Top 410 Member services representative Jobs in Sunset, Sc

Patient Services Representative, FT, Days
Prisma Health —Greenville, SC
- Full-time
- No experience needed
- High school diploma or GED
- Clinic
Health Plan Provider Relations Representative
Molina Healthcare —Greenville, SC
- $18.85 - $38.69 an hour
- Full-time
- Medical office experience
- Mid-level
- Training & development
- Health insurance
12d
Patient Services Representative F/T Day
Prisma Health —Seneca, SC
- Full-time
- No experience needed
- High school diploma or GED
- Computer skills
Patient Services Representative-Blue Ridge Women's Center, FT, Days
Prisma Health —Seneca, SC
- Full-time
- No experience needed
- High school diploma or GED
- Clinic
Patient Services Representative, P/T Day
Prisma Health —Seneca, SC
- Part-time
- No experience needed
- High school diploma or GED
- Clinic
5d
Patient Services Representative (Clemson)
Prisma Health Urgent Care by Wellstreet —Clemson, SC
- 12 hour shift
- Urgent Care
- HIPAA
- High school diploma or GED
- Paid holidays
- Health insurance
Quick Apply
3d
Part Time Guest Services Representative
HAMPTON INN - COLUMBIA HISTORIC DISTRICT —Greenville, SC
- Part-time
- Hotel
- Ability to lift 50 pounds
- Cleaning
- Health insurance
- Dental insurance
Quick Apply
3d
Patient Access Representative
Blue Ridge Health —Brevard, NC
- Full-time
- High school diploma or GED
- Clinic
- Communication skills
- 403(b) matching
- Paid holidays
Quick Apply
Customer Relations Representative - State Farm Agent Team Member
Sara Turgeon - State Farm Agent —Pickens, SC
- $15 - $18 an hour
- Full-time
- Office
- Communication skills
- Entry level
- Paid time off
- Opportunities for advancement
Quick Apply
Donor Services Technician (Easley)
The Blood Connection —Pickens, SC
- Weekends as needed
- High school diploma or GED
- Ability to lift 50 pounds
- Driver's License
Quick Apply
4d
EO, Client Operations Representative
Ovation Healthcare —Welcome, SC
- 8 hour shift
- Remote
- Computer literacy
- Writing skills
- HIPAA
3d
Customer Service Representative - State Farm Agent Team Member
Dylan Schaefer - State Farm Agent —Greenville, SC
- $55,000 - $65,000 a year
- Full-time
- Office
- Communication skills
- Entry level
- Health insurance
- 401(k)
Quick Apply
Greenville Taproom Server
New Realm Brewing Company —Greenville, SC
- English
- Ability to climb stairs
- 1 year
Quick Apply
Business Development Representative
South Carolina Federal Credit Union —Greenville, SC
- Microsoft Excel
- Microsoft Outlook
- Basic math
Tennis Center Customer Service Rep
Capital Vacations —Sapphire, NC
- $15 - $16 an hour
- Part-time
- Communication skills
- Entry level
Quick Apply
Insurance Specialist
3D Wealth Management —Greenville, SC
- $47,500 - $60,000 a year
- Full-time
- Background check
- Mid-level
- Office
- Health insurance
- 401(k)
Quick Apply
Class A Commercial Driver
Super-Sod —Greenville, SC
- $1,000 - $2,000 a week
- Full-time
- Background check
- Dedicated
- Clean driving record
- Health savings account
- Health insurance
Quick Apply
Customer Service Rep Deli 178 - Full Time
The Spinx Company —Travelers Rest, SC
- $13 an hour
- Weekends as needed
- Merchandising
- English
- Ability to lift 50 pounds
- Profit sharing
- Paid holidays
Customer Service Rep Retail 178 - Full Time
The Spinx Company —Travelers Rest, SC
- $13 an hour
- Weekends as needed
- Merchandising
- English
- Ability to lift 50 pounds
- Profit sharing
- Paid holidays
Customer Service Representative – Bilingual (Spanish/English)
Calidad Insurance —Greenville, SC
- $33,000 - $48,000 a year
- Full-time
- Spanish
- English
- Office
- Paid holidays
- Disability insurance
Quick Apply
12d

