Patient Services Representative, Cardiology- Hartsville, FT, Day

Davita Inc.; Hartsville (SC); On-site; USD 35,000 - 45,000; Full time

Job summary

A leading healthcare organization is seeking a team member for Physician Practice office management. This role includes patient registration, billing processes, and communication with medical support staff to ensure efficient patient care. Ideal candidates will demonstrate compassion and a commitment to service excellence.

Qualifications

• Education requirement: High School diploma or equivalent, preferably with an Associate degree.
• Basic understanding of ICD-9 and CPT coding preferred.
• No previous experience required; multi-specialty experience preferred.

Responsibilities

• Responsible for patient registration, charge capture, and coding diagnoses.
• Interact with insurance companies and assist patients with billing inquiries.
• Perform cashiering functions and maintain patient accounts.

Skills

Interpersonal Skills

Knowledge of ICD-9 and CPT coding

Education

High School diploma or equivalent

Associate degree in a technical specialty

Job 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.

Essential Functions

• All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference.

• 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.

• 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. Screens visitors and responds to routine requests for information. Responsible for gathering, accurately coding and posting outpatient charges. Processes vouchers and private payments, including updating registration screens based on check information. Researches address verification as needed. Helps 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 to secure prepayment sources or financial agreements prior to service. Participates with staff to achieve account resolution. Assists with outpatient coding and error resolution. Processes edits and customer service and collection requests within specified time frames. Identifies trends and communicates problems to management. Updates patient account database. Maintains and updates current information on physician schedules. Schedules surgeries, ancillary services, follow-up outpatient appointments, and admissions as requested. Answers questions regarding patient appointments and testing. Assembles patients' charts for next day visits. Updates profiles on all patients, ensuring completeness and accuracy. Oversees waiting area, coordinates patient movement, reports problems or irregularities.

• Assists 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 to ensure coverage is approved. Posts all actions and maintains permanent record of patient accounts. Answers patient questions and inquiries regarding their accounts. Confirms workers' compensation claims with employees. Prepares disability claims in a timely manner. Follows up with insurance companies to ensure claims are paid as directed. Maintains files with referral slips, medical authorizations, and insurance slips.

• 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. Enters charge information into online programs. Processes and distributes copies of billings according to clinic policies. Assists with outpatient coding and error resolution. Pulls charts for scheduled appointments in advance. Delivers, transports, sorts, and files returned charts. Picks up lab reports, dictations, X-rays, and correspondence. Checks for misfiled charts and refiles according to filing system. Maintains orderly files. Files all medical reports. Purges obsolete records and files in storage. Destroys outdated records following established procedures. Makes up new patient charts. Repairs damaged charts. Assists in locating and filing records. Works with staff to route patient charts to proper locations. Follows medical records policies and procedures.

• Collects payments at time of service for outpatient visits. Reviews accounts via computer to ensure timely payments. Performs collection actions including contacting patients by telephone and resubmitting claims. Evaluates patient financial status and establishes payment plans. Reviews accounts for possible assignment to collection agencies. Resolves patient billing complaints. Follows up on accounts until zero balance or turned over for collection. Participates in educational activities. Gathers and verifies superbills daily. Enters charge and payment information for patient visits, verifying accuracy. Prints daily reports, verifies charge entry balancing at day end. Backs up and closes files daily, logging as appropriate. Registers new patients after verifying status. Updates financial information. Maintains confidentiality. Participates in educational activities. Performs related work as required. Maintains neat and professional appearance, demonstrates commitment to service, and upholds office guidelines.

• Performs other duties as assigned.

Supervisory/Management Responsibility

• This is a non-management job that reports to a supervisor, manager, director, or executive.

Minimum Requirements

• Education - High School diploma or equivalent OR post-high school diploma. Associate degree in a technical specialty of at least 18 months preferred.

• Experience - No previous experience required. Multi-specialty group practice setting experience preferred.

In Lieu Of

• NA

Required Certifications, Registrations, Licenses

• NA

Knowledge, Skills and Abilities

• Basic understanding of ICD-9 and CPT coding - Preferred

Work Shift

Day (United States of America)

Location

701 Medical Park Dr Hartsville

Facility

3182 Cardiology 701 Med Park 301

Department

31821000 Cardiology 701 Med Park 301-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.