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Patient Access Representative jobs at CovenantHealth

- 21 jobs
  • Patient Registration Spec

    Covenant Health 4.4company rating

    Patient access representative job at CovenantHealth

    Patient Registration Specialist, Admitting & Registration Full Time, 80 Hours Per Pay Period, Day Shift Morristown-Hamblen Healthcare System has 167 licensed beds and 23 emergency suites. The hospital offers outstanding ancillary services including Laboratory, Radiology and Therapy services. At our Breast Imaging Center of Excellence, women can have their annual mammograms, biopsies, and can meet with a nurse navigator if needed. The Women's Center offers six newly remodeled labor and delivery suites and has a secure nursery for the care of our newborns. It serves an eight-county region in the Lakeway Area and is equipped with modern technologies and expert staff to provide the best possible patient care. Learn more about our amazing facility at *********************************** 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: Alexa Robbins || ***************** 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 updates to existing police 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. 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. Enters verification and pre-certification notes. 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 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. 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. Will also index the document(s) using the optical scanning system, placing the document(s) in the correct electronic file folder. 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
    $25k-29k yearly est. Auto-Apply 16d ago
  • Patient Registration Spec

    Covenant Health 4.4company rating

    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.
    $25k-29k yearly est. Auto-Apply 26d ago
  • Patient Access Specialist

    Covenant Health 4.4company rating

    Patient access representative job at CovenantHealth

    Patient Access Specialist, Centralized Scheduling Full Time, 80 Hours Per Pay Period, Day Shift 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
    $25k-29k yearly est. Auto-Apply 11d ago
  • Patient Registration Spec

    Covenant Health 4.4company rating

    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
    $25k-29k yearly est. Auto-Apply 60d+ ago
  • Patient Registration Spec

    Covenant Health 4.4company rating

    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
    $25k-29k yearly est. Auto-Apply 60d+ ago
  • PATIENT REGISTRATION SPEC

    Covenant Health 4.4company rating

    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.
    $25k-29k yearly est. Auto-Apply 27d ago
  • Patient Service Rep II

    Covenant Health 4.4company rating

    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
    $29k-33k yearly est. Auto-Apply 52d ago
  • Patient Service Rep II

    Covenant Health 4.4company rating

    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
    $29k-33k yearly est. Auto-Apply 60d ago
  • Patient Service Rep II

    Covenant Health 4.4company rating

    Patient access representative job at CovenantHealth

    Patient Service Representative, Float Pool, Roane/Cumberland County Area 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: Provide administrative coverage for the patient service functions related to the check-out operations of the physician practice. Collect and process encounter form data. Collect and total outstanding balances and payments for services rendered. Balance 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. Additional certifications in medical office administration or patient services are a plus. 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. Proven experience in patient service functions within a medical office setting, preferably in family practice or primary care preferred. Strong organizational, communication, and interpersonal skills. Proficiency in medical billing and administrative tasks preferred. Licensure Requirement: None
    $29k-33k yearly est. Auto-Apply 4d ago
  • Patient Service Rep II

    Covenant Health 4.4company rating

    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
    $29k-33k yearly est. Auto-Apply 52d ago
  • Patient Service Rep II

    Covenant Health 4.4company rating

    Patient access representative job at CovenantHealth

    Patient Service Representative, Float Pool Full Time, 80 Hours Per Pay Period, Day Shift Must be willing to travel between CMG clinics 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: Provide administrative coverage for the patient service functions related to the check-out operations of the physician practice. Collect and process encounter form data. Collect and total outstanding balances and payments for services rendered. Balance 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. Additional certifications in medical office administration or patient services are a plus. 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. 3 years medical office experience preferred. Medical terminology and working with medical insurance a plus. Licensure Requirement: None
    $29k-33k yearly est. Auto-Apply 60d+ ago
  • PATIENT SERVICE REP II

    Covenant Health 4.4company rating

    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
    $29k-33k yearly est. Auto-Apply 39d ago
  • PATIENT SERVICE REP II

    Covenant Health 4.4company rating

    Patient access representative job at CovenantHealth

    Patient Service Representative, Knoxville Gastrointestinal Specialists 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
    $29k-33k yearly est. Auto-Apply 60d+ ago
  • Medical Staff Coordinator

