Patient Service Rep II

Covenant Health•Louisville, TN

About The Position

The Patient Service Representative provides administrative coverage for patient service functions related to physician-practice checkout operations. 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 Pellissippi Primary Care, part of Covenant Medical Group, the employed and managed medical practice organization of Covenant Health. Covenant Medical Group provides care across East Tennessee through more than 300 physicians and advanced practice providers in 20 communities, with services ranging from primary care and walk-in clinics to preventive medicine and advanced surgical and subspecialty services.

Requirements

One year of experience in a medical office setting with working knowledge of clinic appointment scheduling, collections, and ICD-9/10 and CPT-4 coding (charge entry); OR at least three years of total customer-facing/customer service experience.
Education is not specified as a minimum. Any combination of formal education and/or prior work experience sufficient to demonstrate the knowledge, skill, and ability needed for the job is acceptable; this is typically equivalent to a high school diploma or GED.
No licensure requirement.

Nice To Haves

A high school diploma or GED may be preferred.

Responsibilities

Maintains established departmental policies and procedures, objectives, quality assurance program, and safety standards.
May answer telephone calls and route them accordingly.
Receives and records changes in patient information.
Demonstrates familiarity with insurance procedures and knowledge of which plans the providers participate in.
Ensures procedures and corresponding diagnoses are properly recorded on fee slips for charge entry.
Schedules appointments for return visits and end-of-day procedures, and balances work at the end of the day.
Compiles data for billing personnel.
Attends meetings as required and participates on committees as directed.
Collaborates with patients, physicians, and other care team members as part of a team-based approach to 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.