I want to receive the latest job alert for member services representative in sunset, sc

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

member services representative jobs near sunset, sc

Customer Service Representative jobs in Greenville, SC

Insurance Specialist jobs in Greenville, SC

Server jobs in Greenville, SC

Patient Services Representative jobs in Seneca, SC

Business Development Representative jobs in Greenville, SC

Patient Services Representative jobs in Greenville, SC

Service Technician jobs in Pickens, SC

Guest Service Agent jobs in Greenville, SC

Truck Driver jobs in Greenville, SC

Customer Service Representative jobs in Vacaville, CA

Customer Success Manager jobs in Wisconsin

Customer Service Representative jobs in Washington, DC

Customer Service Representative jobs in Montgomery, AL

Customer Service Representative jobs in Boston, MA

Child Protective Service jobs in Georgia

Hawaii Dental Service Hds jobs in Honolulu, HI

Client Representative jobs in New Braunfels, TX

Client Representative jobs in Tuscaloosa, AL

Medical Sales Representative jobs in Fort Lauderdale, FL

Client Representative jobs in Sugar Grove, IL

Patient Services Representative, FT, Days

Prisma Health -
Greenville, SC

Apply Now

Job Details

Full-time

Qualifications

Debt collection phone call
Records disposition policies
Visitor query response
In-person patient registration
Computer operation
Managing customer accounts
Medical chart preparation
Account maintenance
Medical insurance coverage verification
Greeting customers
Client inquiry handling
Patient demographics
Client file management
Medical coding experience in physician offices
No experience needed
Assisting medical staff
Workers' compensation insurance knowledge
Medical coding experience in outpatient clinics
Financial issue resolution
Medical scheduling
High school diploma or GED
Customer payment reminders
Cash register operations
Disability insurance knowledge
Check payment processing
Charge capture (medical billing)
Financial records management
Debt collection payment plan
Medical billing and coding communication with insurance companies
Medical record retrieval

Full Job Description

Inspire health. Serve with compassion. Be the difference.

Job Summary

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

Essential Functions

All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: 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 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. Research 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.
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 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. Follows-up with insurance companies ensuring that 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 charge information into on-line entry program. 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. Continually 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 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. Follows medical records policies and procedures. -
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. Participates in educational activities. Gathers and verifies superbills for specified practice on a daily basis. 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 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 related work as required. As representative of Prisma Health 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. -
Performs other duties as assigned.

Supervisory/Management Responsibility

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

Minimum Requirements

Education - High school diploma or equivalent OR Post-high school diploma. Associate degree in technical specialty program of 18 months minimum in length preferred
Experience - No previous experience required. Multi-specialty group practice setting experience preferred

In Lieu Of

Required Certifications, Registrations, Licenses

Knowledge, Skills and Abilities

Basic understanding of ICD-9 and CPT coding preferred

Work Shift

Day (United States of America)

Location

Hand Center - Greenville

Facility

2243 Hand Center - Greenville

Department

22431000 Hand Center - Greenville-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.

Apply Now

Refine Your Search

member services representative jobs in sunset, sc

Patient Services Representative, FT, Days

Health Plan Provider Relations Representative

Patient Services Representative F/T Day

Patient Services Representative-Blue Ridge Women's Center, FT, Days

Patient Services Representative, P/T Day

Patient Services Representative (Clemson)

Part Time Guest Services Representative

Patient Access Representative

Customer Relations Representative - State Farm Agent Team Member

Donor Services Technician (Easley)

EO, Client Operations Representative

Customer Service Representative - State Farm Agent Team Member

Greenville Taproom Server

Business Development Representative

Tennis Center Customer Service Rep

Insurance Specialist

Class A Commercial Driver

Customer Service Rep Deli 178 - Full Time

Customer Service Rep Retail 178 - Full Time

Customer Service Representative – Bilingual (Spanish/English)

I want to receive the latest job alert for member services representative in sunset, sc

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected