Patient Registration Spec
Patient access representative job at CovenantHealth
Patient Registration Specialist, Admitting & Registration
PRN/OCC, Variable Hours, Day Shifts
Fort Loudoun Medical Center is equipped with a team of more than 200 doctors in more than 29 specialty areas. Our 87,000-square-foot hospital features advanced technology, including state-of-the-art Magnetic Resonance Imaging (MRI), Computerized Tomography (CT), Ultrasound, Diagnostic X-Rays and Women's Imaging Services, as well as Nuclear Medicine technology unique to our surrounding counties. The physicians, staff and volunteers of Fort Loudoun Medical Center are dedicated to providing excellent care to every patient, every time.
Position Summary:
Accurate collection and data entry of the required financial and demographic information for all patients registered to our facility. Ensures verification of benefits and pre-certification requirements are met prior to scheduled appointment/admission. Follows up as necessary on all urgent or unscheduled registrations for consistency in the process. Establishes controls so unscheduled patients understand and receive accurate information on their patient liability.
Recruiter: Erin Wood || *****************
Responsibilities
Collects co-payments/deposits based on verification information obtained, generates receipts to the payer, and delivers all cash transactions to the cashier for proper posting to the patient account.
Maintains strict confidentially of patient information.
Recommends to the Coordinator updates to existing policies and procedures that support our values and are intended to increase efficiency and promote data integrity.
Makes patient type changes based on information given from Medical Records Staff and/or Care Coordinators, ensuring documentation is present in the medical record to support the change.
Verifies insurance benefits and obtains pre-certification from various third-party payers. Has extensive knowledge of insurance plan requirements.
Efficiently gathers all demographic, medical, and financial information for scheduling, registration, and verification of patient accounts utilizing the HBOC computer system to record data.
Reports pertinent procedural changes/updates to appropriate leadership.
Professionally deals with patients, physicians, visitors, and other hospital staff members.
Demonstrates ability to keep abreast of regulatory and insurance requirements ensuring that changes are incorporated in daily job functions.
10 Assures the registration process is handled in a professional manner, maintaining registration accuracy rate of 95 to 100 percent.
Explains a variety of necessary information to the patient/family member, such as: consent for treatment, advance directives, medical/financial release, deposit requirements, billing and payment polices, and advanced beneficiary notices.
Recognizes situations that necessitate supervision, seeking appropriate resources.
Demonstrates motivation necessary for acceptable productivity.
Performs pre-registration process by utilization of phone and mail techniques, advising the patient during the conversation of any co-pay or deductible amounts due upon admission.
Coordinates with Nursing Services the flow of inpatient and observation patient admissions.
Displays competence in use of all Information Computer Systems that supply information regarding patient registration.
Shows initiative to cross-train in all duties related to; registration, verification, and pre-certification.
Demonstrates the ability to handle varying tasks and setting priorities.
Utilizes resources available appropriately, i.e., use of hospital equipment and/or supplies.
Activates manual systems for computer network downtime, printing schedules in advance when necessary. Notifies leadership of unscheduled downtime occurrences.
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 Bachelor's degree in a directly-related field from an accredited college or university.
Minimum Experience:
One (1) year experience in a hospital or financial setting OR minimum three (3) years of total customer facing/customer service experience required.
Licensure Requirement:
None
Auto-ApplyPATIENT REGISTRATION SPEC
Patient access representative job at CovenantHealth
Patient Registration Specialist, Admitting & Registration Part Time, 48 hours per pay period, Day shift Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area's largest employer.
Parkwest is Covenant Health's and West Knoxville's premier medical facility and a top-performing heart hospital, offering our patients world-class treatment with all the convenience and warmth of home.
In addition to providing the area's leading cardiac services, Parkwest has been nationally recognized for award-winning care throughout our facility. For 2020-21, Parkwest received recognition from U.S. News & World Report as one of the "Top 10" hospitals in Tennessee.
Knoxville located in East Tennessee is the third largest in the state, well-known for its proximity to the Great Smoky Mountains National Park, and is the home of the University of Tennessee. Go Vols! Living in Knoxville means experiencing all four seasons. Best of all, each of them is pretty mild!
Combine all that with the abundant natural beauty of the surrounding mountains, and you have a city that truly offers something for everyone. Knoxville has a vibrant arts culture, seasonal festivals, top-notch foodie and incredible outdoor recreation. It's a perfect blend of big-city amenities and Southern charm
Admitting & Registration :
Our friendly and courteous registration staff is here to serve the patients' registration needs whether the patient is here for a simple lab test, diagnostic testing, surgery, or inpatient services. Registration Specialists are most often the patients' first contact. They are responsible for obtaining patient demographics, validate the patients' identification, and verify insurance benefits. Our staff collects financial information so we may accurately bill the patient or their insurance for services rendered. The Registration Department has three areas which are Emergency Department Registration, Outpatient Registration and Pre-registration/Insurance Verification.
* Outpatient Registration is located in the Main Lobby of the hospital. Hours of operation are: Monday - Friday: 5 a.m. -7:30 p.m. and Saturday: 6:30 a.m. - 3 p.m. The staff in Outpatient Registration work 8 hour shifts. For the patients' convenience, there is also a Financial Counselor located in Outpatient Registration for patients to come in to discuss their account and make payments. Office hours are 8 a.m. - 4:30 p.m.
* ED Registration is open 24 hours per day, 7 days a week. The staff in the ED Registration work 10 hour shifts. They also rotate weekends.
* The Pre-Registration/Insurance Verification office is located on the main level of the hospital behind Outpatient Registration. Hours of operation are: 6:30 a.m. - 5:30 p.m.
Our staff receive on-going training for the 11 different systems that are currently being used. We are always looking for improvement from our patients and employee feedback. Our vision is to strive for excellence in quality, efficiency, and provide the highest customer service for all patients.
Position Summary:
Coordinates the centralized scheduling of all outpatient diagnostic and surgical procedures. Accurate collection and data entry of the required financial and demographic information for all patients registered to our facility. Ensures verification of benefits and pre-certification requirements are met prior to scheduled appointment/admission. Follows up as necessary on all urgent or unscheduled registrations for consistency in the process. Establishes controls so unscheduled patients understand and receive accurate information on their patient liability.
Recruiter: Kathleen Rice || *****************
Responsibilities
* Collects co-payments/deposits based on verification information obtained, generates receipts to the payer, and delivers all cash transactions to the cashier for proper posting to the patient account.
* Maintains strict confidentially of patient information.
* Recommends to the Coordinator updates to existing policies and procedures that support our values and are intended to increase efficiency and promote data integrity.
* Notifies the Financial Counselor immediately upon scheduling or registering any potential self pay, worker's compensation patient, or any non-covered procedures.
* Makes patient type changes based on information given from Medical Records Staff and/or Care Coordinators, ensuring documentation is present in the medical record to support the change.
* Ensures all reservations are properly documented to support departmental statistics. Enters faxed reservations into the HBOC scheduling system.
* Schedules operative and diagnostic procedures utilizing the HBOC scheduling system. Documents each scheduled procedure/event with detailed information. Notifies departments of any special resources required for procedure/event.
* Verifies insurance benefits and obtains pre-certification from various third-party payers. Has extensive knowledge of insurance plan requirements. Provides necessary documentation to DHS and Med Assist staff for patients potentially in need of financial assistance or TennCare enrollment.
* Efficiently gathers all demographic, medical, and financial information for scheduling, registration, and verification of patient accounts utilizing the HBOC computer system to record data. Enters verification and pre-certification notes into SMS financial system as cross-reference.
