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Representative jobs at CovenantHealth

- 21 jobs
  • Patient Service Rep II

    Covenant Health 4.4company rating

    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 53d ago
  • Patient Service Rep II

    Covenant Health 4.4company rating

    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

    Representative job at CovenantHealth

    Patient Service Representative, Cardiology Associates of East Tennessee Full Time, 80 Hours Per Pay Period, Day Shift Covenant Medical Group is Covenant Health's employed and managed medical practice organization, with more than 300 top Physicians and providers spanning the continuum of care in 20 cities throughout East Tennessee. Specialties include cardiology, cardiothoracic surgery, cardiovascular surgery, endocrinology, gastroenterology, general surgery, infectious disease, neurology, neurosurgery, obstetrics and gynecology, occupational medicine, orthopedic surgery, physical medicine and rehabilitation, primary care, pulmonology, reproductive medicine, rheumatology, sleep medicine and urology. Position Summary: Provides administrative coverage for the patient service functions related to the check-out operations of the physician practice. Collects and processes encounter form data. Collects and totals outstanding balances and payments for services rendered. Balances work and computer at end of day. Recruiter: Brittany Smithson || ***************** Responsibilities * Maintains established departmental policies and procedures, objectives, quality assurance program, and safety standards. * May answer telephone calls and route accordingly. * Receives and records changes in patient information. * Demonstrates familiarity with insurance procedures; demonstrates knowledge of which plan the provider(s) participate. * Ensures procedures and corresponding diagnosis are properly recorded on the fee slip for charge entry. * Responsible for scheduling appointments for return visits and end of day procedures and balancing. * Compiles data for the billing personnel. * Attends meetings as required and participates on committees as directed. * Collaborates with the patient, physician, and other care team members as part of a team based approach to overall patient care. * Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested. * Performs other duties as assigned. Qualifications Minimum Education: None specified; will accept any combination of formal education and/or prior work experience sufficient to demonstrate possession of the knowledge, skill, and ability needed to perform the essential tasks of the job, typically such as would be equivalent to a high school diploma or GED. Preference may be given to individuals possessing a HS diploma or GED. Minimum Experience: One (1) year experience in medical office setting with working knowledge of clinic appointment scheduling, collection, and experience in ICD-9/10 and CPT-4 coding (charge entry) required OR minimum three (3) years of total customer facing/customer service experience required. Licensure Requirement: None
    $29k-33k yearly est. Auto-Apply 60d+ ago
  • Patient Service Rep II

    Covenant Health 4.4company rating

    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 53d ago
  • Patient Service Rep II

    Covenant Health 4.4company rating

    Representative job at CovenantHealth

    Patient Service Representative, East Tennessee Cardiovascular Surgery Group 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. PositionSummary: 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. Develops the A-I-D-E-T fundamentals of communication. Attends meetings as required and participates on committees as directed. Collaborates with the patient, physician, and other care team members as part of a team based approach to overall patient care. Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested. Performs other duties as assigned. Qualifications Minimum Education: None specified; will accept any combination of formal education and/or prior work experience sufficient to demonstrate possession of the knowledge, skill, and ability needed to perform the essential tasks of the job, typically such as would be equivalent to a high school diploma or GED. Preference may be given to individuals possessing a HS diploma or GED. Minimum Experience: One (1) year experience in medical office setting with working knowledge of clinic appointment scheduling, collection, and experience in ICD-9/10 and CPT-4 coding (charge entry) required OR minimum three (3) years of total customer facing/customer service experience required. Licensure Requirement: None For information on East Tennessee Cardiovascular Surgery Group: ***********************
    $29k-33k yearly est. Auto-Apply 60d+ ago
  • Patient Service Rep II

    Covenant Health 4.4company rating

    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 5d ago
  • PATIENT SERVICE REP II

    Covenant Health 4.4company rating

    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 40d ago
  • PATIENT SERVICE REP II

    Covenant Health 4.4company rating

    Representative job at CovenantHealth

    Patient Service Representative, Float Pool PRN/OCC, Variable Hours, 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. This position requires answering high volumes of incoming calls, checking in patients, performing data entry, verifying insurance coverage, collaborating with medical assistants, and providing compassionate service to patients. 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 60d+ ago
  • Patient Registration Spec

    Covenant Health 4.4company rating

    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 17d ago
  • Patient Registration Spec

