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. The position is with Community Care Sevierville, part of Covenant Medical Group, the employed and managed medical practice organization of Covenant Health serving communities across East Tennessee.

Requirements

At least one year of medical office experience with working knowledge of clinic appointment scheduling, collections, and ICD-9/10 and CPT-4 coding (charge entry); alternatively, at least three years of total customer-facing or customer-service experience.
Sufficient formal education and/or prior work experience to demonstrate the knowledge, skills, and abilities needed to perform the essential tasks. A high school diploma or GED is typically equivalent; preference may be given to candidates with a high school diploma or GED.
No licensure requirement.

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 return-visit appointments and end-of-day procedures, and perform end-of-day 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.
Complete required annual education assignments.
Work toward goals and objectives and participate in quality-improvement initiatives as requested.
Perform other duties as assigned.