* Participates with clinical and care management areas to address opportunities to improve overall collections and cash flow.
* Analyzes claims denial data for opportunities to achieve improved collections, enhance relations with insurance companies and physician practices, and improve workflow process.
* Reports pertinent procedural changes/updates to appropriate leadership.
* Professionally deals with patients, physicians, visitors, and other hospital staff members.
* Demonstrates ability to keep abreast of regulatory and insurance requirements ensuring that changes are incorporated in daily job functions.
* Assures the registration process is handled in a professional manner, maintaining registration accuracy rate of 95 to 100 percent.
* Explains a variety of necessary information to the patient/family member, such as: consent for treatment, advance directives, medical/financial release, deposit requirements, billing and payment polices, and advanced beneficiary notices.
* Recognizes situations that necessitate supervision, seeking appropriate resources.
* Directs, escorts, and/or provides wheelchair assistance to the patient upon completion of the registration process to the appropriate nursing unit or diagnostic testing area.
* Performs pre-registration process by utilization of phone and mail techniques, advising the patient during the conversation of any co-pay or deductible amounts due upon admission.
* Maintains an accurate bed board, utilizing the computerized bed tracking system, so wait times for admitted patients are kept to a minimum.
* Coordinates with Nursing Services the flow of inpatient and observation patient admissions.
* Displays competence in use of all Information Computer Systems that supply information regarding patient registration and scheduling (DeRoyal, HBOC, Account Link and Medifax).
* Updates schedules daily of unexpected procedures, cancellations, or changes and communicates with all individuals affected by revisions.
* Shows initiative to cross-train in all duties related to; scheduling, registration, verification, and pre-certification.
* Prepares the patient account folder by scanning all vital registration/scheduling/verification documents into the optical imaging system. Examples of documents: insurance cards, financial agreements, ER charge sheets, verification sheets, pre-certification letters and physician orders. Will also index the document(s) using the optical scanning system, placing the document(s) in the correct electronic file folder.
* Demonstrates the ability to handle varying tasks and setting priorities.
* Activates manual systems for computer network downtime, printing schedules in advance when necessary. Notifies leadership of unscheduled downtime occurrences.
* Coordinates scheduling of classrooms for meetings, conferences, etc., ensuring confirmation is provided for the correct date and time.
* 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:
Non 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 Bachelor's degree in a directly-related field from an accredited college or university.
Minimum Experience:
One (1) year experience in a hospital or financial setting OR minimum three (3) years of total customer facing/customer service experience required.
Licensure Requirement:
None
Auto-ApplyPATIENT REGISTRATION SPEC
Patient access representative job at CovenantHealth
Patient Registration Specialist Full Time, 80 Hours Per Pay Period, Day Shift Mon-Fri - Main Registration Must be willing to work any shift between the hours of 6am- 530p, rotating holidays. Fort Sanders Regional Medical Center is a 444-bed hospital recognized for pairing clinical expertise with advanced medical technology to deliver exceptional care. As a Joint Commission Comprehensive Stroke Center, we provide leading-edge treatment for stroke recovery. Our facility also offers specialized services in bariatric surgery, robotic surgery, minimally invasive spine procedures, and advanced orthopedic care.
Fort Sanders Regional is part of Covenant Health, East Tennessee's largest nonprofit health system and a Becker's "Top 150 Places to Work in Healthcare." Covenant Health includes nine hospitals and nearly 150 service locations, offering employees a comprehensive benefits package with tuition reimbursement, student loan assistance, certification bonuses, and leadership development programs.
Postition Summary:
Coordinates the centralized scheduling of all outpatient diagnostic and surgical procedures. Accurate collection and data entry of the required financial and demographic information for all patients registered to our facility. Ensures verification of benefits and pre-certification requirements are met prior to scheduled appointment/admission. Follows up as necessary on all urgent or unscheduled registrations for consistency in the process. Establishes controls so unscheduled patients understand and receive accurate information on their patient liability.
Recruiter: Jennifer Gordon || *****************
Responsibilities
* Collects co-payments/deposits based on verification information obtained, generates receipts to the payer, and delivers all cash transactions to the cashier for proper posting to the patient account.
* Maintains strict confidentially of patient information.
* Recommends to the Coordinator updates to existing policies and procedures that support our values and are intended to increase efficiency and promote data integrity.
* Notifies the Financial Counselor immediately upon scheduling or registering any potential self pay, worker's compensation patient, or any non-covered procedures.
* Makes patient type changes based on information given from Medical Records Staff and/or Care Coordinators, ensuring documentation is present in the medical record to support the change.
* Ensures all reservations are properly documented to support departmental statistics. Enters faxed reservations into the HBOC scheduling system.
* Schedules operative and diagnostic procedures utilizing the HBOC scheduling system. Documents each scheduled procedure/event with detailed information. Notifies departments of any special resources required for procedure/event.
* Verifies insurance benefits and obtains pre-certification from various third-party payers. Has extensive knowledge of insurance plan requirements. Provides necessary documentation to DHS and Med Assist staff for patients potentially in need of financial assistance or TennCare enrollment.
* Efficiently gathers all demographic, medical, and financial information for scheduling, registration, and verification of patient accounts utilizing the HBOC computer system to record data. Enters verification and pre-certification notes into SMS financial system as cross-reference.
* Participates with clinical and care management areas to address opportunities to improve overall collections and cash flow.
* Analyzes claims denial data for opportunities to achieve improved collections, enhance relations with insurance companies and physician practices, and improve workflow process.
* Reports pertinent procedural changes/updates to appropriate leadership.
* Professionally deals with patients, physicians, visitors, and other hospital staff members.
* Demonstrates ability to keep abreast of regulatory and insurance requirements ensuring that changes are incorporated in daily job functions.
* Assures the registration process is handled in a professional manner, maintaining registration accuracy rate of 95 to 100 percent.
* Explains a variety of necessary information to the patient/family member, such as: consent for treatment, advance directives, medical/financial release, deposit requirements, billing and payment polices, and advanced beneficiary notices.
* Recognizes situations that necessitate supervision, seeking appropriate resources.
* Directs, escorts, and/or provides wheelchair assistance to the patient upon completion of the registration process to the appropriate nursing unit or diagnostic testing area.
* Performs pre-registration process by utilization of phone and mail techniques, advising the patient during the conversation of any co-pay or deductible amounts due upon admission.
* Maintains an accurate bed board, utilizing the computerized bed tracking system, so wait times for admitted patients are kept to a minimum.
* Coordinates with Nursing Services the flow of inpatient and observation patient admissions.
* Displays competence in use of all Information Computer Systems that supply information regarding patient registration and scheduling (DeRoyal, HBOC, Account Link and Medifax).
* Updates schedules daily of unexpected procedures, cancellations, or changes and communicates with all individuals affected by revisions.
* Shows initiative to cross-train in all duties related to; scheduling, registration, verification, and pre-certification.
* Prepares the patient account folder by scanning all vital registration/scheduling/verification documents into the optical imaging system. Examples of documents: insurance cards, financial agreements, ER charge sheets, verification sheets, pre-certification letters and physician orders. Will also index the document(s) using the optical scanning system, placing the document(s) in the correct electronic file folder.
* Demonstrates the ability to handle varying tasks and setting priorities.
* Activates manual systems for computer network downtime, printing schedules in advance when necessary. Notifies leadership of unscheduled downtime occurrences.
* Coordinates scheduling of classrooms for meetings, conferences, etc., ensuring confirmation is provided for the correct date and time.