    Covenant Health 4.4company rating

    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.
    $40k-57k yearly est. Auto-Apply 38d ago
  • MEDICAL STAFF COORDINATOR

    Covenant Health 4.4company rating

    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.
    $40k-57k yearly est. Auto-Apply 39d ago
  • Patient Service Rep II

    Covenant Health 4.4company rating

    Patient access representative job at CovenantHealth

    Patient Service Representative, Pellissippi Primary Care 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
    $29k-33k yearly est. Auto-Apply 18d ago
  • Surgery Scheduler

    Covenant Health 4.4company rating

    Patient access representative job at CovenantHealth

    Surgery Scheduler 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: Directs the daily operation of scheduling inpatient and outpatient surgical procedures for Covenant Health. Recruiter: Kathleen Rice || ***************** Responsibilities Operates surgical scheduling system. Works with physician offices to schedule surgical procedures, including scheduling rooms, equipment, and other items as needed. Communicates with applicable hospital departments regarding scheduling issues and related activities. 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: None Licensure Requirement: None
    $24k-29k yearly est. Auto-Apply 36d ago
  • SURGERY SCHEDULER

    Covenant Health 4.4company rating

    Patient access representative job at CovenantHealth

    Surgery Scheduler 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: Directs the daily operation of scheduling inpatient and outpatient surgical procedures for Covenant Health. Recruiter: Kathleen Rice || ***************** Responsibilities * Operates surgical scheduling system. * Works with physician offices to schedule surgical procedures, including scheduling rooms, equipment, and other items as needed. * Communicates with applicable hospital departments regarding scheduling issues and related activities. * 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: None Licensure Requirement: None
    $24k-29k yearly est. Auto-Apply 37d ago
  • Medical Biller I, CMG Business Office

    Covenant Health 4.4company rating

    Patient access representative job at CovenantHealth

    Medical Biller, CMG Business Office 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: This position participates in various functions including the review, correction, submission/resubmission, and/or appeal of rejected, denied, unpaid, or improperly paid insurance claims. This position is responsible for billing and follow-up functions for payors in all financial class categories. This positions also provides patient customer service and releases billing records to approved entities. This position responsible for the timely and accurate completion of assigned tasks to facilitate proper claim processing. Recruiter:Suzie McGuinn || ***************** Responsibilities * Provides clerical and administrative support for the billing team. * Responsible for daily submission of primary, secondary, and tertiary claim billing via the clearinghouse, payor portals, and paper mailing. Reviews deficient claims (i.e. claim rejections) that are unable to be processed by the payor, makes corrections, and processes rebills as appropriate. * Responsible for identifying financial and medical records necessary to support claim filing for all payor types for primary, secondary, and tertiary claims. Obtains and releases relevant documents as appropriate to facilitate timely and accurate claim processing. * Demonstrates problem-solving and critical thinking skills in analyzing rejections and/or denials to determine root-cause and best course of action to resolve account issues. * Demonstrates knowledge and comprehension of State and Federal regulations, Medicare, TennCare, and other Third-Party Payor requirements, assuring departmental compliance. * Possesses a basic understanding of billing regulations, claim submission guidelines, payor policies, Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC), and payor-specific rejection and denial language; demonstrates the ability to interpret these relevant to determining proper steps needed to resolve accounts. * Demonstrates the ability to extract pertinent information from payor correspondence and documents this in the practice management system. * Demonstrates the ability to use registration system and payor websites to verify patient plan eligibility, coordination of benefits, and plan participation with CMG to ensure timely and accurate processing of accounts. * Retrospectively reviews registration information obtained by CMG clinics impacting claim rejections and/or denials. In cases of incomplete or incorrect registration information, consults payor websites to obtain correct information. When necessary, contacts payors and/or patients via phone or mail to clarify deficient registration information. * Consults and works collaboratively with leadership, coworkers, other departments, and other facility personnel to ensure accurate exchange of information and appropriate actions to resolve patient account/claims issues. * Communicates effectively and professionally with patients/public, coworkers, physicians, facilities, agencies and/or their offices, and other facility personnel using verbal, nonverbal and written communication skills. * Provides accurate explanation to patients with questions related to claims processing, plan benefits, and account balances via verbal and written communication. Act as a liaison between the patient, charge entry staff, and office staff in cases of patient dispute of charges billed. Demonstrates good judgment when handling financial discussions with patients, always maintaining a professional and confidential environment. * Accurately processes practice management system transactions related to resolution of open accounts including but not limited to adjustments, transfer of payments, and refunds. * Properly calculates and applies patient balance adjustments such as Self Pay Discounts and Good Faith Estimate Adjustments in accordance with departmental and organizational policies. * Possess a basic understanding of the payment posting process and its impact relevant to claims follow up and account resolution. Able to interpret insurance explanation of benefits and its application when reviewing patient accounts. * Recognizes situations which necessitate guidance and seeks from appropriate resources. * Demonstrates promptness in reporting for and completing work, displaying the ability to manage time wisely to ensure timely and accurate completion of assignments. * Adheres to established departmental policies and procedures. * Follows policies, procedures, and safety standards. Completes required education assignments annually. Attends required meetings. Works toward achieving department goals and objectives. Participates in quality improvement initiatives as requested. * Must achieve or exceed minimum expected work quality and quantity metrics as defined by department leadership. Skill set and competency to perform job requirements will be evaluated during initial 90-day training period. * Performs all other duties as assigned or requested by leadership Qualifications Minimum Education: 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. Minimum Experience: One (1) to two (2) years of experience in healthcare revenue cycle required (i.e., medical billing, insurance/percert verification, registration, Health Information Management (HIM), coding, claims management/insurance follow-up or appeals, etc.). Will consider combination of formal education and experience. Professional certification may be considered as a substitute for no more than one year of experience. Familiar with medical terminology, insurance payer rules and state/federal regulations. Experience in problem solving, critical thinking and work independently is required. Must be knowledgeable in use of PC, Windows, Excel, and Word. Expected to perform adequately and independently within three (3) to six (6) months on the job. Licensure Requirement: None Physical Requirements: Type D Job Relationship: Interactions with patients and/or the public, insurance companies, physician office staff, operational staff, physicians, IT personnel and employees from other departments. Equipment, Work Aids and Records: Equipment utilization consists of telephone, PC, copier, printer, and fax. Records maintenance consists of scanned documents, medical records, correspondence with patients and payers, confirmation and contents of payer dispute submissions, and AR/credit reports. Interpersonal Skills, Personal Traits, Abilities, and Interests: Extensive contact with patients/customers requiring assistance with account resolution. Discretion is required in non-routine situations. Ability to work within a group setting and be a team player in a mature and positive manner.
    $24k-30k yearly est. Auto-Apply 60d+ ago
  • Clin Referral Specialist

