Patient Services Rep

Inspire health. Serve with compassion. Be the difference.

About the Role

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.

Responsibilities

• Responsible for complete and accurate patient registration, pre-certification, charge capture, and accurately coding diagnoses given by physicians.
• Post all payments and balance with the computer reports at day end.
• Arrange for patient pre-payments and enforce financial agreements prior to providing service.
• Gather charge information, code, enter into database, complete billing process, and distribute billing information.
• File insurance claims and assist patients in completing insurance forms.
• Process unpaid accounts by contacting patients and third-party payers.
• Act as liaison between patient and medical support staff; greet patients and visitors promptly and courteously.
• Check in patients, verify and update necessary insurance information in the patient accounting system.
• Maintain appointment book and follow office scheduling policies.
• Provide front office phone support as needed; screen visitors and respond to routine requests for information.
• Gather, accurately code, and post outpatient charges.
• Process vouchers and private payments, update registration screens based on information on checks.
• Perform cashiering functions including monitoring and balancing cash drawer daily; prepare daily cash deposits.
• Receive payments from patients and issue receipts; code and post payments.
• Work with patients to secure prepayment sources or financial agreements prior to providing service.
• Assist with outpatient coding and error resolution; process edits and customer service/collection requests within specified time frames.
• Update patient account database; maintain and update current information on physician’s schedules.
• Schedule surgeries, ancillary services, follow-up outpatient appointments, and admissions as requested.
• Assemble patients’ charts for next-day visits; update profiles ensuring completeness and accuracy.
• Oversee waiting area, coordinate patient movement, and report problems or irregularities.
• Assist patients with questions on insurance claims, disability insurance benefits, home health care, medical equipment, and surgical care.
• Process benefit correspondence, signatures, and insurance forms to expedite payment of outstanding claims.
• Assist patients in completing forms for hospitalization or surgical pre-certification from insurance companies; follow up to ensure coverage approval.
• Post all actions and maintain permanent records of patient accounts; answer patient questions regarding their accounts.
• Confirm workers’ compensation claims with employees; prepare disability claims in a timely manner.
• Maintain files with referral slips, medical authorizations, and insurance slips.
• Research information needed to complete outpatient billing process, including obtaining charge information from physicians.
• Code information about procedures performed and diagnosis on charges; key charge information into online entry program.
• Process and distribute copies of billings according to clinic policies.
• Pull charts for scheduled appointments in advance; deliver, transport, sort, and file returned charts.
• Pick up lab reports, dictations, X-rays, and correspondence; check for misfiled charts and refile according to the filing system.
• Maintain orderly files; file all medical reports; purge obsolete records following established procedures.
• Make up new patient charts; repair damaged charts; assist in locating and filing records.
• Collect payments at time of service for daily outpatient visit services; review accounts to ensure timely payment.
• Perform collection actions including contacting patients by telephone and resubmitting claims to third-party reimburses.
• Evaluate patient financial status and establish budget payment plans.
• Review accounts for possible assignment to collection agency; identify and resolve patient billing complaints.
• Gather and verify superbills for specified practice on a daily basis; enter charge and same-day payment information for patient visits and hospital patients.
• Print daily reports, verifying charge entry balancing at day end; back up and close computer files daily.
• Register new patients after verifying patient status on computer inquiry; update financial information as indicated.
• Maintain strictest confidentiality; participate in educational activities.
• Perform related work as required; uphold guidelines set forth in office manual.

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).

Schedule

Day (United States of America)

Location

103 Saluda Ridge Ct W Columbia, Internal Medicine 103 Saluda Ridge-Practice Operations.