    Covenant Health 4.4company rating

    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 Registration Spec

    Covenant Health 4.4company rating

    Representative job at CovenantHealth

    Patient Registration Specialist, Admitting & Registration Part Time, 48 hours per pay period, Day shift Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area's largest employer. Parkwest is Covenant Health's and West Knoxville's premier medical facility and a top-performing heart hospital, offering our patients world-class treatment with all the convenience and warmth of home. In addition to providing the area's leading cardiac services, Parkwest has been nationally recognized for award-winning care throughout our facility. For 2020-21, Parkwest received recognition from U.S. News & World Report as one of the “Top 10” hospitals in Tennessee. Knoxville located in East Tennessee is the third largest in the state, well-known for its proximity to the Great Smoky Mountains National Park, and is the home of the University of Tennessee. Go Vols! Living in Knoxville means experiencing all four seasons. Best of all, each of them is pretty mild! Combine all that with the abundant natural beauty of the surrounding mountains, and you have a city that truly offers something for everyone. Knoxville has a vibrant arts culture, seasonal festivals, top-notch foodie and incredible outdoor recreation. It's a perfect blend of big-city amenities and Southern charm Admitting & Registration : Our friendly and courteous registration staff is here to serve the patients' registration needs whether the patient is here for a simple lab test, diagnostic testing, surgery, or inpatient services. Registration Specialists are most often the patients' first contact. They are responsible for obtaining patient demographics, validate the patients' identification, and verify insurance benefits. Our staff collects financial information so we may accurately bill the patient or their insurance for services rendered. The Registration Department has three areas which are Emergency Department Registration, Outpatient Registration and Pre-registration/Insurance Verification. Outpatient Registration is located in the Main Lobby of the hospital. Hours of operation are: Monday - Friday: 5 a.m. -7:30 p.m. and Saturday: 6:30 a.m. - 3 p.m. The staff in Outpatient Registration work 8 hour shifts. For the patients' convenience, there is also a Financial Counselor located in Outpatient Registration for patients to come in to discuss their account and make payments. Office hours are 8 a.m. - 4:30 p.m. ED Registration is open 24 hours per day, 7 days a week. The staff in the ED Registration work 10 hour shifts. They also rotate weekends. The Pre-Registration/Insurance Verification office is located on the main level of the hospital behind Outpatient Registration. Hours of operation are: 6:30 a.m. - 5:30 p.m. Our staff receive on-going training for the 11 different systems that are currently being used. We are always looking for improvement from our patients and employee feedback. Our vision is to strive for excellence in quality, efficiency, and provide the highest customer service for all patients. Position Summary: Coordinates the centralized scheduling of all outpatient diagnostic and surgical procedures. Accurate collection and data entry of the required financial and demographic information for all patients registered to our facility. Ensures verification of benefits and pre-certification requirements are met prior to scheduled appointment/admission. Follows up as necessary on all urgent or unscheduled registrations for consistency in the process. Establishes controls so unscheduled patients understand and receive accurate information on their patient liability. Recruiter: Kathleen Rice || ***************** Responsibilities Collects co-payments/deposits based on verification information obtained, generates receipts to the payer, and delivers all cash transactions to the cashier for proper posting to the patient account. Maintains strict confidentially of patient information. Recommends to the Coordinator updates to existing policies and procedures that support our values and are intended to increase efficiency and promote data integrity. Notifies the Financial Counselor immediately upon scheduling or registering any potential self pay, worker's compensation patient, or any non-covered procedures. Makes patient type changes based on information given from Medical Records Staff and/or Care Coordinators, ensuring documentation is present in the medical record to support the change. Ensures all reservations are properly documented to support departmental statistics. Enters faxed reservations into the HBOC scheduling system. Schedules operative and diagnostic procedures utilizing the HBOC scheduling system. Documents each scheduled procedure/event with detailed information. Notifies departments of any special resources required for procedure/event. Verifies insurance benefits and obtains pre-certification from various third-party payers. Has extensive knowledge of insurance plan requirements. Provides necessary documentation to DHS and Med Assist staff for patients potentially in need of financial assistance or TennCare enrollment. Efficiently gathers all demographic, medical, and financial information for scheduling, registration, and verification of patient accounts utilizing the HBOC computer system to record data. Enters verification and pre-certification notes into SMS financial system as cross-reference. Participates with clinical and care management areas to address opportunities to improve overall collections and cash flow. Analyzes claims denial data for opportunities to achieve improved collections, enhance relations with insurance companies and physician practices, and improve workflow process. Reports pertinent procedural changes/updates to appropriate leadership. Professionally deals with patients, physicians, visitors, and other hospital staff members. Demonstrates ability to keep abreast of regulatory and insurance requirements ensuring that changes are incorporated in daily job functions. Assures the registration process is handled in a professional manner, maintaining registration accuracy rate of 95 to 100 percent. Explains a variety of necessary information to the patient/family member, such as: consent for treatment, advance directives, medical/financial release, deposit requirements, billing and payment polices, and advanced beneficiary notices. Recognizes situations that necessitate supervision, seeking appropriate resources. Directs, escorts, and/or provides wheelchair assistance to the patient upon completion of the registration process to the appropriate nursing unit or diagnostic testing area. Performs pre-registration process by utilization of phone and mail techniques, advising the patient during the conversation of any co-pay or deductible amounts due upon admission. Maintains an accurate bed board, utilizing the computerized bed tracking system, so wait times for admitted patients are kept to a minimum. Coordinates with Nursing Services the flow of inpatient and observation patient admissions. Displays competence in use of all Information Computer Systems that supply information regarding patient registration and scheduling (DeRoyal, HBOC, Account Link and Medifax). Updates schedules daily of unexpected procedures, cancellations, or changes and communicates with all individuals affected by revisions. Shows initiative to cross-train in all duties related to; scheduling, registration, verification, and pre-certification. Prepares the patient account folder by scanning all vital registration/scheduling/verification documents into the optical imaging system. Examples of documents: insurance cards, financial agreements, ER charge sheets, verification sheets, pre-certification letters and physician orders. Will also index the document(s) using the optical scanning system, placing the document(s) in the correct electronic file folder. Demonstrates the ability to handle varying tasks and setting priorities. Activates manual systems for computer network downtime, printing schedules in advance when necessary. Notifies leadership of unscheduled downtime occurrences. Coordinates scheduling of classrooms for meetings, conferences, etc., ensuring confirmation is provided for the correct date and time. Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested. Performs other duties as assigned. Qualifications Minimum Education: Non specified; will accept any combination of formal education and/or prior work experience sufficient to demonstrate possession of the knowledge, skill, and ability needed to perform the essential tasks of the job, typically such as would be equivalent to a high school diploma or GED. Preference may be given to individuals possessing a Bachelor's degree in a directly-related field from an accredited college or university. Minimum Experience: One (1) year experience in a hospital or financial setting OR minimum three (3) years of total customer facing/customer service experience required. Licensure Requirement: None
    $25k-29k yearly est. Auto-Apply 53d ago
  • Patient Registration Spec