* 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:
Non 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 Bachelor's degree in a directly-related field from an accredited college or university.
Minimum Experience:
One (1) year experience in a hospital or financial setting OR minimum three (3) years of total customer facing/customer service experience required.
Licensure Requirement:
None.
Auto-ApplyPatient Registration Spec
Patient access representative job at CovenantHealth
Patient Registration Specialist, Admitting & Registration
Part Time, 48 hours per pay period, Day shift
Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area's largest employer.
Parkwest is Covenant Health's and West Knoxville's premier medical facility and a top-performing heart hospital, offering our patients world-class treatment with all the convenience and warmth of home.
In addition to providing the area's leading cardiac services, Parkwest has been nationally recognized for award-winning care throughout our facility. For 2020-21, Parkwest received recognition from U.S. News & World Report as one of the “Top 10” hospitals in Tennessee.
Knoxville located in East Tennessee is the third largest in the state, well-known for its proximity to the Great Smoky Mountains National Park, and is the home of the University of Tennessee.
Go Vols!
Living in Knoxville means experiencing all four seasons. Best of all, each of them is pretty mild!
Combine all that with the abundant natural beauty of the surrounding mountains, and you have a city that truly offers something for everyone. Knoxville has a vibrant arts culture, seasonal festivals, top-notch foodie and incredible outdoor recreation. It's a perfect blend of big-city amenities and Southern charm
Admitting & Registration :
Our friendly and courteous registration staff is here to serve the patients' registration needs whether the patient is here for a simple lab test, diagnostic testing, surgery, or inpatient services. Registration Specialists are most often the patients' first contact. They are responsible for obtaining patient demographics, validate the patients' identification, and verify insurance benefits. Our staff collects financial information so we may accurately bill the patient or their insurance for services rendered. The Registration Department has three areas which are Emergency Department Registration, Outpatient Registration and Pre-registration/Insurance Verification.
Outpatient Registration is located in the Main Lobby of the hospital. Hours of operation are: Monday - Friday: 5 a.m. -7:30 p.m. and Saturday: 6:30 a.m. - 3 p.m. The staff in Outpatient Registration work 8 hour shifts. For the patients' convenience, there is also a Financial Counselor located in Outpatient Registration for patients to come in to discuss their account and make payments. Office hours are 8 a.m. - 4:30 p.m.
ED Registration is open 24 hours per day, 7 days a week. The staff in the ED Registration work 10 hour shifts. They also rotate weekends.
The Pre-Registration/Insurance Verification office is located on the main level of the hospital behind Outpatient Registration. Hours of operation are: 6:30 a.m. - 5:30 p.m.
Our staff receive on-going training for the 11 different systems that are currently being used. We are always looking for improvement from our patients and employee feedback. Our vision is to strive for excellence in quality, efficiency, and provide the highest customer service for all patients.
Position Summary:
Coordinates the centralized scheduling of all outpatient diagnostic and surgical procedures. Accurate collection and data entry of the required financial and demographic information for all patients registered to our facility. Ensures verification of benefits and pre-certification requirements are met prior to scheduled appointment/admission. Follows up as necessary on all urgent or unscheduled registrations for consistency in the process. Establishes controls so unscheduled patients understand and receive accurate information on their patient liability.
Recruiter: Kathleen Rice || *****************
Responsibilities
Collects co-payments/deposits based on verification information obtained, generates receipts to the payer, and delivers all cash transactions to the cashier for proper posting to the patient account.
Maintains strict confidentially of patient information.
Recommends to the Coordinator updates to existing policies and procedures that support our values and are intended to increase efficiency and promote data integrity.
Notifies the Financial Counselor immediately upon scheduling or registering any potential self pay, worker's compensation patient, or any non-covered procedures.
Makes patient type changes based on information given from Medical Records Staff and/or Care Coordinators, ensuring documentation is present in the medical record to support the change.
Ensures all reservations are properly documented to support departmental statistics. Enters faxed reservations into the HBOC scheduling system.
Schedules operative and diagnostic procedures utilizing the HBOC scheduling system. Documents each scheduled procedure/event with detailed information. Notifies departments of any special resources required for procedure/event.
Verifies insurance benefits and obtains pre-certification from various third-party payers. Has extensive knowledge of insurance plan requirements. Provides necessary documentation to DHS and Med Assist staff for patients potentially in need of financial assistance or TennCare enrollment.
Efficiently gathers all demographic, medical, and financial information for scheduling, registration, and verification of patient accounts utilizing the HBOC computer system to record data. Enters verification and pre-certification notes into SMS financial system as cross-reference.
Participates with clinical and care management areas to address opportunities to improve overall collections and cash flow.
Analyzes claims denial data for opportunities to achieve improved collections, enhance relations with insurance companies and physician practices, and improve workflow process.
Reports pertinent procedural changes/updates to appropriate leadership.
Professionally deals with patients, physicians, visitors, and other hospital staff members.
Demonstrates ability to keep abreast of regulatory and insurance requirements ensuring that changes are incorporated in daily job functions.
Assures the registration process is handled in a professional manner, maintaining registration accuracy rate of 95 to 100 percent.
Explains a variety of necessary information to the patient/family member, such as: consent for treatment, advance directives, medical/financial release, deposit requirements, billing and payment polices, and advanced beneficiary notices.
Recognizes situations that necessitate supervision, seeking appropriate resources.
Directs, escorts, and/or provides wheelchair assistance to the patient upon completion of the registration process to the appropriate nursing unit or diagnostic testing area.
Performs pre-registration process by utilization of phone and mail techniques, advising the patient during the conversation of any co-pay or deductible amounts due upon admission.
Maintains an accurate bed board, utilizing the computerized bed tracking system, so wait times for admitted patients are kept to a minimum.
Coordinates with Nursing Services the flow of inpatient and observation patient admissions.
Displays competence in use of all Information Computer Systems that supply information regarding patient registration and scheduling (DeRoyal, HBOC, Account Link and Medifax).
Updates schedules daily of unexpected procedures, cancellations, or changes and communicates with all individuals affected by revisions.
Shows initiative to cross-train in all duties related to; scheduling, registration, verification, and pre-certification.
Prepares the patient account folder by scanning all vital registration/scheduling/verification documents into the optical imaging system. Examples of documents: insurance cards, financial agreements, ER charge sheets, verification sheets, pre-certification letters and physician orders. Will also index the document(s) using the optical scanning system, placing the document(s) in the correct electronic file folder.
Demonstrates the ability to handle varying tasks and setting priorities.
Activates manual systems for computer network downtime, printing schedules in advance when necessary. Notifies leadership of unscheduled downtime occurrences.
Coordinates scheduling of classrooms for meetings, conferences, etc., ensuring confirmation is provided for the correct date and time.
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:
Non 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 Bachelor's degree in a directly-related field from an accredited college or university.
Minimum Experience:
One (1) year experience in a hospital or financial setting OR minimum three (3) years of total customer facing/customer service experience required.
Licensure Requirement:
None
Auto-ApplyPatient Registration Spec
Patient access representative job at CovenantHealth
Patient Registration Specialist, Patient Services Center
Full Time, 80 Hours Per Pay Period, Day Shift
Covenant HomeCare is East Tennessee's largest non-profit homecare and hospice provider. Since 1978, we have provided quality home healthcare to allow patients to live with comfort, dignity, and independence. We care for more than 6,300 patients in our HomeCare and Hospice program every year. Covenant HomeCare is a proud member of Covenant Health, our region's top-performing healthcare network.
