Healthcare Services Representative

6 days ago


West Columbia, South Carolina, United States Prisma Health Full time

At Prisma Health, we strive to deliver exceptional patient care and services. As a Healthcare Services Representative, you will play a vital role in our revenue cycle team.

About the Role

The Customer Service Specialist works under the supervision of supervisors/managers in Patient Financial Services (PFS) performing tasks of moderate to difficult complexity relating to both hospital and physician accounts. This role involves handling a large volume of inbound calls, making outbound calls for self-pay follow-up on accounts, and assisting patients with requests for information, complaints, and resolving issues.

  • This position requires data analysis and interpretation throughout all functions of revenue cycle, to determine reasons for denials, non-payment, and overpayment. You will be responsible for posting/balancing/correcting electronic remittances, billing, and follow-up of government payers and specialized accounts. Moderate to difficult levels of evaluation, analysis, decision-making are required in these roles.
  • As a key member of our team, you will resolve billing concerns, address inquiries related to insurance matters, assist patients with MyChart while establishing a rapport with our diverse patient population. Reviews accounts to determine insurance coverage, obtains and corrects any missing or inaccurate information, and discusses patient responsibility, including educating patients on claim processing, deductible, coinsurance, and co-pays.

We estimate that this role comes with a salary range of $45,000 - $60,000 per year, depending on qualifications and experience. Located in Columbia, SC, this is an excellent opportunity to join our team at Prisma Health.



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