    Covenant Health 4.4company rating

    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 Access Specialist

    Covenant Health 4.4company rating

    Representative job at CovenantHealth

    Patient Access Specialist, Centralized Scheduling Full Time, 80 Hours Per Pay Period, Variable Shifts Covenant Health is the region's top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant Medical Group, our area's fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area's largest employer. Our more than 11,000 employees, volunteers, and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million patients and families we serve every year. Covenant Health is the only healthcare system in East Tennessee to be named a Forbes “Best Employer” seven times. Position Summary: The Patient Access Specialist coordinates the verification, scheduling, and pre-registration of all outpatient diagnostic procedures, as defined under the Centralized Scheduling Department's purview. Responsibilities include the accurate collection and entry of required financial and demographic patient information, scheduling queue management, verification of benefits, scheduling, and payment collection. Recruiter: Suzie McGuinn || ***************** Responsibilities Collects patient payment of financial responsibility over the phone, provides receipt of payment to patient, and documents payment as outlined in the department's workflow Recommends to the Supervisor modifications to existing policies and procedures that support Covenant Health's values and are intended to increase efficiency and promote data integrity Notifies the Supervisor/Financial Counselor of any potential self-pay patient, worker's compensation patient, or non-covered procedures Schedules diagnostic procedures utilizing the eCare (Cerner) scheduling system Verifies all orders are completed and signed Verifies insurance benefits and verifies pre-certification from third-party payers Has extensive knowledge of insurance plan and pre-certification requirements Accurately documents relevant demographic, clinical, and financial information required for scheduling, pre-registration, and insurance verification using eCare (Cerner), TransUnion, and STAR Attempts to collect payment of financial responsibility for all patients to improve overall collections and cash flow Reports pertinent procedural changes/updates to appropriate leadership Professionally interacts with patients, providers, office staff, and hospital department staff members Demonstrates ability to keep up with regulatory and insurance requirements, ensuring that changes are incorporated into daily job functions Ensures the scheduling process is handled in a professional and courteous manner Schedules on average 25 appointments per day Clearly communicates all necessary information to patients, e.g. clinical preps as outlined in the eCare scheduling guidelines, ABNs, financial responsibility, etc. Recognizes situations that necessitate managerial intervention and seeks out appropriate resources Promotes good public relations for the department and the organization Attends monthly staff meetings and participates in discussions regarding work performance and departmental/hospital updates Displays competence in the use of all IT Systems related to insurance verification, scheduling, patient registration, and scheduling Monitors appointment schedules daily for cancellations, reschedules, stats, or other changes; communicates with all departments impacted Shows initiative to cross-train in all duties related to departmental functions Activates manual systems for computer network downtime, printing schedules in advance when necessary Notifies leadership of unscheduled downtime occurrences Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested. Qualifications Minimum Education: None specified; will accept any combination of formal education and/or prior work experience sufficient to demonstrate possession of the knowledge, skill and ability needed to perform the essential tasks of the job, typically such as would be equivalent to a high school diploma or GED. Preference may be given to individuals possessing a Bachelor's degree in a directly-related field from an accredited college or university. Minimum Experience: Experience in hospital setting or financial area required. Licensure Requirement: None
    $25k-29k yearly est. Auto-Apply 60d+ ago
  • Patient Service Rep II

