Patient Access Representative jobs at Erlanger Health System - 25 jobs

Erlanger Health hires employees for telecommuting/remote positions in the following states: AL, AZ, GA, FL, IN, KY, LA, MD, M I, MS, MO, NC, NV, OH, PA, SC, TN, TX, VA, WI, WY Position is responsible for coding of physician and/or mid-level provider professional services. Recognize and complete a high-volume workload accurately and in a timely manner, with minimal direct supervision. Follow set procedures to achieve goals. Display professional office skills and ability to navigate a practice management system. Good written and oral communication skills, ability to handle multiple tasks, and work with and train other employees. Ability to serve as liaison between management, the physician practices, and employees working within physician practices. This position is involved in a team-based approach to care. Team members are trained to meet the highest level of function for their role as per the State of Tennessee/Georgia guidelines. Coder will provide CPT, HCPCS and ICD-10-CM coding a minimum of 1-4 specialties. Specialties could include UR, Podiatry, Plastics, Pediatrics, OB, Pain Management, Ortho, Addiction, General Surgery, Internal Medicine, Urgent Care, Pulmonary, or ED. Facility Chart types could include OT, PT, Urgent Care, ED, or a variety of other specialties. Services can include office visits that may include basic injections, diagnostic tests, physical/occupational/speech therapy, hospital rounding visits. Responsibilities Include: - Review and analyze information available in the electronic medical record and/or paper record to accurately code the episode of care in multiple specialty areas. - Provide various components of coding services to support our providers. - Calculate ProFee and/or Facility E/M levels by following the AMA guidelines for E/M assignment. - Recognize critical care cases by patient acuity. - Apply ICD-10-CM diagnosis codes to the highest level of specificity available. - Accurately apply diagnosis and procedure codes utilizing ICD-10-CM, CPT , and HCPCS - Interpret coding guidelines for accurate code assignment - Maintain an understanding of National Correct Coding Initiatives, Local Coverage Documents, MUE s, and Medicare Teaching Physician Guidelines, applying knowledge of applicable regulatory requirements and institutional guidelines to select appropriate codes and modifiers - Identify the importance of documentation on code assignment and the subsequent reimbursement impact. - Align conduct with AHIMA's Standards of Ethical Coding and the Company's Code of Ethics and Business Conduct and support the Company's Ethics and Compliance Program. - Adherence to Det Norske Veritas (DNV) and other third-party documentation guidelines in an effort to improve upon any areas of risk - Continually improve coding quality and accuracy. - Responsibility for maintaining coding certification and knowledge referencing current ICD-10-CM, CPT and/or HCPCS coding guidelines and regulatory changes. - Contacts the appropriate department or physician office for assistance in obtaining physician clarification of diagnoses, CPT, and/or HCPCS. - Communicates with physician and non-physician providers to resolve conflicting provider documentation to further specify coding of diagnoses, surgeries and procedures documented in the medical record. - Provides ongoing feedback to physicians and other providers during charge review - Review and correct EPIC coder claim edits and eValuator edits as needed - Resolves payer denials and responds to inquiries from revenue cycle teams, and processing of charge corrections as appropriate. - Remain current on 3rd party payor reimbursement issues, Comply with all internal policies and procedures. - Actively participate in Company provided training and education. - Ensure individual compliance with all privacy and security rules and regulations and commit to the protection of all Company confidential information, including but not limited to, Personal Health Information - This position must consistently meet or exceed productivity and quality standards as defined by department Leadership Education: Required\: High School Diploma or equivalent. Preferred\: Validation of coding certification, i.e., specialty focus such as ICD-10 coding, ICD-10 PCS, CPT coding, and billing practices from an accredited program. Experience: Required\: Must demonstrate knowledge of coding to support this position. Must be able to work well with people. Ability to follow standard practices in coding and reimbursement. Requires high level of concentration for extended periods of time. Data entry proficiency required. Software/computer experience and/or training. Strong PC experience utilizing Excel, MS Word and Adobe. Preferred\: 1-year professional coding experience in a physician office or facility. Position Requirement(s)\: License/Certification/Registration Required\: None, but ability to achieve a coding credential within 1 year of accepting position. Training will be provided. Preferred\: RHIT, RHIA, CCA, CCS, CPC, or CPC-H CBCS is grandfathered in for staff currently working for Erlanger. Department Position Summary: The employee must demonstrate the knowledge and skills necessary to optimally code professional office, inpatient and outpatient facility encounters, as well as resolution of billing issues related to accurate coding. The employee must demonstrate knowledge of insurance reimbursement requirements. Must demonstrate the ability to work in a team by taking and giving direction and sharing in the responsibility of meeting team goals. Must have strong communication, critical thinking and decision-making skills. The employee must display the ability to be self-motivated, be able to evaluate the scope of each day's work, and display time management skills to assigned work. Must be able to work effectively in a remote work capacity. The associate must provide management with annual/biannual proof of certification and complete annual/biannual required continuing education. This position must consistently meet or exceed productivity and quality standards as defined by department Leadership. The associate will perform any other tasks as assigned.