Position Summary:
Receives referrals and new orders on patients. Responsible for verification, prior authorization, and Recertification of insurance. Negotiates pricing with case managers. Communicate all necessary Information to patient/care giver and HomeCare Staff. Enters patient and insurance information in computer. Depending upon whether the Intake Coordinator is assigned to daytime triage or Central Intake, the position will report to either the Director-Outcomes Management or Clinical Supervisor (Central Intake).
Recruiter: Rachel Dudek-Fleming || *****************
Responsibilities
Receives and completes referrals, new orders, and changes on all patients.
Verifies insurance coverage on each new referral taken.
Obtains a Prior Authorization and or Recertification when required by the insurance company.
Enters patient and all pertinent information in the computer.
Negotiates pricing with case managers when required under the supervision of the Business Office Manager.
Communicates with the patient/care giver concerning problems with insurance, authorization, and self pay portions at time of admittance.
Ensures that changes/problems involving patients financially are communicated to the Reimbursement Staff.
Check the delivery schedule daily and ensure all patients to be delivered have current authorization or coverage.
Works closely with the Pharmacy and Reimbursement departments to aid in communication concerning patient information.
Maintains an extensive knowledge of payor requirements and governmental regulations as is essential for the handling of patient accounts.
Observes patient schedules as needed to answer calls regarding visiting staff for the day and communicates with that staff as appropriate and indicated.
Perform other related duties as assigned or requested.
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:
Must be proficient with computer automation and have very strong communication skills. Experience must include a working knowledge of third party payors and state and federal program regulations. Minimum of one (1) year medical reimbursement experience.
Licensure Requirement:
None
Auto-ApplyPatient Registration Spec
Patient access representative job at CovenantHealth
Patient Registration Specialist
Full Time, 80 Hours Per Pay Period, Day Shift
Mon-Fri - Main Registration
Must be willing to work any shift between the hours of 6am- 530p, rotating holidays.
Fort Sanders Regional Medical Center is a 444-bed hospital recognized for pairing clinical expertise with advanced medical technology to deliver exceptional care. As a Joint Commission Comprehensive Stroke Center, we provide leading-edge treatment for stroke recovery. Our facility also offers specialized services in bariatric surgery, robotic surgery, minimally invasive spine procedures, and advanced orthopedic care.
Fort Sanders Regional is part of Covenant Health, East Tennessee's largest nonprofit health system and a Becker's “Top 150 Places to Work in Healthcare.” Covenant Health includes nine hospitals and nearly 150 service locations, offering employees a comprehensive benefits package with tuition reimbursement, student loan assistance, certification bonuses, and leadership development programs.
Postition Summary:
Coordinates the centralized scheduling of all outpatient diagnostic and surgical procedures. Accurate collection and data entry of the required financial and demographic information for all patients registered to our facility. Ensures verification of benefits and pre-certification requirements are met prior to scheduled appointment/admission. Follows up as necessary on all urgent or unscheduled registrations for consistency in the process. Establishes controls so unscheduled patients understand and receive accurate information on their patient liability.
Recruiter: Jennifer Gordon || *****************
Responsibilities
Collects co-payments/deposits based on verification information obtained, generates receipts to the payer, and delivers all cash transactions to the cashier for proper posting to the patient account.
Maintains strict confidentially of patient information.
Recommends to the Coordinator updates to existing policies and procedures that support our values and are intended to increase efficiency and promote data integrity.
Notifies the Financial Counselor immediately upon scheduling or registering any potential self pay, worker's compensation patient, or any non-covered procedures.
Makes patient type changes based on information given from Medical Records Staff and/or Care Coordinators, ensuring documentation is present in the medical record to support the change.
Ensures all reservations are properly documented to support departmental statistics. Enters faxed reservations into the HBOC scheduling system.
Schedules operative and diagnostic procedures utilizing the HBOC scheduling system. Documents each scheduled procedure/event with detailed information. Notifies departments of any special resources required for procedure/event.
Verifies insurance benefits and obtains pre-certification from various third-party payers. Has extensive knowledge of insurance plan requirements. Provides necessary documentation to DHS and Med Assist staff for patients potentially in need of financial assistance or TennCare enrollment.
Efficiently gathers all demographic, medical, and financial information for scheduling, registration, and verification of patient accounts utilizing the HBOC computer system to record data. Enters verification and pre-certification notes into SMS financial system as cross-reference.
Participates with clinical and care management areas to address opportunities to improve overall collections and cash flow.
Analyzes claims denial data for opportunities to achieve improved collections, enhance relations with insurance companies and physician practices, and improve workflow process.
Reports pertinent procedural changes/updates to appropriate leadership.
Professionally deals with patients, physicians, visitors, and other hospital staff members.
Demonstrates ability to keep abreast of regulatory and insurance requirements ensuring that changes are incorporated in daily job functions.
Assures the registration process is handled in a professional manner, maintaining registration accuracy rate of 95 to 100 percent.
Explains a variety of necessary information to the patient/family member, such as: consent for treatment, advance directives, medical/financial release, deposit requirements, billing and payment polices, and advanced beneficiary notices.
Recognizes situations that necessitate supervision, seeking appropriate resources.
Directs, escorts, and/or provides wheelchair assistance to the patient upon completion of the registration process to the appropriate nursing unit or diagnostic testing area.
Performs pre-registration process by utilization of phone and mail techniques, advising the patient during the conversation of any co-pay or deductible amounts due upon admission.
Maintains an accurate bed board, utilizing the computerized bed tracking system, so wait times for admitted patients are kept to a minimum.
Coordinates with Nursing Services the flow of inpatient and observation patient admissions.
Displays competence in use of all Information Computer Systems that supply information regarding patient registration and scheduling (DeRoyal, HBOC, Account Link and Medifax).
Updates schedules daily of unexpected procedures, cancellations, or changes and communicates with all individuals affected by revisions.
Shows initiative to cross-train in all duties related to; scheduling, registration, verification, and pre-certification.
Prepares the patient account folder by scanning all vital registration/scheduling/verification documents into the optical imaging system. Examples of documents: insurance cards, financial agreements, ER charge sheets, verification sheets, pre-certification letters and physician orders. Will also index the document(s) using the optical scanning system, placing the document(s) in the correct electronic file folder.
Demonstrates the ability to handle varying tasks and setting priorities.
Activates manual systems for computer network downtime, printing schedules in advance when necessary. Notifies leadership of unscheduled downtime occurrences.
Coordinates scheduling of classrooms for meetings, conferences, etc., ensuring confirmation is provided for the correct date and time.
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:
Non 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 Bachelor's degree in a directly-related field from an accredited college or university.
Minimum Experience:
One (1) year experience in a hospital or financial setting OR minimum three (3) years of total customer facing/customer service experience required.
Licensure Requirement:
None.
Auto-ApplyPatient Registration Spec
Patient access representative job at CovenantHealth
Patient Registration Specialist, Admitting & Registration
PRN/OCC, Variable hours, Day shifts
Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area's largest employer.
Parkwest is Covenant Health's and West Knoxville's premier medical facility and a top-performing heart hospital, offering our patients world-class treatment with all the convenience and warmth of home.
In addition to providing the area's leading cardiac services, Parkwest has been nationally recognized for award-winning care throughout our facility. For 2020-21, Parkwest received recognition from U.S. News & World Report as one of the “Top 10” hospitals in Tennessee.
Knoxville located in East Tennessee is the third largest in the state, well-known for its proximity to the Great Smoky Mountains National Park, and is the home of the University of Tennessee.
