PATIENT SERVICE REP II

Covenant Health; Carlton (TN); On-site; USD 32,000 - 52,000; Full time

Job summary

Covenant Health's Covenant Medical Group is seeking a Patient Service Representative for Pellissippi Primary Care to provide front desk and check-out support, verify patient information, collect balances, and process encounter forms.

You will balance day-end duties, coordinate with physicians and care teams, and help ensure accurate billing through CPT-4 coding familiarity. This role offers full-time hours with day shift in Tennessee.

Qualifications

• No formal degree required; HS diploma or GED preferred.
• One year of medical office experience with scheduling, billing, ICD-9/10 and CPT-4 coding.
• Or three years of total customer-facing experience.
• Knowledge of insurance procedures is preferred.

Responsibilities

• Maintains departmental policies, procedures, quality assurance, and safety standards.
• Answers telephone calls and routes as needed.
• Receives and records changes in patient information.
• Ensures insurance procedures are understood; identifies which plans are used.
• Records procedures and diagnoses on fee slips for charge entry.
• Schedules return visits and end-of-day procedures; balances at day end.
• Compiles data for billing personnel.
• Attends meetings and participates in quality improvement initiatives.
• Collaborates with patient, physician, and care team members as part of a team-based approach.

Education

High School Diploma or GED

Job description

Overview

Patient Service Representative, Pellissippi Primary Care

Full Time, 80 Hours Per Pay Period, Day Shift

Covenant Medical Group Overview:

Covenant Medical Groupis the employed and managed medical practice organization of Covenant Health, providing comprehensive care across East Tennessee. With more than 300 physicians and advanced practice providers in 20 communities, our team deliversexpertiseacross a broad spectrum of specialtiesfrom primary careand walk-in clinics topreventive medicineandadvanced surgical andsubspecialty services.We are committed to offering coordinated, patient-centered care that spans the continuum of health needs, ensuring access to exceptional providers close to home.

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.

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.

Licensure Requirement:

None