    Covenant Health 4.4company rating

    Patient access representative job at CovenantHealth

    Clinical Referral Specialist, Centralized Referrals 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: The Referral and Precertification Specialists manages scheduling for specialty facilities and procedures, creates and registers new patient charts, verifies addresses, and submits insurance eligibility. They prioritize orders, obtain pre-certifications and follow up on referrals and authorizations to ensure timely patient care. The specialist collaborates with patients, providers, and nursing staff to ensure a team-based approach to patient care. Recruiter: Brittany Smithson || ***************** Responsibilities Schedules inpatient/outpatient tests, procedures and appointments as ordered by provider. Documents each scheduled event, all communications in detail in the medical records, Referral Management, Message Center, and the various pools. Coordinates date, time, and location of procedure/appointment with the patient, facility and provider. Communicates appointments as well as special instructions regarding scheduled procedure/appointment with the patient through various solutions (phone, patient portal and MedChat). Accurately assembles appropriate medical records to be faxed to external specialists or attached via referral order in the referral management system. Accurately completes all forms and pre-certifications required for referrals and diagnostics. Knowledge of requirements and guidelines as mandated by insurance plans, hospitals, and outpatient facilities. Professionally consult with providers and nursing staff regarding referrals, authorizations, and patient care plans. Communicate other options given by insurance carriers regarding prior authorizations Follows all departmental training manuals and workflow documents Keep logs of specialists, facilities, hospitals, and diagnostic centers current, including service locations, first available scheduling, accepted insurance payors, and contact information. 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) to two (2) years' experience in Referrals and Diagnostics with pre-certification experience. Medical terminology knowledge a must. At least 1 year of medical office experience and have knowledge of medical terminology is strongly preferred. Experience in referral and precertification strongly strongly preferred. Licensure Requirement: None
    $27k-32k yearly est. Auto-Apply 60d+ ago

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