- Responsible for complete and accurate patient registration, pre-certification, charge capture and accurately coding diagnoses given by physicians. Responsible for posting all payments and balancing with the computer reports at day end. Requires a high level of public contact and excellent interpersonal skills. 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. - 20%
- 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. Obtains signatures on all forms and documents as required. 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. Screens visitors and responds to routine requests for information. Responsible for gathering, accurately coding and posting outpatient charges. Processes vouchers and private payments, to include updating registration screens based on information on checks. Researches address verification as needed. Helps to process mail return statements and outgoing statements. Acquires billing information for all doctors for all patients seen in practice. Performs cashiering functions including monitoring and balancing cash drawer daily. Prepares daily cash deposits. Receives payments from patients and issues receipts. Codes and posts payments and maintains required records, reports and files. Works with patients in securing prepayment sources or financial agreements prior to providing service. Participates with other staff to achieve account resolution. Assists with outpatient coding and error resolution. Processes edits and Customer Service and Collection Request for resolution within specified time frames. Identify trends and communicates problems to management. Updates patient account database. Maintains and updates current information on physician's schedules. Schedules surgeries, ancillary services and follow-up outpatient appointments and admissions as requested. Answers questions regarding patient appointments and testing. Assembles patients' charts for next day visit. Updates profiles on all patients, ensuring completeness and accuracy. Oversees waiting area, coordinates patient movement, reports problems or irregularities. - 20%
- Assist patients with questions on insurance claims, obtaining disability insurance benefits, home health care, medical equipment, surgical care, etc.
- Researches 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.
- Collects payments at time of service for daily outpatient visit services. Reviews each account via computer to ensure patient's account(s) are being paid on a timely basis. 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, makes recommendation to Clinical Dept. Practice Manager. Identifies and resolves patient billing complaints. Participates with other staff to follow up on accounts until zero balance, or turned over for collection.
- Associate's Degree in 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
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patient services representative, ft, days - Seneca, SC , USA, United States - Prisma Health
Description
Inspire health. Serve with compassion. Be the difference.Job Summary
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 as detailed in the next section.
Accountabilities
Enters all charge and same day payment information for patient visits and hospital patients, verifying accuracy of coding, charging and patient insurance status.
Prints daily reports, verifying charge entry balancing at day end. Backs up and closes computer files on a daily basis, logging as appropriate (i.e. closing all batches in accordance to policy). Registers new patients after verifying patient status on computer inquiry. Updates financial information as indicated. Maintains strictest confidentiality. Participates in educational activities. Performs related work as required.As representative of GHS Clinical Department, is expected to maintain neat and professional appearance, demonstrate commitment to serve at all times and uphold guidelines set forth in office manual.
- 20%Supervisory/Management Responsibility
This is a non-management job that will report to a supervisor, manager, director, or executive.
Minimum Requirements
High School diploma or equivalent OR Post-high school diploma
No previous experience required
Required Certifications/Registrations/Licenses
N/A
In Lieu Of The Above Minimum Requirements
N/A
Other Required Skills and Experience
Day (United States of America)
Location
Seneca Medical Associates
Facility
1080 Seneca Medical Associates
Department
Rural Health
Share your talent with us Our vision is simple: to transform healthcare for the benefits of the communities we serve.