The Patient Access Specialist I is an entry level position and is responsible for the accurate and efficient admitting, registering, bed placement, and financial analysis activities for all patients upon arrival to the healthcare system, including initiation of activities necessary to comply with managed care contracts and CMS regulations. Position is responsible for responding in a professional and courteous manner to all patient information inquiries, greeting and initiating the registration process upon patient's arrival. Position is responsible for the review of past account balances, notifying patient of their financial responsibility, and collection of these balances. This includes supporting their department in meeting the pre-collections goals defined by revenue cycle management. Review accounts with inadequate financial coverage for the purpose of coordinating with financial counseling services and facilitating an application for State Agency or Charity. In addition, Patient Access Specialist I must have comprehensive understanding of the healthcare system patient access policy and procedures as well as enforce established requirements and processes. The Patient Access Specialist I demonstrates empathy and professionalism as reflected by courteous actions, maintenance of confidentiality and appropriate presentation of self; consistently exhibits excellent oral and written communication skills; possess the knowledge and skills necessary to provide interactive communications appropriate to the age of the patient being served; interact appropriately with third party payers and other departments; and have the ability to relate well to people of a broad socio-economic mix. Strong organizational skills, ability to multitask, work in a fast pace environment and a commitment to teamwork are essential. Must have ability to work closely in a clinical setting involving some stressful situations, personal flexibility; moderate sitting, standing, stooping, bending and moderate work at portable computers required. Position must demonstrate excellent computer skills. Education: Required\: High School Diploma or equivalent Preferred\: Prefer graduate of Medical Secretary Program Experience: Required\: Demonstrated ability to read, write, arithmetic, multiplication/division including fractions and decimals. Strong computer skills.Excellent customer service skills and interpersonal communication and telephone etiquette are required. Demonstrate ability to multitask and manage high volumes. Computer, fax machine, copier, multiline telephone. . Preferred: Knowledge of basic registration and third party payer preferred. Preference for work experience in a physician front office or insurance/healthcare call center. Medical terminology, and basic knowledge base of CPT and ICD-9 codes, insurance coding and billing knowledge, Position Requirement(s)\: License/Certification/Registration Required\: Preferred\: Certified Healthcare Access Associate from NAHAM Department Position Summary: Essential Functions: 1. Register and activate scheduled patients by gathering all demographic, financial, and pertinent information necessary to meet all regulatory andbilling requirements. 2. Register and activate walk-in, add-on, and emergency room patients by gathering all patient demographic financial and pertinent information necessary to meet all regulatory and billing requirements. 3. Verify insurance eligibility and benefits for scheduled outpatient and inpatient patients. 4. Validate pre-certification. 5. Compute patient liability at point of registration 6. Communicate and collect patient financial liabilities. 7. Review prior bad debts and request payment of outstanding prior bad debt. 8. Alert Financial Advocates of accounts with financial clearance issues. Document patient liability and financial clearance status to ensure timely processing at the point of service. 9. Demonstrate excellent verbal and action related customer service skills to our patients, physicians, visitors.

The Patient Access Specialist I is an entry level position and is responsible for the accurate and efficient admitting, registering, bed placement, and financial analysis activities for all patients upon arrival to the healthcare system, including initiation of activities necessary to comply with managed care contracts and CMS regulations. Position is responsible for responding in a professional and courteous manner to all patient information inquiries, greeting and initiating the registration process upon patient's arrival. Position is responsible for the review of past account balances, notifying patient of their financial responsibility, and collection of these balances. This includes supporting their department in meeting the pre-collections goals defined by revenue cycle management. Review accounts with inadequate financial coverage for the purpose of coordinating with financial counseling services and facilitating an application for State Agency or Charity. In addition, Patient Access Specialist I must have comprehensive understanding of the healthcare system patient access policy and procedures as well as enforce established requirements and processes. The Patient Access Specialist I demonstrates empathy and professionalism as reflected by courteous actions, maintenance of confidentiality and appropriate presentation of self; consistently exhibits excellent oral and written communication skills; possess the knowledge and skills necessary to provide interactive communications appropriate to the age of the patient being served; interact appropriately with third party payers and other departments; and have the ability to relate well to people of a broad socio-economic mix. Strong organizational skills, ability to multitask, work in a fast pace environment and a commitment to teamwork are essential. Must have ability to work closely in a clinical setting involving some stressful situations, personal flexibility; moderate sitting, standing, stooping, bending and moderate work at portable computers required. Position must demonstrate excellent computer skills. Education: Required\: High School Diploma or equivalent Preferred\: Graduate of Medical Secretary Program Experience: Required\: Demonstrated ability to read, write, arithmetic, multiplication/division including fractions and decimals. Strong computer skills, excellent customer service skills, interpersonal communication and telephone etiquette are required. Demonstrate ability to multitask and manage high volumes. Computer, fax machine, copier, multiline telephone. Preferred: Knowledge of basic registration and third party payer preferred. Preference for work experience in a physician front office or insurance/healthcare call center. Medical terminology, and basic knowledge base of CPT and ICD-9 codes, insurance coding and billing knowledge, Position Requirement(s)\: License/Certification/Registration Required\: Preferred\: Certified Healthcare Access Associate from NAHAM Department Position Summary: Essential Functions: 1. Register and activate scheduled patients by gathering all demographic, financial, and pertinent information necessary to meet all regulatory and billing requirements. 2. Register and activate walk-in, add-on, and emergency room patients by gathering all patient demographic financial and pertinent information necessary to meet all regulatory and billing requirements. 3. Verify insurance eligibility and benefits for scheduled outpatient and inpatient patients. 4. Validate pre-certification. 5. Compute patient liability at point of registration. 6. Communicate and collect patient financial liabilities. 7. Review prior bad debts and request payment of outstanding prior bad debt. 8. Alert Financial Advocates of accounts with financial clearance issues. Document patient liability and financial clearance status to ensure timely processing at the point of service. 9. Demonstrate excellent verbal and action related customer service skills to our patients, physicians, visitors.