Go Vols!
Living in Knoxville means experiencing all four seasons. Best of all, each of them is pretty mild!
Combine all that with the abundant natural beauty of the surrounding mountains, and you have a city that truly offers something for everyone. Knoxville has a vibrant arts culture, seasonal festivals, top-notch foodie and incredible outdoor recreation. It's a perfect blend of big-city amenities and Southern charm
Admitting & Registration :
Our friendly and courteous registration staff is here to serve the patients' registration needs whether the patient is here for a simple lab test, diagnostic testing, surgery, or inpatient services. Registration Specialists are most often the patients' first contact. They are responsible for obtaining patient demographics, validate the patients' identification, and verify insurance benefits. Our staff collects financial information so we may accurately bill the patient or their insurance for services rendered. The Registration Department has three areas which are Emergency Department Registration, Outpatient Registration and Pre-registration/Insurance Verification.
Outpatient Registration is located in the Main Lobby of the hospital. Hours of operation are: Monday - Friday: 5 a.m. -7:30 p.m. and Saturday: 6:30 a.m. - 3 p.m. The staff in Outpatient Registration work 8 hour shifts. For the patients' convenience, there is also a Financial Counselor located in Outpatient Registration for patients to come in to discuss their account and make payments. Office hours are 8 a.m. - 4:30 p.m.
ED Registration is open 24 hours per day, 7 days a week. The staff in the ED Registration work 10 hour shifts. They also rotate weekends.
The Pre-Registration/Insurance Verification office is located on the main level of the hospital behind Outpatient Registration. Hours of operation are: 6:30 a.m. - 5:30 p.m.
Our staff receive on-going training for the 11 different systems that are currently being used. We are always looking for improvement from our patients and employee feedback. Our vision is to strive for excellence in quality, efficiency, and provide the highest customer service for all patients.
Position Summary:
Coordinates the centralized scheduling of all outpatient diagnostic and surgical procedures. Accurate collection and data entry of the required financial and demographic information for all patients registered to our facility. Ensures verification of benefits and pre-certification requirements are met prior to scheduled appointment/admission. Follows up as necessary on all urgent or unscheduled registrations for consistency in the process. Establishes controls so unscheduled patients understand and receive accurate information on their patient liability.
Recruiter: Kathleen Rice || *****************
Responsibilities
Collects co-payments/deposits based on verification information obtained, generates receipts to the payer, and delivers all cash transactions to the cashier for proper posting to the patient account.
Maintains strict confidentially of patient information.
Recommends to the Coordinator updates to existing policies and procedures that support our values and are intended to increase efficiency and promote data integrity.
Notifies the Financial Counselor immediately upon scheduling or registering any potential self pay, worker's compensation patient, or any non-covered procedures.
Makes patient type changes based on information given from Medical Records Staff and/or Care Coordinators, ensuring documentation is present in the medical record to support the change.
Ensures all reservations are properly documented to support departmental statistics. Enters faxed reservations into the HBOC scheduling system.
Schedules operative and diagnostic procedures utilizing the HBOC scheduling system. Documents each scheduled procedure/event with detailed information. Notifies departments of any special resources required for procedure/event.
Verifies insurance benefits and obtains pre-certification from various third-party payers. Has extensive knowledge of insurance plan requirements. Provides necessary documentation to DHS and Med Assist staff for patients potentially in need of financial assistance or TennCare enrollment.
Efficiently gathers all demographic, medical, and financial information for scheduling, registration, and verification of patient accounts utilizing the HBOC computer system to record data. Enters verification and pre-certification notes into SMS financial system as cross-reference.
Participates with clinical and care management areas to address opportunities to improve overall collections and cash flow.
Analyzes claims denial data for opportunities to achieve improved collections, enhance relations with insurance companies and physician practices, and improve workflow process.
Reports pertinent procedural changes/updates to appropriate leadership.
Professionally deals with patients, physicians, visitors, and other hospital staff members.
Demonstrates ability to keep abreast of regulatory and insurance requirements ensuring that changes are incorporated in daily job functions.
Assures the registration process is handled in a professional manner, maintaining registration accuracy rate of 95 to 100 percent.
Explains a variety of necessary information to the patient/family member, such as: consent for treatment, advance directives, medical/financial release, deposit requirements, billing and payment polices, and advanced beneficiary notices.
Recognizes situations that necessitate supervision, seeking appropriate resources.
Directs, escorts, and/or provides wheelchair assistance to the patient upon completion of the registration process to the appropriate nursing unit or diagnostic testing area.
Performs pre-registration process by utilization of phone and mail techniques, advising the patient during the conversation of any co-pay or deductible amounts due upon admission.
Maintains an accurate bed board, utilizing the computerized bed tracking system, so wait times for admitted patients are kept to a minimum.
Coordinates with Nursing Services the flow of inpatient and observation patient admissions.
Displays competence in use of all Information Computer Systems that supply information regarding patient registration and scheduling (DeRoyal, HBOC, Account Link and Medifax).
Updates schedules daily of unexpected procedures, cancellations, or changes and communicates with all individuals affected by revisions.
Shows initiative to cross-train in all duties related to; scheduling, registration, verification, and pre-certification.
Prepares the patient account folder by scanning all vital registration/scheduling/verification documents into the optical imaging system. Examples of documents: insurance cards, financial agreements, ER charge sheets, verification sheets, pre-certification letters and physician orders. Will also index the document(s) using the optical scanning system, placing the document(s) in the correct electronic file folder.
Demonstrates the ability to handle varying tasks and setting priorities.
Activates manual systems for computer network downtime, printing schedules in advance when necessary. Notifies leadership of unscheduled downtime occurrences.
Coordinates scheduling of classrooms for meetings, conferences, etc., ensuring confirmation is provided for the correct date and time.
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:
Non 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 Bachelor's degree in a directly-related field from an accredited college or university.
Minimum Experience:
One (1) year experience in a hospital or financial setting OR minimum three (3) years of total customer facing/customer service experience required.
Licensure Requirement:
None
Auto-ApplyPatient Access Specialist
Patient access representative job at CovenantHealth
Patient Access Specialist, Centralized Scheduling
Full Time, 80 Hours Per Pay Period, Variable Shifts
Covenant Health is the region's top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant Medical Group, our area's fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area's largest employer. Our more than 11,000 employees, volunteers, and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million patients and families we serve every year. Covenant Health is the only healthcare system in East Tennessee to be named a Forbes “Best Employer” seven times.
Position Summary:
The Patient Access Specialist coordinates the verification, scheduling, and pre-registration of all outpatient diagnostic procedures, as defined under the Centralized Scheduling Department's purview. Responsibilities include the accurate collection and entry of required financial and demographic patient information, scheduling queue management, verification of benefits, scheduling, and payment collection.
Recruiter: Suzie McGuinn || *****************
Responsibilities
Collects patient payment of financial responsibility over the phone, provides receipt of payment to patient, and documents payment as outlined in the department's workflow
Recommends to the Supervisor modifications to existing policies and procedures that support Covenant Health's values and are intended to increase efficiency and promote data integrity
Notifies the Supervisor/Financial Counselor of any potential self-pay patient, worker's compensation patient, or non-covered procedures
Schedules diagnostic procedures utilizing the eCare (Cerner) scheduling system
Verifies all orders are completed and signed
Verifies insurance benefits and verifies pre-certification from third-party payers
Has extensive knowledge of insurance plan and pre-certification requirements
Accurately documents relevant demographic, clinical, and financial information required for scheduling, pre-registration, and insurance verification using eCare (Cerner), TransUnion, and STAR
Attempts to collect payment of financial responsibility for all patients to improve overall collections and cash flow
Reports pertinent procedural changes/updates to appropriate leadership
Professionally interacts with patients, providers, office staff, and hospital department staff members
Demonstrates ability to keep up with regulatory and insurance requirements, ensuring that changes are incorporated into daily job functions
Ensures the scheduling process is handled in a professional and courteous manner
Schedules on average 25 appointments per day
Clearly communicates all necessary information to patients, e.g. clinical preps as outlined in the eCare scheduling guidelines, ABNs, financial responsibility, etc.
