PATIENT SERVICE REP II

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.

About the role

Provides administrative coverage for the patient service functions related to the check-out operations of the physician practice. Collaborates with the patient, physician, and other care team members as part of a team-based approach to overall patient care.

Responsibilities

• 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 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.
• 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.

Requirements

• One (1) year experience in a 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.

Qualifications

• 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.

Schedule

Full Time, 80 Hours Per Pay Period, Day Shift