The Trauma Registrar Non-Certified maintains the trauma registry in a timely fashion. The Trauma Registrar Non-Certified is responsible for daily data entry of all ICD-10, injury severity and procedure coding entered into the data registry. He/She also provides reports to all Trauma Committees and on a per request basis. In addition, the trauma registrar provides data from the registry to the State Trauma Program, NTDB , and TQIP. He/She assures all QI data elements are captured. The Trauma Registrar must master four basic skill sets: 1. Data Management data integrity, reports and data presentation 2. Anatomy and Conditions of Injury 3. Coding and Scoring Concepts 4. Registry Oversight and Maintenance - NTDB , state(s), and Erlanger Health System In addition, the Trauma Registrar must: Maintains professional growth and development through seminars, workshops and professional affiliations to keep abreast of latest in field of expertise. Demonstrates an ongoing commitment to learn. Ability to proficiently create and utilize databases, word-processing, spreadsheets, presentation programs and other software relevant to the job. Requires technical knowledge of hospital applications data query software spreadsheets and report generating software. Internet, Microsoft Office Word, Excel, PowerPoint and Access required. Possess basic understanding of math and statistics. Demonstrates excellent written and verbal interpersonal skills, relating to physicians and other healthcare professionals and a positive customer relations philosophy. Possess strong organizational, time management and communication skills and attention to detail required. Demonstrates knowledge and practice of confidentiality as it pertains to HIPPA and the handling of information sensitive to Erlanger Health Systems. Regularly communicates both orally and in writing with physicians, management and health care professionals to make presentations, discuss findings, answer questions, and obtain or exchange information pertinent to their information requirement. Self-directed; able to work effectively and efficiently with multiple interruptions and changing work priorities. Strong organizational and time management skills required. Demonstrates initiative and creativity in assigned work. Highly detailed and team oriented. Education: Required\: High School graduate; proficient in medical terminology Experience: Required\: Computer skills should include experience with Excel and Word. Preferred\: Coding and previous database registry Position Requirement(s)\: License/Certification/Registration Required\: N/A *Must obtain the Association for the Advancement of Automotive Medicine AAAM/AIS Scoring Class; and the Trauma Registrar Course through the American Trauma Society within one year of hiring date. Preferred\: N/A Department Position Summary: The Trauma Registrar Non-Certified is responsible for all aspects of the Trauma Registry. He/She is accountable to the Trauma Program for accuracy of data entered into the Trauma Registry. The Trauma Registrar Non-Certified is responsible for collection/abstraction of data points and entry into the NTRACS Trauma Registry database on all adult trauma patients admitted to the Erlanger Health System, a Level I Trauma Center. At a minimum, 80 percent of cases must be entered within 60 days of discharge. Quality of data is monitored and maintained (errors/edits should not exceed 7%). He/She reviews all updates and remains current on all coding guidelines. Standards, requirements and guidelines are followed in strict accordance with the American College of Surgeons and the Tennessee Trauma Registry. *Other duties as assigned. Supports the mission statement of Erlanger Health Systems\: To deliver excellence in medical care to improve the health status of our region, while providing vital services to those in need, and training to health professionals through affiliation with academic partners. Embraces and supports the Quality Improvement (QI) initiatives Uses effective customer service/interpersonal skills at all times. Self-directed, organized professional who is able to function autonomously. Abstraction and interpretation of patient medical records with in-depth chart reviews regarding Trauma and Non Trauma patient populations ICD-10-CM code assignment ISS scoring, comorbidities, treatments, complications, medications, and TQIP process measures. Works in collaboration with National Trauma Quality Improvement Program (TQIP), and the State of Tennessee as a State Wide Trauma System. Performs quarterly uploads from V5 trauma registry to TQIP, and the State of Tennessee Trauma data banks. Manages data collection to meet the requirements of a Level I Sate designated Trauma Center and in preparation for verification by the American College of Surgeons (ACS). Attends TCAC and Tennessee Trauma Registrar group quarterly meetings and State of Tennessee Trauma meetings as assigned. Works with Trauma Medical Director and Trauma Program Director to develop audit filters, tracking and trending of practice issues, or other system or outcome process related issues. Responsible for all upgrades, maintenance and software updates for Trauma Registry in collaboration with Trauma Registry technical support company. Performs data validation reports weekly, with constant monitoring and oversight of all data entry fields in the Trauma Registry. Supervises additional Trauma Registrars and validates 5-10% of data entry, tracks inconsistencies, provides feedback and education as appropriate Acts as resource/trainer/mentor to Erlanger Health Systems employees, Erlanger affiliates and Regional State institutions Will assist in preparation and gathering of data to complete American College of Surgeons (ACS) Pre-Review Questionnaire (PRQ), assists in planning, preparation and on-site review process. Acknowledges that safety is a self-responsibility. Knows the physical requirements of the job and work within those guidelines. Performs job duties safely at all times, utilizing learned body mechanics and ergonomics. Plans actions to promote safety. Reports any unsafe situation/equipment according to hospital procedure. Assist the Erlanger Trauma Network registries as needed. Performs other duties and responsibilities as assigned.