Recognizes situations that necessitate managerial intervention and seeks out appropriate resources
Promotes good public relations for the department and the organization
Attends monthly staff meetings and participates in discussions regarding work performance and departmental/hospital updates
Displays competence in the use of all IT Systems related to insurance verification, scheduling, patient registration, and scheduling
Monitors appointment schedules daily for cancellations, reschedules, stats, or other changes; communicates with all departments impacted
Shows initiative to cross-train in all duties related to departmental functions
Activates manual systems for computer network downtime, printing schedules in advance when necessary
Notifies leadership of unscheduled downtime occurrences
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.
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 Bachelor's degree in a directly-related field from an accredited college or university.
Minimum Experience:
Experience in hospital setting or financial area required.
Licensure Requirement:
None
Auto-ApplyPatient Registration Spec
Patient access representative job at CovenantHealth
Patient Registration Specialist, Admitting & Registration
PRN/OCC, Hours and Shifts Vary
Proudly serving our community, Roane Medical Center is committed to your healthy future! Our state-of-the-art facility is equipped with modern technologies and expert staff to provide you the best possible patient care. From our quality medical, surgical, emergency and critical care services to our diagnostic imaging and rehabilitation support, you will find the right blends of technical expertise, medical professionalism, and patient quality and satisfaction at Roane Medical Center.
Position Summary:
Coordinates the centralized scheduling of all outpatient diagnostic and surgical procedures. Accurate collection and data entry of the required financial and demographic information for all patients registered to our facility. Ensures verification of benefits and pre-certification requirements are met prior to scheduled appointment/admission. Follows up as necessary on all urgent or unscheduled registrations for consistency in the process. Establishes controls so unscheduled patients understand and receive accurate information on their patient liability.
Recruiter: Erin Wood || *****************
Responsibilities
Collects co-payments/deposits based on verification information obtained, generates receipts to the payer, and delivers all cash transactions to the cashier for proper posting to the patient account.
Maintains strict confidentially of patient information.
Does not promote or participate in solicitation during working hours within the department.
Recommends to the Coordinator updates to existing policies and procedures that support our values and are intended to increase efficiency and promote data integrity.
Notifies the Financial Counselor immediately upon scheduling or registering any potential self pay, worker's compensation patient, or any non-covered procedures.
Makes patient type changes based on information given from Medical Records Staff and/or Care Coordinators, ensuring documentation is present in the medical record to support the change.
Ensures all reservations are properly documented to support departmental statistics. Enters faxed reservations into the HBOC scheduling system.
Schedules operative and diagnostic procedures utilizing the HBOC scheduling system. Documents each scheduled procedure/event with detailed information. Notifies departments of any special resources required for procedure/event.
Verifies insurance benefits and obtains pre-certification from various third-party payers. Has extensive knowledge of insurance plan requirements. Provides necessary documentation to DHS and Med Assist staff for patients potentially in need of financial assistance or TennCare enrollment.
Efficiently gathers all demographic, medical, and financial information for scheduling, registration, and verification of patient accounts utilizing the HBOC computer system to record data. Enters verification and pre-certification notes into SMS financial system as cross-reference.
Participates with clinical and care management areas to address opportunities to improve overall collections and cash flow.
Analyzes claims denial data for opportunities to achieve improved collections, enhance relations with insurance companies and physician practices, and improve workflow process.
Reports pertinent procedural changes/updates to appropriate leadership.
Demonstrates continued education and skills necessary to support job duties.
Professionally deals with patients, physicians, visitors, and other hospital staff members.
Demonstrates ability to keep abreast of regulatory and insurance requirements ensuring that changes are incorporated in daily job functions.
Assures the registration process is handled in a professional manner, maintaining registration accuracy rate of 95 to 100 percent.
Explains a variety of necessary information to the patient/family member, such as: consent for treatment, advance directives, medical/financial release, deposit requirements, billing and payment policies, and advanced beneficiary notices.
Recognizes situations that necessitate supervision, seeking appropriate resources.
Directs, escorts, and/or provides wheelchair assistance to the patient upon completion of the registration process to the appropriate nursing unit or diagnostic testing area.
Demonstrates motivation necessary for acceptable productivity.
Understands goals and objectives for the department that take into consideration the mission and values of Covenant Health.
Performs pre-registration process by utilization of phone and mail techniques, advising the patient during the conversation of any co-pay or deductible amounts due upon admission.
Maintains an accurate bed board, utilizing the computerized bed tracking system so wait times for admitted patients are kept to a minimum.
Coordinates with Nursing Services the flow of inpatient and observation patient admissions.
Promotes good public relations for the department and the hospital.
Attends monthly staff meetings and participates in discussions regarding work performance and departmental/hospital updates.
Displays competence in use of all Information Computer Systems that supply information regarding patient registration and scheduling (DeRoyal, HBOC, Account Link and Medifax).
Updates schedules daily of unexpected procedures, cancellations, or changes and communicates with all individuals affected by revisions.
Shows initiative to cross-train in all duties related to; scheduling, registration, verification and pre-certification.
Prepares the patient account folder by scanning all vital registration/scheduling/verification documents into the optical imaging system. Examples of documents: insurance cards, financial agreements, ER charge sheets, verification sheets, pre-certification letters and physician orders. Will also index the document(s) using the optical scanning system, placing the document(s) in the correct electronic file folder.
Demonstrates promptness in reporting for and completing work, ensuring follow-through on assigned task.
Demonstrates the ability to handle varying tasks and setting priorities.
Utilizes resources available appropriately, i.e., use of hospital equipment and/or supplies.
Activates manual systems for computer network downtime, printing schedules in advance when necessary. Notifies leadership of unscheduled downtime occurrences.
Coordinates scheduling of classrooms for meetings, conferences, etc., ensuring confirmation is provided for the correct date and time.
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 Bachelor's degree in a directly-related field from an accredited college or university.
Minimum Experience:
One (1) year experience in a hospital or financial setting OR minimum three (3) years of total customer facing/customer service experience required.
Licensure Requirement:
None
Auto-ApplyPatient Service Rep II
Patient access representative job at CovenantHealth
Patient Service Representative, Urology Specialists of East Tennessee - Alcoa
Full Time, 80 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.
Recruiter: Brittany Smithson || *****************
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
Auto-ApplyPATIENT SERVICE REP II
Patient access representative job at CovenantHealth
Patient Service Representative, Methodist Wound Care PRN/OCC, Variable Hours & Shifts 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.
Recruiter: Brittany Smithson || *****************
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
Auto-ApplyPatient Service Rep II
Patient access representative job at CovenantHealth
Patient Service Representative, Parkway Cardiology Associates
Full Time, 80 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.
Recruiter: Brittany Smithson || *****************
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
For information on Parkway Cardiology Associates: ************************
Auto-ApplyPatient Service Rep II
Patient access representative job at CovenantHealth
Patient Service Representative, Oak Ridge Surgeons
Full Time, 80 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.