    Covenant Health 4.4company rating

    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
  • EVG Patient Account Rep - Medical Biller

    Covenant Health 4.4company rating

    Representative job at CovenantHealth

    Medical Biller 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 Overview: Demonstrates expanded knowledge of the billing requirements for UB and 1500 claims for acute care facilities and professional services. This position is responsible coordinating daily workflow for accurate submission of insurance claims to payers to ensure timely reimbursement for services provided. Provides support and assistance for the Medical Biller I for solving complex medical claim issues. This position demonstrates the ability to accurately submit claims in all payer categories, i.e., Medicare, TennCare, Blue Cross, Commercial, and Managed Care. This position assists the Billing Coordinator, Billing Supervisors and Manager. Coordinates and prioritizes daily responsibilities including evaluating complex errors on medical claims with the understanding of the billing process and reimbursement in a timely manner. Responsible for ensuring the accuracy of the of UB and 1500 medical claim information including evaluating, recognizing, and resolving issues related to the complex medical claims. Responsible for resolving complex patient and insurance information pre-bill as identified on daily failed bill reports from the patient accounting system to ensure that the claim can be processed in an accurate and timely manner. Analyzes claim edits within billing system and payer sites with a variety of different issues, such as improper match of diagnosis, revenue codes, modifiers, charging units, physician's NPI, and HCPCS/CPT codes, to facilitate claims processing in a timely manner. Identifies trends and investigates root cause of errors. When indicated, provides supporting medical records documentation for rejected, denied, and suspended or pended medical claims. Demonstrates enhanced knowledge and comprehension of State and Federal regulations, Medicare, TennCare, and other Third-Party Payer requirements to meet regulatory compliance and standards that ensure appropriate reimbursement is received. Demonstrates an enhanced understanding of payer's electronic transaction advice (ERA) and the claim rejection and denial codes (835) to determine and take appropriate actions for resolution and for secondary billing processes. Recruiter:Suzie McGuinn || ***************** Responsibilities Assists Billing Supervisor to recognize and identify issues pertaining to the working of accounts. Demonstrates the ability to handle varying tasks as well as understanding and interpreting procedures relative to the revenue process. Demonstrates knowledge of State and Federal regulations, HIPAA guidelines, HCFA guidelines, TennCare guidelines and other Third Party Payer requirements assuring departmental compliance. Recognizes situations, which necessitate supervision and guidance, seeks appropriate resources. Demonstrates an ability to understand the payer requirements of insurance carriers. Demonstrates an understanding of all patient information from the facilities and the specifics of each follow-up to ensure appropriate reimbursement is received. Professionally deals with patients/public, co-workers, physicians, facilities, agencies and/or their offices, and other facility personnel using verbal, nonverbal and written communication skills. Performs specific functions relating to billing of patient accounts. Consults and works collaboratively with Supervisors, Co-Workers, Department management, and other facility personnel, effectively performing tasks of position. Attends meetings as required and participates on committees as directed. Perform other duties as assigned or requested. Promotes good public relations for the department ad the facilities, adhering to desired behaviors. Participates freely in intradepartmental quality improvement activities whenever called upon to do so. Demonstrates promptness in reporting for and completing work, ensuring follow-through on assigned tasks. Demonstrates initiative in increasing skills and attends training programs as available. Utilizes resources available appropriately, i.e. use of equipment and supplies. Supports, models and adheres to the desired behaviors of the KBOS Constitution for using the community's resources wisely which are; be aware of cost and quality when making spending decisions, demonstrate a personal commitment to reduce waste, consider the impact on other departments and facilities within Covenant health when making decisions or taking action and ensure that meetings lead to solutions. Qualifications Minimum Education: Minimum Experience: Licensure Requirements: 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. One to Two (1-2) years' experience in health care is preferred. Computer experience is required. Knowledge of medical terminology, claims submission, customer service is preferred. Expected to perform adequately within the position after working at least three (3) to six (6) months on the job. Must be familiar with insurance plans and requirements and collection practices e.g. Fair Debt Credit and Collection Act. None.
    $28k-35k yearly est. Auto-Apply 60d+ ago
  • PT Account Rep I-Clinic