The Trauma Registrar Non-Certified maintains the trauma registry in a timely fashion. The Trauma Registrar Non-Certified is responsible for daily data entry of all ICD-10, injury severity and procedure coding entered into the data registry. He/She also provides reports to all Trauma Committees and on a per request basis. In addition, the trauma registrar provides data from the registry to the State Trauma Program, NTDB , and TQIP. He/She assures all QI data elements are captured. The Trauma Registrar must master four basic skill sets: 1. Data Management data integrity, reports and data presentation 2. Anatomy and Conditions of Injury 3. Coding and Scoring Concepts 4. Registry Oversight and Maintenance - NTDB , state(s), and Erlanger Health System In addition, the Trauma Registrar must: Maintains professional growth and development through seminars, workshops and professional affiliations to keep abreast of latest in field of expertise. Demonstrates an ongoing commitment to learn. Ability to proficiently create and utilize databases, word-processing, spreadsheets, presentation programs and other software relevant to the job. Requires technical knowledge of hospital applications data query software spreadsheets and report generating software. Internet, Microsoft Office Word, Excel, PowerPoint and Access required. Possess basic understanding of math and statistics. Demonstrates excellent written and verbal interpersonal skills, relating to physicians and other healthcare professionals and a positive customer relations philosophy. Possess strong organizational, time management and communication skills and attention to detail required. Demonstrates knowledge and practice of confidentiality as it pertains to HIPPA and the handling of information sensitive to Erlanger Health Systems. Regularly communicates both orally and in writing with physicians, management and health care professionals to make presentations, discuss findings, answer questions, and obtain or exchange information pertinent to their information requirement. Self-directed; able to work effectively and efficiently with multiple interruptions and changing work priorities. Strong organizational and time management skills required. Demonstrates initiative and creativity in assigned work. Highly detailed and team oriented. Education: Required: High School graduate; proficient in medical terminology Experience: Required: Computer skills should include experience with Excel and Word. Preferred: Coding and previous database registry Position Requirement(s): License/Certification/Registration Required: N/A * Must obtain the Association for the Advancement of Automotive Medicine AAAM/AIS Scoring Class; and the Trauma Registrar Course through the American Trauma Society within one year of hiring date. Preferred: N/A Department Position Summary: The Trauma Registrar Non-Certified is responsible for all aspects of the Trauma Registry. He/She is accountable to the Trauma Program for accuracy of data entered into the Trauma Registry. The Trauma Registrar Non-Certified is responsible for collection/abstraction of data points and entry into the NTRACS Trauma Registry database on all adult trauma patients admitted to the Erlanger Health System, a Level I Trauma Center. At a minimum, 80 percent of cases must be entered within 60 days of discharge. Quality of data is monitored and maintained (errors/edits should not exceed 7%). He/She reviews all updates and remains current on all coding guidelines. Standards, requirements and guidelines are followed in strict accordance with the American College of Surgeons and the Tennessee Trauma Registry. *Other duties as assigned. Supports the mission statement of Erlanger Health Systems: To deliver excellence in medical care to improve the health status of our region, while providing vital services to those in need, and training to health professionals through affiliation with academic partners. Embraces and supports the Quality Improvement (QI) initiatives Uses effective customer service/interpersonal skills at all times. Self-directed, organized professional who is able to function autonomously. Abstraction and interpretation of patient medical records with in-depth chart reviews regarding Trauma and Non Trauma patient populations ICD-10-CM code assignment ISS scoring, comorbidities, treatments, complications, medications, and TQIP process measures. Works in collaboration with National Trauma Quality Improvement Program (TQIP), and the State of Tennessee as a State Wide Trauma System. Performs quarterly uploads from V5 trauma registry to TQIP, and the State of Tennessee Trauma data banks. Manages data collection to meet the requirements of a Level I Sate designated Trauma Center and in preparation for verification by the American College of Surgeons (ACS). Attends TCAC and Tennessee Trauma Registrar group quarterly meetings and State of Tennessee Trauma meetings as assigned. Works with Trauma Medical Director and Trauma Program Director to develop audit filters, tracking and trending of practice issues, or other system or outcome process related issues. Responsible for all upgrades, maintenance and software updates for Trauma Registry in collaboration with Trauma Registry technical support company. Performs data validation reports weekly, with constant monitoring and oversight of all data entry fields in the Trauma Registry. Supervises additional Trauma Registrars and validates 5-10% of data entry, tracks inconsistencies, provides feedback and education as appropriate Acts as resource/trainer/mentor to Erlanger Health Systems employees, Erlanger affiliates and Regional State institutions Will assist in preparation and gathering of data to complete American College of Surgeons (ACS) Pre-Review Questionnaire (PRQ), assists in planning, preparation and on-site review process. Acknowledges that safety is a self-responsibility. Knows the physical requirements of the job and work within those guidelines. Performs job duties safely at all times, utilizing learned body mechanics and ergonomics. Plans actions to promote safety. Reports any unsafe situation/equipment according to hospital procedure. Assist the Erlanger Trauma Network registries as needed. Performs other duties and responsibilities as assigned. '271658

The Perioperative Scheduling Specialist is responsible for scheduling surgical procedures and inductions for BEH Labor & Delivery. This person will ensure that the prenatal records will be obtained before delivery, will ensure that the consents are received prior to patient arrival, and verify patient information for accurate and appropriate scheduling of delivery. This person must be able to exercise superior communication skills and filter a vast amount of information accurately, with a working knowledge of CPT, DRG and ICD10 codes, and the ability to interface effectively with patients, physicians, and all other levels within the organization. Performs various other related responsibilities, follows written guidelines and protocols when necessary; assists with maintaining cleanliness and efficiency of the Labor and Delivery Department Data Operations unit. Performs other miscellaneous duties as required by the Nurse Manager. Education: Required: High School Diploma. De-escalation training, if applicable Preferred: Some College Experience: Required: * Minimum of five (5) years healthcare experience * Proficient typing skills * Proficient in Microsoft Word, Excel and data entry skills * Knowledge of Medical Terminology * CPT/DRG coding Position Requirement(s): License/Certification/Registration Required: N/A Preferred: N/A Department Position Summary: Schedules, maintains, and organizes the inductions and OR procedures of the BEH Labor & Delivery department effectively and efficiently. Must have a working knowledge and operational understanding of guidelines and procedures related to induction of labor and approved conditions for early induction allowing this individual to extract information from written patient care reports and enter this information into a data base. Gathers information by utilizing computer equipment and individual communication skills to accomplish various tasks. Audits patient accounts in Labor & Delivery. Performs various other related responsibilities, follows written guidelines and protocols when necessary; assists with maintaining cleanliness and efficiency of the Labor and Delivery Department Data Operations unit. Performs other miscellaneous duties as required by the Nurse Manager. '277926

The Perioperative Scheduling Specialist is responsible for scheduling surgical procedures and inductions for BEH Labor & Delivery. This person will ensure that the prenatal records will be obtained before delivery, will ensure that the consents are received prior to patient arrival, and verify patient information for accurate and appropriate scheduling of delivery. This person must be able to exercise superior communication skills and filter a vast amount of information accurately, with a working knowledge of CPT, DRG and ICD10 codes, and the ability to interface effectively with patients, physicians, and all other levels within the organization. Performs various other related responsibilities, follows written guidelines and protocols when necessary; assists with maintaining cleanliness and efficiency of the Labor and Delivery Department Data Operations unit. Performs other miscellaneous duties as required by the Nurse Manager. Education: Required\: High School Diploma. De-escalation training, if applicable Preferred\: Some College Experience: Required: - Minimum of five (5) years healthcare experience - Proficient typing skills - Proficient in Microsoft Word, Excel and data entry skills - Knowledge of Medical Terminology - CPT/DRG coding Position Requirement(s)\: License/Certification/Registration Required\: N/A Preferred\: N/A Department Position Summary: Schedules, maintains, and organizes the inductions and OR procedures of the BEH Labor & Delivery department effectively and efficiently. Must have a working knowledge and operational understanding of guidelines and procedures related to induction of labor and approved conditions for early induction allowing this individual to extract information from written patient care reports and enter this information into a data base. Gathers information by utilizing computer equipment and individual communication skills to accomplish various tasks. Audits patient accounts in Labor & Delivery. Performs various other related responsibilities, follows written guidelines and protocols when necessary; assists with maintaining cleanliness and efficiency of the Labor and Delivery Department Data Operations unit. Performs other miscellaneous duties as required by the Nurse Manager.

