Patient Service Rep II

Covenant Health•Oak Ridge, TN

About The Position

The Patient Service Representative provides administrative coverage for patient service functions related to check-out operations at a physician practice. The role collects and processes encounter form data, collects and totals outstanding balances and payments for services rendered, and balances work and computer records at the end of the day. This is a full-time, day-shift position at Hamblen Women's Care, scheduled for 80 hours per pay period.

Requirements

  • One year of experience in a medical office setting, including working knowledge of clinic appointment scheduling, collections, and ICD-9/10 and CPT-4 coding for charge entry; alternatively, at least three years of total customer-facing or customer service experience.
  • No specific minimum education is required, but candidates must have a combination of formal education and/or prior work experience sufficient to demonstrate the knowledge, skills, and abilities needed for the job, typically equivalent to a high school diploma or GED.

Nice To Haves

  • High school diploma or GED

Responsibilities

  • Maintain established departmental policies and procedures, objectives, quality assurance programs, and safety standards.
  • Answer telephone calls and route them appropriately, as needed.
  • Receive and record changes in patient information.
  • Apply knowledge of insurance procedures and the plans in which providers participate.
  • Ensure procedures and corresponding diagnoses are properly recorded on fee slips for charge entry.
  • Schedule appointments for return visits and end-of-day procedures, and complete balancing.
  • Compile data for billing personnel.
  • Attend required meetings and participate on committees as directed.
  • Collaborate with patients, physicians, and other care team members as part of a team-based approach to patient care.
  • Follow policies, procedures, and safety standards.
  • Complete required annual education assignments.
  • Work toward established goals and objectives and participate in quality improvement initiatives as requested.
  • Perform other duties as assigned.
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