    Covenant Health 4.4company rating

    Representative job at CovenantHealth

    Patient Account Representative, Administration Full Time, 80 Hours Per Pay Period, Day Shift At Fort Sanders Perinatal Center, we're here for women with pregnancies that require extra care, and we're ready to help you make the best healthcare decisions from conception through delivery. For more than 25 years, we've provided comprehensive high-risk pregnancy services and delivered over 26,000 high-risk babies at Fort Sanders Regional Medical Center. We offer a range of care services for higher-risk pregnancies, including mothers over age 35, multiples, complications, birth defects, issues such as diabetes or hypertension, or pregnancies after infertility. Our main office is located at Fort Sanders Regional Medical Center. We also have offices in West Knoxville, Morristown, and Sevierville to ensure you get the right care in the right place. We are proud to be a member of Covenant Health. Position Summary: This position will be responsible for all aspects of the insurance and billing process. Recruiter: Jennifer Gordon || ***************** Responsibilities Reviews medical records to ensure that ICD-9 and CPT codes are used in accordance with coding and reimbursement guidelines. Ensures that charges for all services are captured. Posts office and hospital charges. Files claims to insurance companies. Sends statements to patients. Posts personal, insurance and collection agency payments. Follows-up with insurance companies regarding unpaid claims. Reviews credit balance accounts and generates refunds when appropriate. Reviews delinquent accounts and conducts collection activities including letters, phone calls and turn-over to collection agencies when appropriate. Conducts in-office collection activities including reviewing accounts prior to office visits, establishing delivery contracts with patients, explaining accounts to patients and setting up payment plans. Responds to patients' phone calls regarding billing questions. Completes insurance company credentialing paperwork for provider participation. Serves as a back-up for all clerical positions. Perform other duties as assigned to the satisfaction of the department manager. 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: Experience in medical billing or financial area required. Strong knowledge of medical terminology preferred. Must be familiar with insurance plans and requirements and collection practices. Licensure Requirement: None
    $28k-35k yearly est. Auto-Apply 27d ago
  • Patient Account Rep I

    Covenant Health 4.4company rating

    Representative job at CovenantHealth

    Patient Account Representative, Business Office PRN/OCC, Variable Hours, Day Shift Claiborne Medical Center, a member of Knoxville-based Covenant Health, offers a full range of medical services including emergency care, general and orthopedic surgery, rehabilitation, and diagnostic services. Our radiology services are certified by the American College of Radiology in Computerized Tomography (CT), Mammography, Magnetic Resonance Imaging (MRI), Nuclear Medicine, and Ultrasound. Claiborne also provides skilled and long-term care through Claiborne Health and Rehabilitation Center. Our team of physicians and staff is dedicated to putting our patients first, every day. For more information, visit ClaiborneMedicalCenter.com. Position Summary: Coordinates all aspects of the patient's account management after the initial billing process is complete. ***************** Responsibilities Interprets and explains to patients and their families charges, services, insurance coverage, and hospital policy regarding payment of their bills. Counsels patient or family regarding hospital financial policies including payment arrangements, charity guidelines, and payroll deductions. Coordinates all financial aspects from patient responsibility on accounts, including admissions, financial counseling, billing and collection of the account. Maintains fees, department records and manuals as required. Responsible for billing contract company accounts and the hospital for inpatient charges. Researches and applies necessary adjustment on bankruptcy accounts, interfacing with vendor companies as needed. Researches and files necessary paperwork on probate notices on patient accounts, flows through with attorneys and estate reps for resolution of balances due and processes releases as applicable. 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: Prior clerical experience in the healthcare or insurance field; knowledge of medical/insurance terminology and billing procedures Licensure Requirements: None
    $28k-35k yearly est. Auto-Apply 38d ago
  • Patient Account Rep II Corporate