The Patient Service Rep. Lead supervises others on a variety of patient and customer service related activities. Responsible for ensuring accurate and efficient registering, scheduling, and financial analysis activities for all patients upon arrival to the Healthcare System, including initiation of activities necessary to comply with managed care contracts. This position is involved in a team-based approach to care. Team members are trained to meet the highest level of function for their role as per the State of Tennessee/Georgia guidelines. Is trained and assigned (as per their role and responsibilities) to coordinate care for patients and is trained and assigned to support patients/families/caregivers in self-management, self-efficacy and behavior change. Is trained and assigned (as per their role and responsibilities) to manage the practices' patient population. Participates in the practice's quality improvement process and performance evaluation. Education: Required: High School Diploma; minimum 5 year's experience in physician office/billing/insurance environment. Preferred: Bi-lingual BS in Business Administration or other related field Experience: Required: Work generally requires four years of experience in a health care setting involving customer service and financial counseling and/or coordination of services related to insurance verification, ancillary scheduling or an equivalent combination of relevant education and/or experience. Knowledge of self pay collections, medical terminology, basic ICD9 skills, and/or a complete understanding of insurance is required. Must possess fluent computer skills including functional knowledge of Windows, Word Processing and Excel. Must be proven to possess excellent communication skills and be able to interface appropriately with others of multiple ethnic and educational backgrounds. Highly organized, detail-oriented, self-starter with strong math skills who can function efficiently and professionally with all customers, both internal and external, in a demanding environment. Clerical experience and/or hospital experience a requirement. Always poised, courteous, pleasing personality and great telephone etiquette. Prior Centricity/ Flowcast/Invision/SMS experience desirable. Work requires knowledge of general business principles usually acquired through two years post-secondary education in accounting or in a related healthcare or business field, or equivalent combination of education and experience. Previous experience with appointment scheduling, patient registration, data entry, cash box, filing, phone system and deposits. Physician billing, insurance collection experience. Computer experience, with Practice Management software. Experienced in obtaining referrals, pre-authorization, and pre-certifications. Preferred: Two years of supervising experience. Position Requirement(s): License/Certification/Registration Required: BLS completed prior to going to the unit/ department and maintained going forward. Preferred: Department Position Summary: Reviews accounts with inadequate financial coverage for reimbursement of services rendered. Responsible for responding expeditiously and in a professional and courteous manner to patient information inquiries and the registration process upon patient's arrival to the Healthcare System. The Patient Service Rep. Lead must maintain and promote an attitude of professionalism as reflected by courteous actions, maintenance of confidentiality and appropriate presentation of self; consistently demonstrate excellent oral and written communication skills; possess the knowledge and skills necessary to provide interactive communications appropriate to the age of the patient being served. Must interact appropriately with third party payers and other departments; and have the ability to relate well to people of a broad socio-economic mix. Strong organizational skills and a commitment to teamwork are essential. Must have ability to work closely in a clinical setting involving some stressful situations, personal flexibility; moderate sitting, standing, stooping, bending and moderate work at portable computers required. Will work closely with other physician offices to keep abreast of any new updates or changes with regards to scheduling and registration. '272896

The Patient Service Representative is responsible for a variety of patient and customer service related activities within the department, including answering phones, making patient appointments, registering patients in and checking them out after patient visit. Serves as liaison between patient and clinical staff. This position is involved in a team-based approach to care. Team members are trained to meet the highest level of function for their role as per the State of Tennessee/Georgia guidelines. Is trained and assigned (as per their role and responsibilities) to coordinate care for patients and is trained and assigned to support patients/families/caregivers in self-management, self-efficacy and behavior change. Is trained and assigned (as per their role and responsibilities) to manage the practices' patient population. Participates in the practice's quality improvement process and performance evaluation. Education: Required: High School graduate or equivalent. Preferred: N/A Experience: Required: Must be able to work well with others. Always poised, courteous, pleasing personality, good telephone voice and able to meet the public. Preferred: Two years reception experience or general clerical experience. Position Requirement(s): License/Certification/Registration Required: N/A Preferred: Department Position Summary: Performs a wide range of office functions including; computer data entry and word processing, filing, record keeping and reception duties. Ability to cross cover for other similar positions. Specific medical records responsibilities, including filing documents appropriately within records, general maintenance of the file room, chart copying, faxing and mailing out records as directed. Answering of department phone. Sorting and distributing mail and other duties as assigned. Responsible for patient registration to include obtaining records on new patients. Responsible for collecting co-pays and other payments and posting to patients account. Keeps accurate account of all assigned petty cash. Excellent oral and written communication skills; ability to relate well to people of a broad socioeconomic mix, with sensitivity to the delicate nature of the department. Ability to work in a typical office setting with some stressful situations, personal flexibility; moderate sitting, stooping, bending, and moderate work at word processing screen required. Assist Office Practice Manager and providers with general office duties. '276787

