Patient Service Representative Urgent Care Sevier PRN

East Tennessee Children's Hospital • Knoxville, TN

82d

About The Position

The primary purpose of this job is to greet patients and ensure all necessary information is gathered for efficient encounters and billing outcomes. The role also involves precepting new employees, assisting with claim reviews, and daily financial reporting.

Requirements

• High School Diploma/GED preferred.
• 1-2 years of experience in a Medical Office setting preferred.
• Ability to multi-task while presenting a positive and comforting presence with patients and families.
• Efficient typing, filing, and troubleshooting skills.

Responsibilities

• Answers incoming telephone calls in a courteous and helpful manner, addressing inquiries and requests or referring calls to the appropriate contact.
• Opens and routes incoming mail in a timely manner, retrieves patient charts prior to visits, and prepares new patient records and charts.
• Assists patients and families with required paperwork or verification documents for a complete patient file and billing record.
• Registers new patients and updates patient information in the scheduling system, verifies and creates subscriber information in the computer system.
• Copies, files, and retrieves medical records as requested, and places calls to remind parents of appointment dates and times.
• Schedules follow-up appointments and provides necessary forms for parents, interviews legal guardians to obtain necessary information.
• Helps identify problems to ensure claims go out clean on the first submission, reviews procedure and diagnosis codes.
• Works with RBO to appeal denials as needed and provides records/information to assist in disputing denials.
• Demonstrates respect and regard for the dignity of all patients, families, visitors, and fellow employees.
• Maintains confidentiality of all hospital and patient information at all times.
• Handles patient/family complaints in a confidential, timely, and professional manner.
• Fosters mature professional relationships with fellow employees and promotes effective working relations.
• Completes all ETCH and practice required training and CBL requirements.
• Serves as a mentor to new staff and provides leadership and education to those needing extra guidance.
• Utilizes hospital resources and time respectfully and accountably.
• Collects deductibles, self-pays, and receipts.
• Completes end-of-day financials, balances credit card machines, and provides financial information to ETCH Financial Services team.
• Identifies missing charges, NDC indicators, and assigns appropriate modifiers.

What This Job Offers

• Industry: Hospitals
• Education Level: High school or GED
• Number of Employees: 1,001-5,000 employees