PATIENT SERVICE REP II

Patient Service Representative

Full Time, 72 Hours Per Pay Period, Day Shift

Covenant Medical Group is Covenant Health's employed and managed medical practice organization, with more than 300 top physicians and providers spanning the continuum of care in 20 cities throughout East Tennessee. Specialties include cardiology, cardiothoracic surgery, cardiovascular surgery, endocrinology, gastroenterology, general surgery, infectious disease, neurology, neurosurgery, obstetrics and gynecology, occupational medicine, orthopedic surgery, physical medicine and rehabilitation, primary care, pulmonology, reproductive medicine, rheumatology, sleep medicine and urology.

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. Maintains established departmental policies, objectives, quality assurance program and safety standards. Answer telephone calls and route accordingly, receives and records changes in patient information, familiarity with insurance plans, scheduling appointments, 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.

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. Prefer 2 years' experience in medical office setting with working knowledge of clinic appointment scheduling, collection and experience with ICD10 and CPT 4 coding.

Licensure Requirement :

None