Receive incoming telephone calls in a prompt, courteous, and professional manner and greet and check-in /check-out patients in the same manner, coordinate patient appointments, and collect daily cash/check/credit card patient payments. This includes those staff who are working in the designated Rural Health Clinics. Education: Required: Preferred: High school diploma or equivalent Experience: Required: Two years of experience in customer service or reception, preferably in a health care environment. Computer skills and working knowledge of computers and Microsoft Windows and Office applications. Preferred: Position Requirement(s): License/Certification/Registration Required: NA Preferred: Department Position Summary: Receive incoming telephone calls in a prompt, courteous, and professional manner and greet and check-in /check-out patients in the same manner, coordinate patient appointments, and collect daily cash/check/credit card patient payments. Obtain precertification/authorization for in-office procedures and out-patient studies. '275457

The Patient Service Rep. Lead supervises others on a variety of patient and customer service related activities. Responsible for ensuring accurate and efficient registering, scheduling, and financial analysis activities for all patients upon arrival to the Healthcare System, including initiation of activities necessary to comply with managed care contracts. This position is involved in a team-based approach to care. Team members are trained to meet the highest level of function for their role as per the State of Tennessee/Georgia guidelines. Is trained and assigned (as per their role and responsibilities) to coordinate care for patients and is trained and assigned to support patients/families/caregivers in self-management, self-efficacy and behavior change. Is trained and assigned (as per their role and responsibilities) to manage the practices' patient population. Participates in the practice's quality improvement process and performance evaluation. Education: Required\: High School Diploma; minimum 5 year's experience in physician office/billing/insurance environment. Preferred: Bi-lingual BS in Business Administration or other related field Experience: Required\: Work generally requires four years of experience in a health care setting involving customer service and financial counseling and/or coordination of services related to insurance verification, ancillary scheduling or an equivalent combination of relevant education and/or experience. Knowledge of self pay collections, medical terminology, basic ICD9 skills, and/or a complete understanding of insurance is required. Must possess fluent computer skills including functional knowledge of Windows, Word Processing and Excel. Must be proven to possess excellent communication skills and be able to interface appropriately with others of multiple ethnic and educational backgrounds. Highly organized, detail-oriented, self-starter with strong math skills who can function efficiently and professionally with all customers, both internal and external, in a demanding environment. Clerical experience and/or hospital experience a requirement. Always poised, courteous, pleasing personality and great telephone etiquette. Prior Centricity/ Flowcast/Invision/SMS experience desirable. Work requires knowledge of general business principles usually acquired through two years post-secondary education in accounting or in a related healthcare or business field, or equivalent combination of education and experience. Previous experience with appointment scheduling, patient registration, data entry, cash box, filing, phone system and deposits. Physician billing, insurance collection experience. Computer experience, with Practice Management software. Experienced in obtaining referrals, pre-authorization, and pre-certifications. Preferred: Two years of supervising experience. Position Requirement(s)\: License/Certification/Registration Required: BLS completed prior to going to the unit/ department and maintained going forward. Preferred: Department Position Summary: Reviews accounts with inadequate financial coverage for reimbursement of services rendered. Responsible for responding expeditiously and in a professional and courteous manner to patient information inquiries and the registration process upon patient's arrival to the Healthcare System. The Patient Service Rep. Lead must maintain and promote an attitude of professionalism as reflected by courteous actions, maintenance of confidentiality and appropriate presentation of self; consistently demonstrate excellent oral and written communication skills; possess the knowledge and skills necessary to provide interactive communications appropriate to the age of the patient being served. Must interact appropriately with third party payers and other departments; and have the ability to relate well to people of a broad socio-economic mix. Strong organizational skills and a commitment to teamwork are essential. Must have ability to work closely in a clinical setting involving some stressful situations, personal flexibility; moderate sitting, standing, stooping, bending and moderate work at portable computers required. Will work closely with other physician offices to keep abreast of any new updates or changes with regards to scheduling and registration.

The Patient Service Representative is responsible for a variety of patient and customer service related activities within the department. This position is involved in a team-based approach to care. Team members are trained to meet the highest level of function for their role as per the State of Tennessee/Georgia guidelines. Is trained and assigned (as per their role and responsibilities) to coordinate care for patients and is trained and assigned to support patients/families/caregivers in self-management, self-efficacy and behavior change. Is trained and assigned (as per their role and responsibilities) to manage the practices' patient population. Participates in the practice's quality improvement process and performance evaluation. Education: Required\: High School graduate or equivalent. Preferred: College courses in business, English and general office management or equivalent combination of education and experience. Experience: Required: Must be able to work well with others. Always poised, courteous, pleasing personality, good telephone voice and able to meet the public. Preferred: Two years reception experience or general clerical experience. Prior IDX/Invision training desirable. Position Requirement(s)\: License/Certification/Registration Required: N/A Preferred: N/A Department Position Summary: Performs a wide range of office functions including; computer data entry and word processing, filing, record keeping and reception duties. Ability to cross cover for other similar positions. Specific medical records responsibilities, including filing documents appropriately within records, general maintenance of the file room, chart copying, faxing and mailing out records as directed. Answering of department phone. Entering lab and/or radiology orders into invision during busy times. Sorting and distributing mail and other duties as assigned. Responsible for IDX/Invision patient registration to include obtaining referrals/pre-certs and records on new patients. Excellent oral and written communication skills; ability to relate well to people of a broad socioeconomic mix, with sensitivity to the delicate nature of the department. Ability to work in a typical office setting with some stressful situations, personal flexibility; moderate sitting, stooping, bending, and moderate work at word processing screen required.