    Covenant Health 4.4company rating

    Representative job at CovenantHealth

    Patient Account Representative, Business Office Full Time, 80 Hours Per Pay Period, Day Shifts Covenant Health is the region's top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant Medical Group, our area's fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area's largest employer. Our more than 11,000 employees, volunteers, and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million patients and families we serve every year. Covenant Health is the only healthcare system in East Tennessee to be named a Forbes “Best Employer” seven times. Position Summary: This position has the responsibility of working patient accounts as defined by the department established policies and procedures under the Manager and Supervisor within the department. Specifics and volume of work is defined by the functional area within the Business Office that the employee is assigned. All work shall be completed in a timely and accurate manner. The Patient Account Representative (PAR) Level II position serves as a resource to PAR Level I staff by providing training and assistance in solving complex issues. A Level II has the ability to handle and resolve complex issues with little or no supervision resulting in the correct outcome. Recruiter: Suzie McGuinn - ***************** Responsibilities Assists Collection Supervisor to recognize and identify issues pertaining to the working of accounts. Demonstrates the ability to handle varying tasks as well as understanding and interpreting procedures relative to the revenue process. Demonstrates knowledge of State and Federal regulations, HIPAA guidelines, HCFA guidelines, TennCare guidelines and other Third Party Payer requirements assuring departmental compliance. Recognizes situations, which necessitate supervision and guidance, seeks appropriate resources. Adheres to established departmental policies and procedures, objectives, process improvement initiatives, safety, environmental and infection control standards. Does not promote or participate in solicitation during working hours within the department. Proactive in performing additional tasks necessary to meet department responsibilities and needs. Proficient and knowledgeable in all aspects of job duties in their relative area. No current disciplinary action as a PAR Level I. Supports, models and adheres to the desired behaviors of the KBOS constitution and Covenant Health for integrity which are; hold others accountable for living the values and behaviors, protect confidential information, deal with difficult issues honestly, directly, respectfully and tell the truth. Maintains established departmental policies and procedures, objectives, quality assurance program and safety standards. Demonstrates an ability to understand the payer requirements of insurance carriers. Demonstrates an understanding of all patient information from the facilities and the specifics of each follow-up to ensure appropriate reimbursement is received. Professionally deals with patients/public, co-workers, physicians, facilities, agencies and/or their offices, and other facility personnel using verbal, nonverbal and written communication skills. Performs specific functions relating to collection of patient accounts. Work load is consistently completed and accurate. Departmental Quality Audit results of 95% accuracy or higher. Performs other duties as assigned to the satisfaction of the department Supervisor and Manager. Supports, models and adheres to the desired behaviors of the KBOS Constitution for quality which are; celebrate and reward successes, seek out better ways to do our job, set improvement goals and standards striving to meet or exceed them, participate in forming and being part of work teams when necessary and do not say “it's not my job”. Communicate effectively with patients/public, co-workers, physicians, facilities, agencies and/or their offices, and other facility personnel using verbal, nonverbal and written communication skills. Consults and works collaboratively with Supervisors, Co-Workers, Department management, and other facility personnel, effectively performing tasks of position. Attends meetings as required and participates on committees as directed. Perform other duties as assigned or requested. Promotes good public relations for the department ad the facilities, adhering to desired behaviors. Positive resource to peers; approachable and successful at training and development of others. Assists Vice President, Director, Managers and Supervisors on activities and projects, as needed. Supports, models and adheres to the desired behaviors of the KBOS Constitution and Covenant Health for service, which are; take ownership for our mistakes, resolve customer problems on the spot whenever possible, treat all people with respect and kindness, strive to meet or exceed customer expectations, collect and use customer feedback/data to improve processes and service and set an example for accountability and responsiveness: return e-mail and phone calls promptly, assure deadlines are met, keep commitments. Participates freely in intradepartmental quality improvement activities whenever called upon to do so. Provide assistance to new employees. Attends required In-Service training as scheduled. Attends monthly staff meetings and participates in discussions regarding work performance and departmental/facility updates. Supports, models and adheres to desired behaviors of the KBOS Constitution for caring which are; build a trusting environment by listening with a open mind and valuing different opinions; asking questions for understanding and allowing others to speak openly, do not gossip or criticize people behind their back, resolve conflicts, notice and express appreciation for good work and respect differences by listening with a open mind. The KBOS Constitution for developing people which are: commit time to learning and development, help others obtain the information and skills they need to succeed on the job, and utilize training, education and development opportunities. Demonstrates promptness in reporting for and completing work, ensuring follow-through on assigned tasks. Follows protocols as established by the department. Demonstrates initiative in increasing skills and attends training programs as available. Utilizes resources available appropriately, i.e. use of equipment and supplies. Attendance is acceptable per the policy guidelines as defined. Supports, models and adheres to the desired behaviors of the KBOS Constitution for using the community's resources wisely which are; be aware of cost and quality when making spending decisions, demonstrate a personal commitment to reduce waste, consider the impact on other departments and facilities within Covenant health when making decisions or taking action and ensure that meetings lead to solutions. 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: Two to three years' (2-3) experience in health care is required. Computer experience is required. Knowledge of medical terminology, claims submission, customer service is preferred. Expected to perform adequately within the position after working at least thee to six (3-6) months on the job. Must be familiar with insurance plans and requirements ad collection practices e.g. Fair Debt Credit and Collection Act. Three (3) or more years of experience in Financial Posting preferred. Must be computer proficient with knowledge of Microsoft Office, Word and Excel. Detail oriented with excellent math and problem-solving skills required along with strong knowledge of an insurance explanation of benefit (EOB). Expected to perform adequately within the position after working at least three to six (3-6) months on the job Licensure Requirement: None.
    $27k-37k yearly est. Auto-Apply 12d ago
  • Patient Account Rep I Corporate