Recruiter: Brittany Smithson || *****************
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
Auto-ApplyPatient Service Rep II
Patient access representative job at CovenantHealth
Patient Service Representative, Methodist Wound Care
PRN/OCC, Variable Hours & Shifts
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.
Recruiter: Brittany Smithson || *****************
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
Auto-ApplyPatient Service Rep II
Patient access representative job at CovenantHealth
Patient Service Representative, Cardiology Associates of East Tennessee
Full Time, 80 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.
Recruiter: Brittany Smithson || *****************
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
Auto-ApplyPatient Service Rep II
Patient access representative job at CovenantHealth
Patient Service Representative, Float Pool
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.
Greet patients, check in/out, verify demographics and insurance, process co-pays and patient payments. Schedule, reschedule, and confirm appointments using the practice management system. Answer multi-line phones; route messages; handle basic patient inquiries. Maintain and update EHR/PM records; scan and file documents; prepare charts. Support front-office workflows during increase patient loads. This position will cover six separate offices when the need for a PSR arises.
Recruiter: Brittany Smithson || *****************
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.
Exemplary customer service skills.
Licensure Requirement:
None
Auto-ApplyPatient Service Rep II
Patient access representative job at CovenantHealth
Patient Service Representative, Knoxville Neurology Specialists
Full Time, 72 Hours Per Pay Period, Day Shift
Monday - Thursday 7:45am - 4:45pm and Friday 7:45am - 12:15pm No weekends or major holidays Eligible for $0.50 complexity differential
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.
Recruiter: Brittany Smithson || *****************
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
Auto-ApplyMEDICAL STAFF COORDINATOR
Patient access representative job at CovenantHealth
Medical Staff Coordinator, Medical Staff Services Full Time, 80 Hours Per Pay Period, Day Shift Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area's largest employer.
Parkwest is Covenant Health's and West Knoxville's premier medical facility and a top-performing heart hospital, offering our patients world-class treatment with all the convenience and warmth of home.
In addition to providing the area's leading cardiac services, Parkwest has been nationally recognized for award-winning care throughout our facility. For 2020-21, Parkwest received recognition from U.S. News & World Report as one of the "Top 10" hospitals in Tennessee.
Knoxville located in East Tennessee is the third largest in the state, well-known for its proximity to the Great Smoky Mountains National Park, and is the home of the University of Tennessee. Go Vols! Living in Knoxville means experiencing all four seasons. Best of all, each of them is pretty mild!
Combine all that with the abundant natural beauty of the surrounding mountains, and you have a city that truly offers something for everyone. Knoxville has a vibrant arts culture, seasonal festivals, top-notch foodie and incredible outdoor recreation. It's a perfect blend of big-city amenities and Southern charm.
Position Summary:
Responsible for coordination, preparation and administrative support for Medical Staff functions; collaborates with Medical Staff Department Chairs, CAOs, and CNOs to ensure timely review of materials for credentialing and privileging of applicants, Medical Staff members, and AHPs; prepares for Medical Staff department and committee meetings, prepares agendas, packets, takes minutes, processes and distributes appropriate correspondence and coordinates continuing education. Performs recordkeeping activities for the Medical Staff. Assists in formulating the budget for the Medical Staff Office. The coordinator assists with development, planning, and implementation of the credentialing/privileging process. Assists in compliance with the applicable accrediting and regulatory agencies (ie - Joint Commission, CMS, NCQA, URAC, and Stark) in regards to credentialing while developing and maintaining a working knowledge of applicable statutes, laws, and regulations. Ensures that all expirables are reviewed, obtained and managed on a monthly basis according to rules and policies. Maintains the confidentiality of all business/work and Medical Staff information. Assists in managing the flow of information between the Medical Staff Office, applicable Medical Staff departments and committees, Medical Staff leadership, Administration and Governing Body. Assists in coordinating updates to Medical Staff Bylaws, Rules and Regulations, and Medical Staff policies.
Recruiter: Kathleen Rice || *****************
Responsibilities
* Maintains and updates credentialing data in the Cactus database and/or hard files as necessary; ensures continuous currency of licensure, certifications, and insurance; to otherwise monitor and maintain documentary evidence of Medical Staff credentials as required by regulatory agencies, bylaws, and hospital standards.
* Coordinates with the System Credentialing Office in processing pre-applications, initial applications, and reappointments.
* Serves as liaison between the hospital and physicians/physician practices.
* Provides necessary administrative support to the Medical Staff departments, committees and leadership; assists with development of new privileging criteria, delineations, and other documentation necessary to an effective credentialing process.
* Coordinates with the Quality/Clinical Effectiveness Department in monitoring, trending and reporting Medical Staff activities, including FPPE and OPPE processes, committee actions, performance improvement, and physician profiling.
* Assists with the development and revisions of Medical Staff Bylaws, Rules and Regulations, and Medical Staff Policies.
* Processes applications from approved universities and colleges requesting clinical rotations for MD/DO students, residents, and advanced practice professional students.
* Responsible for generating monthly reports of recommendations from the MEC to the Governing Body concerning credentialing, privileging, policies, students, and other items requiring approval by the Governing Body such as the annual Performance Excellence and Patient Safety Plan.
* Maintains current records of focused evaluations, including, but not limited to proctoring, chart reviews, and preceptor evaluations proctoring, where applicable, of physicians and APPs, as appropriate, and assures appropriate review by department chairs and the credentials committee.
* Coordinates call schedules for the Medical Staff departments in collaboration with Medical Staff department chairs.
* Prepares for, attends, and completes necessary follow up for Medical Staff department meetings, Credentials and Medical Executive Committee meetings, general staff and other Medical Staff meetings as requested, and maintain accurate minutes for all Medical Staff departments and committees.
* Maintains yearly and monthly calendars of meetings and events and notifies applicable departments and individuals when changes occur and sends reminder notices as necessary.
* Responsible for assisting with Medical Staff continuing education activities, as applicable.
* Responsible for accreditation/licensure compliance of The Joint Commission and CMS Medical Staff Standards and assists with ongoing survey readiness preparations for the Medical Staff and other associated requirements.
* Performs necessary Medical Staff recordkeeping and assists with the budgeting process for the Medical Staff Office.
* Prepares correspondence notifying applicants of final credentialing/privileging determination.
* Mentors and assists the Credentialing Specialists as necessary. to include processing of initial and reappointment applications and the ongoing and focused evaluation processes.
* 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.
* Perform other duties as assigned or requested.
Qualifications
Minimum Education:
Non 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 Bachelor's degree in a directly-related field from an accredited college or university.
Minimum Experience:
Five (5) years of experience in a healthcare environment with at least three (3) years of experience in a Medical Staff office with credentialing responsibilities; knowledgeable with Joint Commission and NCQA standards.
Licensure Requirement:
None.
Auto-ApplyMedical Staff Coordinator
Patient access representative job at CovenantHealth
Medical Staff Coordinator, Medical Staff Services
Full Time, 80 Hours Per Pay Period, Day Shift
Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area's largest employer.
Parkwest is Covenant Health's and West Knoxville's premier medical facility and a top-performing heart hospital, offering our patients world-class treatment with all the convenience and warmth of home.
In addition to providing the area's leading cardiac services, Parkwest has been nationally recognized for award-winning care throughout our facility. For 2020-21, Parkwest received recognition from U.S. News & World Report as one of the “Top 10” hospitals in Tennessee.
Knoxville located in East Tennessee is the third largest in the state, well-known for its proximity to the Great Smoky Mountains National Park, and is the home of the University of Tennessee.