The Patient Service Representative is responsible for a variety of patient and customer service related activities within the department, including answering phones, making patient appointments, registering patients in and checking them out after patient visit. Serves as liaison between patient and clinical staff. This position is involved in a team-based approach to care. Team members are trained to meet the highest level of function for their role as per the State of Tennessee/Georgia guidelines. Is trained and assigned (as per their role and responsibilities) to coordinate care for patients and is trained and assigned to support patients/families/caregivers in self-management, self-efficacy and behavior change. Is trained and assigned (as per their role and responsibilities) to manage the practices' patient population. Participates in the practice's quality improvement process and performance evaluation. Education: Required\: High School graduate or equivalent. Preferred: N/A Experience: Required: Must be able to work well with others. Always poised, courteous, pleasing personality, good telephone voice and able to meet the public. Preferred: Two years reception experience or general clerical experience. Position Requirement(s)\: License/Certification/Registration Required: N/A Preferred: Department Position Summary: Performs a wide range of office functions including; computer data entry and word processing, filing, record keeping and reception duties. Ability to cross cover for other similar positions. Specific medical records responsibilities, including filing documents appropriately within records, general maintenance of the file room, chart copying, faxing and mailing out records as directed. Answering of department phone. Sorting and distributing mail and other duties as assigned. Responsible for patient registration to include obtaining records on new patients. Responsible for collecting co-pays and other payments and posting to patients account. Keeps accurate account of all assigned petty cash. Excellent oral and written communication skills; ability to relate well to people of a broad socioeconomic mix, with sensitivity to the delicate nature of the department. Ability to work in a typical office setting with some stressful situations, personal flexibility; moderate sitting, stooping, bending, and moderate work at word processing screen required. Assist Office Practice Manager and providers with general office duties.

Erlanger Medical Group is comprised of 50+ locations in the Chattanooga and surrounding region and employees over 500+ providers. The Patient Service Representative position is vital to the success of our practices. We have opportunities available in Cardiology, Dermatology, Gastroenterology, Neurology, Orthopedics, Pediatrics, Primary Care, Urology and Women's Services. We welcome all applicants to apply to this position for the consideration of any of these available specialty areas. Job Summary: The Patient Service Representative is responsible for a variety of patient and customer service related activities within the department. This position is involved in a team-based approach to care. Team members are trained to meet the highest level of function for their role as per the State of Tennessee/Georgia guidelines. Is trained and assigned (as per their role and responsibilities) to coordinate care for patients and is trained and assigned to support patients/families/caregivers in self-management, self-efficacy and behavior change. Is trained and assigned (as per their role and responsibilities) to manage the practices' patient population. Participates in the practice's quality improvement process and performance evaluation. Education: Required\: High School graduate or equivalent. Preferred: College courses in business, English and general office management or equivalent combination of education and experience. Experience: Required: Must be able to work well with others. Always poised, courteous, pleasing personality, good telephone voice and able to meet the public. Preferred: Two years reception experience or general clerical experience. Prior IDX/Invision training desirable. Position Requirement(s)\: License/Certification/Registration Required: N/A Preferred: N/A Department Position Summary: Performs a wide range of office functions including; computer data entry and word processing, filing, record keeping and reception duties. Ability to cross cover for other similar positions. Specific medical records responsibilities, including filing documents appropriately within records, general maintenance of the file room, chart copying, faxing and mailing out records as directed. Answering of department phone. Entering lab and/or radiology orders into invision during busy times. Sorting and distributing mail and other duties as assigned. Responsible for IDX/Invision patient registration to include obtaining referrals/pre-certs and records on new patients. Excellent oral and written communication skills; ability to relate well to people of a broad socioeconomic mix, with sensitivity to the delicate nature of the department. Ability to work in a typical office setting with some stressful situations, personal flexibility; moderate sitting, stooping, bending, and moderate work at word processing screen required.

The Unit Based Patient Flow Coordinator (PFC) is responsible for collaborating with Discharge Lounge, Floor RN and Clinical Leadership regarding managing, planning, organizing and facilitating the daily activities related to patient flow on the designated unit. The PFC will work with stakeholders to ensure the optimum, effective, efficient and safe flow of patients while promoting a patient-centered and team environment. Education: Required: Graduate from an accredited school of nursing. Experience: Required: Six months of continuous nursing experience. Experience must reflect general knowledge in hospital and practice skills, current trends and new developments. Strong communication, leadership, team building, project-management and organization skills Strong problem-solving, analytical and decision-making skill with ability to conceptualize solutions to challenging situations and implement practical plans Preferred: Advanced understanding of patient-flow and capacity management concepts Position Requirement(s): License/Certification/Registration Required: Current license to practice as a Registered Nurse in State of Tennessee. BLS completed prior to going to the unit/department and maintained going forward The Nurse Licensure Compact will not change how to obtain or renew a Tennessee license. However, the Tennessee nursing license will be a single state license for Tennessee Residents or non-compact state residents. Tennessee licensure or multistate licensure from a compact state must be obtained within three months of hire for non-Tennessee residents. Preferred: Specialty certification related to designated service line: Orthopedics, Med-Surg, Bariatrics, Neuro Department Position Summary: The PFC will be directly supervised by the assigned personnel in units and managed overall by Discharge Lounge Nurse Manager. They will also have accountability and oversight from the directors of the organization for collaboration and duties as assigned in system-wide activities. The Patient Flow Coordinator serves as the unit based team leader in ensuring optimal patient flow, teamwork and utilization of resources to meet patient-care needs. This role requires rounding on the designated unit, intake area and discharge areas to facilitate optimized flow, patient care and safety. Additionally, the PFC will assist Units and Clinical Leadership with: Team member training and mentoring Workflow planning and prioritization Patient Flow and Capacity Management Process and quality improvement Clinical Resource for the designated nursing departments Provision of assessments, discharges and discharge instructions when needed to facilitate patient flow '277537