    Covenant Health 4.4company rating

    Representative job at CovenantHealth

    Patient Account Representative - Insurance Claim Follow-Up 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. Insurance Claim Follow Up Overview: Seeking detailed oriented candidate with strong problem-solving & verbal-written communication skills, as well as excellent time management. Review patient accounts for resolution- check status with insurance company for billed claims that have not processed & determine what may be needed in order for claim for finalize. Review accounts with full or partial claim denials to find out root-cause & determine best course of action for proper resolution. Responsible for learning & understanding payer rules, as well as state/federal guidelines. Responsible for prioritizing & completing work per the department's productivity & quality standards. Responsible for facilitating communication between insurance company and the patient to resolve issues holding up claims processing, such as: incorrect demographic information or coordination of benefits. Responsible for facilitating communication between other Covenant departments in order to correct any issues with billed claims to ensure correct billing and proper claim processing. Position Summary: This position has the responsibility of working patient accounts as defined by the department established policies and procedures under the Manager and Supervisor within the department. Specifics and volume of work is defined by the functional area within the Business Office that the employee is assigned. All work shall be completed in a timely and accurate manner. Recruiter: Suzie McGuinn || ***************** Responsibilities Assists Supervisor to recognize and identify issues pertaining to the working of accounts. Demonstrates the ability to handle varying tasks as well as understanding and interpreting procedures relative to the revenue process. Demonstrates knowledge of State and Federal regulations, HIPAA guidelines, HCFA guidelines, TennCare guidelines and other Third Party Payer requirements assuring departmental compliance. Recognizes situations, which necessitate supervision and guidance, seeks appropriate resources. Adheres to established departmental policies and procedures, objectives, process improvement initiatives, safety, environmental and infection control standards. Supports, models and adheres to the desired behaviors of the KBOS constitution and Covenant Health for integrity which are; hold others accountable for living the values and behaviors, protect confidential information, deal with difficult issues honestly, directly, respectfully and tell the truth. Demonstrates an ability to understand the payer requirements of insurance carriers Demonstrates an understanding of all patient information from the facilities and the specifics of each follow-up to ensure appropriate reimbursement is received. Professionally deals with patients/public, co-workers, physicians, facilities, agencies and/or their offices, and other facility personnel using verbal, nonverbal and written communication skills. Performs specific functions relating to collection of patient accounts. Supports, models and adheres to the desired behaviors of the KBOS Constitution for quality which are; celebrate and reward successes, seek out better ways to do our job, set improvement goals and standards striving to meet or exceed them, participate in forming and being part of work teams when necessary and do not say "It's not my job". Communicates effectively with patients/public, co-workers, physicians, facilities, agencies and/or their offices, and other facility personnel using verbal, nonverbal and written communication skills. Consults and works collaboratively with Supervisors, Co-workers, Department Manager, and other facility personnel, effectively performing tasks of position. Attends meetings as required and participates on committees as directed. Promotes good public relations for the department and the facilities, adhering to desired behaviors. Assists Vice President, Director, Managers and Supervisors on activities and projects, as needed. Supports, models and adheres to the desired behaviors of the KBOS Constitution and Covenant Health for service which are; take ownership for our mistakes, resolve customer problems on the spot whenever possible, treat all people with respect and kindness, strive to meet or exceed customer expectations, collect and use customer feedback/data to improve processes and service and set an example for accountability and responsiveness: return e-mail and phone calls promptly, assure deadlines are met, keep commitments. Participates freely in intradepartmental quality improvement activities whenever called upon to do so. Provides assistance to new employees. Attends required In-Service training as scheduled. Supports, models and adheres to desired behaviors of the KBOS Constitution for caring which are; build a trusting environment by listening with an open mind and valuing different opinions; asking questions for understanding and allowing others to speak openly, do not gossip or criticize people behind their back, resolve conflicts, notice and express appreciation for good work and respect differences by listening with an open mind. The KBOS Constitution for developing people which are; commit time to learning and development, help others obtain the information and skills they need to succeed on the job and utilize training, education and development opportunities. Demonstrates promptness in reporting for and completing work, ensuring follow-through on assigned tasks. Demonstrates initiative in increasing skills and attends training programs as available Utilizes resources available appropriately, i.e. use of equipment and supplies. Supports, models and adheres to the desired behaviors of the KBOS Constitution for using the community's resources wisely which are; be aware of cost and quality when making spending decisions, demonstrate a personal commitment to reduce waste, consider the impact on other departments and facilities within Covenant Health when making decisions or taking action and ensure that meetings lead to solutions. 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 to Two (1-2) years' experience in health care is preferred. Computer experience is required. Knowledge of medical terminology, claims submission, customer service is preferred. Expected to perform adequately within the position after working at least three (3) to six (6) months on the job. Must be familiar with insurance plans and requirements and collection practices e.g. Fair Debt Credit and Collection Act. Licensure Requirements: None.
    $27k-37k yearly est. Auto-Apply 60d+ ago
  • PATIENT ACCOUNT REP I CORPORATE

