service team, you will be responsible for providing exceptional service to our clients, processing policy change requests, and maintaining knowledge of our products.We are looking for a...

  • Customer Service Representative

    1 week ago

    Easley, South Carolina, United States Jax, LLC dba Golden Corral Full time

    Job SummaryWe are seeking a highly motivated and friendly Customer Service Representative to join our team at Jax, LLC dba Golden Corral. As a Customer Service Representative, you will be responsible for providing exceptional guest service, ensuring a positive dining experience, and maintaining a clean and organized environment.Key ResponsibilitiesGuest...

  • Traveling Healthcare Professional

    2 weeks ago

    Easley, South Carolina, United States Nationwide Therapy Group Full time

    Job Title: Traveling Healthcare ProfessionalJob Type: Travel NursingLocation: NationwideJob Description:Nationwide Therapy Group is seeking a skilled Emergency Department Nurse Specialist to join our team of healthcare professionals.Job Requirements:Specialty: Emergency DepartmentDiscipline: Registered Nurse (RN)Shift: 12 hours, nightsHours per week:...

  • Customer Service Sales Representative

    3 weeks ago

    Easley, South Carolina, United States Batteries Plus Full time

    Join Our TeamBatteries Plus, the premier franchise for batteries and light bulbs across the country, is on the lookout for enthusiastic, full-time individuals with a passion for customer service to become part of our team. As a Customer Service Sales Representative at Batteries Plus, you will be instrumental in delivering outstanding customer experiences and...

  • Mobile MRI Imaging Specialist

    3 weeks ago

    Easley, South Carolina, United States Talent4Health Full time

    Join Talent4Health as a Mobile MRI Imaging Specialist!Position OverviewTalent4Health is actively seeking a dedicated Mobile MRI Imaging Specialist for an exciting travel opportunity. This role involves providing exceptional imaging services while traveling to various locations.Key ResponsibilitiesSpecialty: MRI ImagingDiscipline: Allied Health...

  • Healthcare Support Specialist

    2 hours ago

    Easley, South Carolina, United States Prisma Health Full time

    Job SummaryAs a Nursing Assistant at Prisma Health, you will play a vital role in delivering exceptional patient care. Under the guidance of a Registered Nurse, you will be responsible for collecting patient data, performing basic nursing procedures, and assisting with treatments and procedures.Key ResponsibilitiesAssist patients with activities of daily...

  • Nurse Care Specialist

    2 days ago

    Easley, South Carolina, United States Interim HealthCare Inc Full time

    Job OpportunityWe are seeking a skilled Nurse Care Specialist to join our team at Interim HealthCare Inc.About the RoleThis is a challenging and rewarding position that requires a high level of expertise in providing home-based care to patients with various medical conditions.Key ResponsibilitiesProvide comprehensive care to patients in their homes,...

  • Radiology Support Specialist

    3 weeks ago

    Easley, South Carolina, United States Prisma Health Full time

    Inspire health. Serve with compassion. Be the difference.Position OverviewAs a vital member of our healthcare team, the Radiology Support Specialist serves as a welcoming presence for patients and their families, ensuring a smooth transition into the care environment. This role is essential in assisting radiologists and medical professionals with patient...

  • Travel MRI Technologist

    2 weeks ago

    Easley, South Carolina, United States IDR Healthcare Full time

    About the JobIDR Healthcare is seeking a skilled MRI Technologist to join our team as a Travel Diagnostic Imaging Specialist.This is a 13-week assignment with a 36-hour workweek, requiring 12-hour shifts.Job ResponsibilitiesOperate MRI equipment to produce high-quality diagnostic imagesPrepare patients for MRI procedures, ensuring their safety and...

  • Healthcare Administrative Support Specialist

    2 weeks ago

    Easley, South Carolina, United States Patriot Hospice Full time

    Overview of the Administrative Support RoleAbout Patriot Hospice: We are dedicated to providing exceptional care and support in the healthcare sector. This position plays a vital role in assisting our Referral Coordinator and Medical Records Nurse with a variety of administrative responsibilities.Position Overview:The primary focus of this position is to...

  • Retail Sales Associate

    5 days ago

    Easley, South Carolina, United States Staples Full time

    About the RoleWe are seeking a highly motivated and customer-focused Sales Associate to join our retail team at Staples. As a Sales Associate, you will play a key role in providing exceptional customer service and helping our customers find the products they need.Key ResponsibilitiesProvide outstanding customer service and respond to customer inquiries in a...

  • Client Relations Specialist

    3 weeks ago

    Easley, South Carolina, United States Banfield Pet Hospital Full time

    Client Services Specialist Job OverviewPOSITION SUMMARYThe Client Services Specialist (CSS) is essential in facilitating the seamless interaction between clients and their pets within the veterinary facility. This role is crucial for enhancing the productivity of the veterinary staff, ensuring effective communication with clients and team members, and...

  • Client Care Specialist

    3 weeks ago

    Easley, South Carolina, United States Banfield Pet Hospital Full time

    Client Service Specialist Job DescriptionPOSITION OVERVIEWThe Client Service Specialist (CSS) is essential in facilitating the seamless interaction between clients and their pets within the veterinary practice. This role is pivotal in enhancing the operational efficiency of the veterinary staff, ensuring effective communication with clients and team members,...

  • Culinary Support Specialist

    3 weeks ago

    Easley, South Carolina, United States Presbyterian Communities of South Carolina Full time

    Culinary Support SpecialistThe Culinary Support Specialist plays a crucial role in establishing a welcoming atmosphere for our Dining Team, ensuring that residents, visitors, and staff experience exceptional service quality.Our ideal candidate will demonstrate the following attributes:A dedication to fostering the professional growth of the dining services...