The Unit Based Patient Flow Coordinator (PFC) is responsible for collaborating with Discharge Lounge, Floor RN and Clinical Leadership regarding managing, planning, organizing and facilitating the daily activities related to patient flow on the designated unit. The PFC will work with stakeholders to ensure the optimum, effective, efficient and safe flow of patients while promoting a patient-centered and team environment. Education: Required\: Graduate from an accredited school of nursing. Experience: Required\: Six months of continuous nursing experience. Experience must reflect general knowledge in hospital and practice skills, current trends and new developments. Strong communication, leadership, team building, project-management and organization skills Strong problem-solving, analytical and decision-making skill with ability to conceptualize solutions to challenging situations and implement practical plans Preferred\: Advanced understanding of patient-flow and capacity management concepts Position Requirement(s)\: License/Certification/Registration Required\: Current license to practice as a Registered Nurse in State of Tennessee. BLS completed prior to going to the unit/department and maintained going forward The Nurse Licensure Compact will not change how to obtain or renew a Tennessee license. However, the Tennessee nursing license will be a single state license for Tennessee Residents or non-compact state residents. Tennessee licensure or multistate licensure from a compact state must be obtained within three months of hire for non-Tennessee residents. Preferred\: Specialty certification related to designated service line\: Orthopedics, Med-Surg, Bariatrics, Neuro Department Position Summary\: The PFC will be directly supervised by the assigned personnel in units and managed overall by Discharge Lounge Nurse Manager. They will also have accountability and oversight from the directors of the organization for collaboration and duties as assigned in system-wide activities. The Patient Flow Coordinator serves as the unit based team leader in ensuring optimal patient flow, teamwork and utilization of resources to meet patient-care needs. This role requires rounding on the designated unit, intake area and discharge areas to facilitate optimized flow, patient care and safety. Additionally, the PFC will assist Units and Clinical Leadership with: Team member training and mentoring Workflow planning and prioritization Patient Flow and Capacity Management Process and quality improvement Clinical Resource for the designated nursing departments Provision of assessments, discharges and discharge instructions when needed to facilitate patient flow

The Precert/Referral Coordinator works in the practice, prescreening patients and providing information to patients about physicians and procedures. The Precert/Referral Coordinator must also makes sure that referral and booking of patients is carried out in agreement with company rules and regulations. The Precert/Referral Coordinator manages clinic slot availability, responds to voice-mails and messages, obtains insurance authorization for appointments and performs general office tasks such as answering phones, sending faxes and sending emails. This includes those staff who are working in the designated Rural Health Clinics. Education: Required: A high school diploma or GED Preferred: Associates Degree in Medical Assisting, Medical Office Management or a related field Experience: Required: Two years' experience in the medical or health insurance field. Demonstrated experience in a Windows based computer environment. Preferred: Position Requirement(s): License/Certification/Registration Required: Preferred: Department Position Summary: The Precert/Referral Coordinator works in the practice, prescreening patients and providing information to patients about physicians and procedures. The Precert/Referral Coordinator must also makes sure that referral and booking of patients is carried out in agreement with company rules and regulations. The Precert/Referral Coordinator manages clinic slot availability, responds to voice-mails and messages, obtains insurance authorization for appointments and performs general office tasks such as answering phones, sending faxes and sending emails. '278558

Provides a variety of patient and customer service-related activities within the Physician Practice, particularly liaison with other physician's office and insurance companies. These activities include but are not limited to greeting patients and the public, answering and screening telephone calls, scheduling patient appointments, preparing the medical record, and serving as the liaison between the patient and medical support staff. Performs general office duties such as data entry, filing, balancing charges and collections at the end of each day. Provides patients with insurance pre-certification and schedules specialist referrals. Performs any other duties as directed. This position is involved in a team-based approach to care. Team members are trained to meet the highest level of function for their role as per the State of Tennessee/Georgia guidelines. Is trained and assigned (as per their role and responsibilities) to coordinate care for patients and is trained and assigned to support patients/families/caregivers in self-management, self-efficacy and behavior change. Is trained and assigned (as per their role and responsibilities) to manage the practices' patient population. Participates in the practice's quality improvement process and performance evaluation. Education: Required: High School diploma or equivalent. Preferred: Experience: Required Previous experience in a health/medical setting. Previous experience in understanding insurance plans and referrals, pre-authorizations, appointment scheduling, data entry and deposits. Computer experience with MS Windows, Outlook and medical software applications. Preferred: Minimum 2 years in a physician's practice. Knowledge of medical billing including CPT and ICD 9 & 10 coding. Position Requirement(s): License/Certification/Registration Required: Preferred: Department Position Summary: Provides a variety of patient and customer service-related activities within the Physician Practice structure and as the liaison between external departments, physician's office and insurance companies. These activities include but are not limited to greeting internal and external customers, entering phone messages into the EMR system, scheduling appointments in FlowCast, performing general office duties, accurate data entry, filing, obtaining pre-certification and pre-authorizations for procedures and medications, scheduling referrals for patients via the referral proxy and fax system, and all other duties as assigned. '275662

Provides a variety of patient and customer service-related activities within the Physician Practice, particularly liaison with other physician's office and insurance companies. These activities include but are not limited to greeting patients and the public, answering and screening telephone calls, scheduling patient appointments, preparing the medical record, and serving as the liaison between the patient and medical support staff. Performs general office duties such as data entry, filing, balancing charges and collections at the end of each day. Provides patients with insurance pre-certification and schedules specialist referrals. Performs any other duties as directed. This position is involved in a team-based approach to care. Team members are trained to meet the highest level of function for their role as per the State of Tennessee/Georgia guidelines. Is trained and assigned (as per their role and responsibilities) to coordinate care for patients and is trained and assigned to support patients/families/caregivers in self-management, self-efficacy and behavior change. Is trained and assigned (as per their role and responsibilities) to manage the practices' patient population. Participates in the practice's quality improvement process and performance evaluation. Education: Required\: High School diploma or equivalent. Preferred\: Experience: Required Previous experience in a health/medical setting. Previous experience in understanding insurance plans and referrals, pre-authorizations, appointment scheduling, data entry and deposits. Computer experience with MS Windows, Outlook and medical software applications. Preferred: Minimum 2 years in a physician's practice. Knowledge of medical billing including CPT and ICD 9 & 10 coding. Position Requirement(s)\: License/Certification/Registration Required: Preferred: Department Position Summary: Provides a variety of patient and customer service-related activities within the Physician Practice structure and as the liaison between external departments, physician's office and insurance companies. These activities include but are not limited to greeting internal and external customers, entering phone messages into the EMR system, scheduling appointments in FlowCast, performing general office duties, accurate data entry, filing, obtaining pre-certification and pre-authorizations for procedures and medications, scheduling referrals for patients via the referral proxy and fax system, and all other duties as assigned.