PATIENT SERVICE REP II

Covenant Health; Louisville (TN); On-site; USD 32,000 - 46,000; Full time

Job summary

Covenant Health is seeking a Patient Service Representative for Pellissippi Primary Care in Tennessee. The role provides administrative coverage for check-out operations, collects encounter form data, balances payments, and ends the day balancing tasks with the computer.

You will collaborate with care teams to ensure smooth patient flow and accurate billing. Responsibilities include appointment scheduling, data entry, and ensuring insurance information and diagnoses are properly recorded for

Qualifications

• One year medical office experience with scheduling, billing collection, and ICD-9/10/CPT-4 coding.
• OR at least three years of total customer-facing/customer service experience.
• HS diploma or GED preferred.

Responsibilities

• Maintain departmental policies, objectives, QA, and safety standards.
• Answer calls and route as needed.
• Record changes in patient information.
• Understand insurance procedures and plans.
• Record procedures on fee slips for charge entry.
• Schedule return visits and end-of-day procedures.
• Compile data for billing.
• Attend meetings and participate in committees.
• Collaborate with patients, physicians and care team.
• Follow safety standards; complete required education annually.
• Perform other duties as assigned.

Skills

Customer service

Data entry

Appointment scheduling

Communication

Education

High school diploma or GED

Tools

ICD-9/10 coding

CPT-4 coding

Job description

Overview

Patient Service Representative, Pellissippi Primary Care

Full Time, 72 Hours Per Pay Period, Day Shift

Covenant Medical Group Overview:

Covenant Medical Group is 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 delivers expertise across a broad spectrum of specialties from primary care and walk-in clinics to preventive medicine and advanced surgical and subspecialty 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