Go Vols!
Living in Knoxville means experiencing all four seasons. Best of all, each of them is pretty mild!
Combine all that with the abundant natural beauty of the surrounding mountains, and you have a city that truly offers something for everyone. Knoxville has a vibrant arts culture, seasonal festivals, top-notch foodie and incredible outdoor recreation. It's a perfect blend of big-city amenities and Southern charm.
Position Summary:
Responsible for coordination, preparation and administrative support for Medical Staff functions; collaborates with Medical Staff Department Chairs, CAOs, and CNOs to ensure timely review of materials for credentialing and privileging of applicants, Medical Staff members, and AHPs; prepares for Medical Staff department and committee meetings, prepares agendas, packets, takes minutes, processes and distributes appropriate correspondence and coordinates continuing education. Performs recordkeeping activities for the Medical Staff. Assists in formulating the budget for the Medical Staff Office. The coordinator assists with development, planning, and implementation of the credentialing/privileging process. Assists in compliance with the applicable accrediting and regulatory agencies (ie - Joint Commission, CMS, NCQA, URAC, and Stark) in regards to credentialing while developing and maintaining a working knowledge of applicable statutes, laws, and regulations. Ensures that all expirables are reviewed, obtained and managed on a monthly basis according to rules and policies. Maintains the confidentiality of all business/work and Medical Staff information. Assists in managing the flow of information between the Medical Staff Office, applicable Medical Staff departments and committees, Medical Staff leadership, Administration and Governing Body. Assists in coordinating updates to Medical Staff Bylaws, Rules and Regulations, and Medical Staff policies.
Recruiter: Kathleen Rice || *****************
Responsibilities
Maintains and updates credentialing data in the Cactus database and/or hard files as necessary; ensures continuous currency of licensure, certifications, and insurance; to otherwise monitor and maintain documentary evidence of Medical Staff credentials as required by regulatory agencies, bylaws, and hospital standards.
Coordinates with the System Credentialing Office in processing pre-applications, initial applications, and reappointments.
Serves as liaison between the hospital and physicians/physician practices.
Provides necessary administrative support to the Medical Staff departments, committees and leadership; assists with development of new privileging criteria, delineations, and other documentation necessary to an effective credentialing process.
Coordinates with the Quality/Clinical Effectiveness Department in monitoring, trending and reporting Medical Staff activities, including FPPE and OPPE processes, committee actions, performance improvement, and physician profiling.
Assists with the development and revisions of Medical Staff Bylaws, Rules and Regulations, and Medical Staff Policies.
Processes applications from approved universities and colleges requesting clinical rotations for MD/DO students, residents, and advanced practice professional students.
Responsible for generating monthly reports of recommendations from the MEC to the Governing Body concerning credentialing, privileging, policies, students, and other items requiring approval by the Governing Body such as the annual Performance Excellence and Patient Safety Plan.
Maintains current records of focused evaluations, including, but not limited to proctoring, chart reviews, and preceptor evaluations proctoring, where applicable, of physicians and APPs, as appropriate, and assures appropriate review by department chairs and the credentials committee.
Coordinates call schedules for the Medical Staff departments in collaboration with Medical Staff department chairs.
Prepares for, attends, and completes necessary follow up for Medical Staff department meetings, Credentials and Medical Executive Committee meetings, general staff and other Medical Staff meetings as requested, and maintain accurate minutes for all Medical Staff departments and committees.
Maintains yearly and monthly calendars of meetings and events and notifies applicable departments and individuals when changes occur and sends reminder notices as necessary.
Responsible for assisting with Medical Staff continuing education activities, as applicable.
Responsible for accreditation/licensure compliance of The Joint Commission and CMS Medical Staff Standards and assists with ongoing survey readiness preparations for the Medical Staff and other associated requirements.
Performs necessary Medical Staff recordkeeping and assists with the budgeting process for the Medical Staff Office.
Prepares correspondence notifying applicants of final credentialing/privileging determination.
Mentors and assists the Credentialing Specialists as necessary. to include processing of initial and reappointment applications and the ongoing and focused evaluation processes.
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.
Perform other duties as assigned or requested.
Qualifications
Minimum Education:
Non 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 Bachelor's degree in a directly-related field from an accredited college or university.
Minimum Experience:
Five (5) years of experience in a healthcare environment with at least three (3) years of experience in a Medical Staff office with credentialing responsibilities; knowledgeable with Joint Commission and NCQA standards.
Licensure Requirement:
None.
Auto-ApplyCoord Front Office
Patient access representative job at CovenantHealth
Front office Coordinator, Breast Center
Full Time, 72 Hours Per Pay Period, Day Shift
Covenant Health is the region's top performing healthcare network. Each of our more than 10,000 employees, physicians, and volunteers are unified by one covenant: to put our patients first every day, to strive for excellence in everything we do, and to make Covenant Health the first and best choice in our region
Cumberland Medical Center is a 189-bed hospital in Crossville, Tennessee, with more than 650 employees and 175 active physicians. It offers a full range of specialty services, including cardiology, gastroenterology, surgery, orthopedics, maternity services, cancer care, and advanced wound care.
Emergency Department: 24 emergency beds
Critical Care Unit (ICU): 12 ICU beds
Labor & Delivery: 12 LDRP suites
Med/Surg: 37 beds
Surgery: 9 operating room surgery suites
Telemetry 37 beds
Fully accredited by the Joint Commission, Cumberland Medical Center is an acute care hospital offering all private patient rooms as well as specialized services not usually found in the rural medical system.
For seriously ill patients, advanced medical and surgical care is provided at CMC including telemetry monitored beds and an intensive care unit. Additionally, Cumberland Medical Center offers an outpatient imaging center, same day surgery unit, cardiac and pulmonary rehab programs, a sleep disorder center, breast center, cancer center, and hyperbaric medicine and wound center.
"Cumberland Medical Center offers a unique, family-oriented healthcare setting in a rural environment. We strive to deliver exceptional care to our patients, their loved ones, and each other. We look forward to welcoming team-focused people to grow their careers with us!"
-Chief Nursing Officer, Cumberland Medical Center
Position Summary:
A working supervisor who coordinates front office activities as it relates to patient care and satisfaction. Coordinates multiple physician schedules, staff schedules and training. Maintains extensive knowledge as it relates to insurance requirements. Directly responsible to management.
Recruiter: Erin Wood || *****************
Responsibilities
. Oversees the performance of the front staff and institutes measure to improve or remedy negative situations.
Provides front office training as it relates to policies and procedures as well as the computer and telephone systems.
Maintains multiple physician schedules within the computer system. Modifies as needed or requested by physician or manager.
Thorough knowledge and understanding concerning coverage requirements for multiple insurance plans and in some cases workers compensation arrangements for area industries.
May on occasion represent the office and meet with representatives from local industries to discuss their requirements for workers compensation cases.
Resolves practice scheduling protocol issues, interaction and integration of new and established patients.
Acts as the lead patient relations person. Resolves patient complaints, referring major ones to physicians.
Prepares request for purchases, repairs, supplies and equipment needs for office. Follows through on ordering.
Arranges and assigns work for short and long range staffing.
Participates regularly in monthly staff meetings and periodically in physician meetings.
Maintains daily operations of clinic under supervision of management.
Collaborate 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:
Five (5) years or more of medical office experience. Requires basic understanding of general office procedures and general accounting principles. Previous experience in medical office supervision. Requires effective human relations and communications skills.
Licensure Requirement:
None
Auto-Apply