PATIENT SERVICE REP II

Covenant Health; Harriman (TN); On-site; USD 30,000 - 38,000; Full time

Job summary

Covenant Health is seeking a Patient Service Representative for Roane Surgical Group in a full-time, day-shift role. The position supports check-out operations, collects encounter form data, and totals outstanding balances for services rendered.

You will balance daily work and collaborate with care teams to ensure accurate billing and patient information. Minimum experience includes one year in a medical office with scheduling and coding knowledge, or three years of customer-facing experience.

Qualifications

• One (1) year experience in medical office setting with scheduling, collection, ICD-9/10 and CPT-4 coding (charge entry) experience OR three (3) years of total customer-facing/customer service experience.

Responsibilities

• Maintains departmental policies, procedures, quality assurance, and safety standards.
• Answers telephone calls and routes inquiries.
• Receives and records changes in patient information.
• Handles insurance procedures knowledge and payer participation.
• Ensures fee slips reflect correct procedures/diagnoses for charge entry.
• Schedules return visits and end-of-day procedures; balances daily work.
• Compiles data for billing personnel.
• Attends meetings and participates on committees as directed.
• Collaborates with patient, physician, and care team members in a team-based approach.
• Follows policies, completes education assignments, and engages in quality improvement initiatives.
• Performs other duties as assigned.

Skills

Customer service

Scheduling

Data entry

Education

High school diploma or GED

Job description

Overview

Patient Service Representative, Roane Surgical Group

Full Time, 72 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