    Covenant Health 4.4company rating

    Representative job at CovenantHealth

    Patient Account Representative, Business Office 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: This position has the responsibility of working patient accounts as defined by the department established policies and procedures under the Manager and Supervisor within the department. Specifics and volume of work is defined by the functional area within the Business Office that the employee is assigned. All work shall be completed in a timely and accurate manner. Recruiter: Susanna Mcguinn || ***************** Responsibilities * Assists Supervisor to recognize and identify issues pertaining to the working of accounts. * Demonstrates the ability to handle varying tasks as well as understanding and interpreting procedures relative to the revenue process. * Demonstrates knowledge of State and Federal regulations, HIPAA guidelines, HCFA guidelines, TennCare guidelines and other Third Party Payer requirements assuring departmental compliance. * Recognizes situations, which necessitate supervision and guidance, seeks appropriate resources. * Adheres to established departmental policies and procedures, objectives, process improvement initiatives, safety, environmental and infection control standards. * Supports, models and adheres to the desired behaviors of the KBOS constitution and Covenant Health for integrity which are; hold others accountable for living the values and behaviors, protect confidential information, deal with difficult issues honestly, directly, respectfully and tell the truth. * Demonstrates an ability to understand the payer requirements of insurance carriers. * Demonstrates an understanding of all patient information from the facilities and the specifics of each follow-up to ensure appropriate reimbursement is received. * Professionally deals with patients/public, co-workers, physicians, facilities, agencies and/or their offices, and other facility personnel using verbal, nonverbal and written communication skills. * Performs specific functions relating to collection of patient accounts. * Supports, models and adheres to the desired behaviors of the KBOS Constitution for quality which are; celebrate and reward successes, seek out better ways to do our job, set improvement goals and standards striving to meet or exceed them, participate in forming and being part of work teams when necessary and do not say "It's not my job". * Communicates effectively with patients/public, co-workers, physicians, facilities, agencies and/or their offices, and other facility personnel using verbal, nonverbal and written communication skills. * Consults and works collaboratively with Supervisors, Co-workers, Department Manager, and other facility personnel, effectively performing tasks of position. * Attends meetings as required and participates on committees as directed. * Promotes good public relations for the department and the facilities, adhering to desired behaviors. * Assists Vice President, Director, Managers and Supervisors on activities and projects, as needed. * Supports, models and adheres to the desired behaviors of the KBOS Constitution and Covenant Health for service which are; take ownership for our mistakes, resolve customer problems on the spot whenever possible, treat all people with respect and kindness, strive to meet or exceed customer expectations, collect and use customer feedback/data to improve processes and service and set an example for accountability and responsiveness: return e-mail and phone calls promptly, assure deadlines are met, keep commitments. * Participates freely in intradepartmental quality improvement activities whenever called upon to do so. * Provides assistance to new employees. * Attends required In-Service training as scheduled. * Supports, models and adheres to desired behaviors of the KBOS Constitution for caring which are; build a trusting environment by listening with an open mind and valuing different opinions; asking questions for understanding and allowing others to speak openly, do not gossip or criticize people behind their back, resolve conflicts, notice and express appreciation for good work and respect differences by listening with an open mind. * The KBOS Constitution for developing people which are; commit time to learning and development, help others obtain the information and skills they need to succeed on the job and utilize training, education and development opportunities. * Demonstrates promptness in reporting for and completing work, ensuring follow-through on assigned tasks. * Demonstrates initiative in increasing skills and attends training programs as available. * Utilizes resources available appropriately, i.e. use of equipment and supplies. * Supports, models and adheres to the desired behaviors of the KBOS Constitution for using the community's resources wisely which are; be aware of cost and quality when making spending decisions, demonstrate a personal commitment to reduce waste, consider the impact on other departments and facilities within Covenant Health when making decisions or taking action and ensure that meetings lead to solutions. * 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 to Two (1-2) years' experience in health care is preferred. Computer experience is required. Knowledge of medical terminology, claims submission, customer service is preferred. Expected to perform adequately within the position after working at least three (3) to six (6) months on the job. Must be familiar with insurance plans and requirements and collection practices e.g. Fair Debt Credit and Collection Act. Hospital UB or 1500 Medical Billing experience. Responsible for researching and correcting medical claims and edits in billing software. Must be proficient in Microsoft and familiar with all standard office equipment. Licensure Requirements: None.
    $27k-37k yearly est. Auto-Apply 60d+ ago

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