PATIENT SERVICE REP II

PATIENT SERVICE REP II

Louisville, TN Job Details Full-time 1 day ago Qualifications Collaborate with healthcare professionals Medical office experience Handling customer inquiries Clinic experience Mid-level Medical scheduling Administrative experience High school diploma or GED Medical administrative support

ICD-9 ICD-10

Quality assurance Quality improvement Payment posting in medical billing systems Multi-line phone systems Patient interaction 1 year Phone call management Healthcare data collection Managing patient records Balancing end-of-day transactions

Full Job Description Overview:

Patient Service Representative, Pellissippi Primary Care Full Time, 80 Hours Per Pay Period, Day Shift M-F 8am-4:30pm

Covenant Medical Group Overview:

Covenant Medical Group is the employed and managed medical practice organization of Covenant Health, providing comprehensive care across East Tennessee. With more than 300 physicians and advanced practice providers in 20 communities, our team delivers expertise across a broad spectrum of specialties from primary care and walk-in clinics to preventive medicine and advanced surgical and subspecialty services. We are committed to offering coordinated, patient-centered care that spans the continuum of health needs, ensuring access to exceptional providers close to home.

Position Summary:

Provides administrative coverage for the patient service functions related to the check-out operations of the physician practice. Collects and processes encounter form data. Collects and totals outstanding balances and payments for services rendered. Balances work and computer at end of day. Answer multi-line phones, C/I and C/O patients, Scheduling appointments, Medical Records, Appointment reminders, Compiles correct insurance data for billing personnel.

Responsibilities:

Maintains established departmental policies and procedures, objectives, quality assurance program, and safety standards. May answer telephone calls and route accordingly. Receives and records changes in patient information. Demonstrates familiarity with insurance procedures; demonstrates knowledge of which plan the provider(s) participate. Ensures procedures and corresponding diagnosis are properly recorded on the fee slip for charge entry. Responsible for scheduling appointments for return visits and end of day procedures and balancing. Compiles data for the billing personnel. Attends meetings as required and participates on committees as directed. Collaborates with the patient, physician, and other care team members as part of a team based approach to overall patient care. Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested. Performs other duties as assigned.

Qualifications:

Minimum Education:

None specified; will accept any combination of formal education and/or prior work experience sufficient to demonstrate possession of the knowledge, skill, and ability needed to perform the essential tasks of the job, typically such as would be equivalent to a high school diploma or GED. Preference may be given to individuals possessing a HS diploma or GED.

Minimum Experience:

One (1) year experience in medical office setting with working knowledge of clinic appointment scheduling, collection, and experience in ICD-9/10 and CPT-4 coding (charge entry) required OR minimum three (3) years of total customer facing/customer service experience required.

Licensure Requirement:

None