Patient Services Representative

Job Summary

Responsible for aspects of front office management and operation as assigned.

• Support the front office by maintaining patient registration, pre‑certification, charge capture, coding and billing processes.
• Ensure accurate posting of payments, balancing accounts at day end and maintaining the computer reports.
• Activate public contact skills to greet patients and visitors, verify insurance information in the patient accounting system and obtain required signatures.
• Assist patients with ambulatory difficulties, maintain the appointment book, schedule surgeries, ancillary services and follow‑up outpatient appointments.
• Perform cashiering functions including daily cash drawer monitoring, daily cash deposits and receipt issuance.
• Manage insurance claims, referral slips, medical authorizations, and follow‑up with third‑party payers to resolve billing issues and achieve account resolution.
• Coordinate patient movement through the waiting area, oversee chart assembly for the next day visit and maintain orderly filing of all medical reports.
• Report trends, communicate problems to management, and contribute to educational activities for continuous improvement.
• Perform other duties as assigned.

This is a non‑management job that will report to a supervisor, manager, director, or executive.

• High school diploma or equivalent, or post‑high school diploma. Associate degree in a technical specialty program of 18 months preferred.
• No previous experience required. Experience in a multi‑specialty group practice setting preferred.

NA

NA

Basic understanding of ICD‑9 and CPT coding preferred.

Day (United States of America)

Hillcrest/Simpsonville Medical Campus

2164 Ortho - Hillcrest

Ortho - Hillcrest-Practice Operations

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