Prisma Health ยท 2 months ago
Patient Services Representative - Ambulatory Internal Resource Pool, FT, Days
Greenville, SC
Full-time
Onsite
New Grad, Entry Level
0+ years expPrisma Health is dedicated to transforming healthcare for the benefit of the communities they serve. They are seeking a Patient Services Representative responsible for various front office management tasks, including patient registration, billing, and customer service. This role involves working across different physician practice sites, providing staffing support and ensuring efficient patient flow.
Health CareHospitalMedical
Responsibilities
Responsible for complete and accurate patient registration, precertification, charge capture and accurately coding diagnoses given by physicians
Responsible for posting all payments and balancing with the computer reports at dayend
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
Serves as a 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 (online registration)
Obtains signatures on all forms and documents
Assists patients with ambulatory difficulties
Maintains appointment book and follows office scheduling policies
Provides front office phone support as needed and outlined through cross training program
Responsible for gathering, accurately coding and posting outpatient charges to superbills
Processes vouchers and private payments, to include updating registration screens based on information on checks
Helps to process mail return statements and outgoing statements
Performs cashiering functions including monitoring and balancing cash drawer daily
Prepares daily cash payments
Receives payments from patients and issues receipts
Codes and posts payments and maintains required records, reports and files
Processes edits and Customer Service and Collection Request for resolution within specified time frames
Maintains and updates current information on physician's schedules
Schedules surgeries, ancillary services and follow-up outpatient appointments and admissions
Oversees waiting area, coordinates patient movement, reports problems or irregularities
Research 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
Delivers, transports, sorts and files returned charts
Picks up lab reports, dictations, X-rays, and correspondence
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
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
Maintains files with referral slips, medical authorizations, and insurance slips
Collects payments at time of service for daily outpatient visit services
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 and makes recommendations
Participates with other staff to follow up on accounts until zero balance or turned over for collection
Enters all charge and same day payment information for patient visits and hospital patients, verifying accuracy of coding, charging and patient insurance status
Backs up and closes computer files on a daily basis, logging as appropriate (i.e. closing all batches in accordance with policy)
Registers new patients after verifying patient status on computer inquiry
Updates financial information as indicated
Maintains strictest confidentiality
Participates in educational activities
Performs other duties as assigned
Qualification
Required
High School diploma or equivalent OR Post-high school diploma
Interpersonal skills
Communication skills
Basic understanding of ICD-9 and CPT coding
Preferred
Associate degree in technical specialty program of 18 months minimum in length
Multi-specialty group practice setting experience
Company
Prisma Health
Prisma Health is the largest not-for-profit health organization in South Carolina, serving more than 1.2 million patients annually.
10001+ employees
H1B Sponsorship
Prisma Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2024 (1)
2022 (1)
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
CDA Foundation
2024-07-30Grant
Leadership Team
Mark O'Halla
President & CEO
B
Barrett Ludley
Facility Chief Financial Officer
Recent News
Precedence Research
2025-09-09
UPSTATE BUSINESS JOURNAL
2025-09-03
Company data provided by crunchbase