Covenant Health

Job Title
Patient Access Specialist
ID
3208545
Facility
Covenant Health Corporate
Department Name
CENTRALIZED SCHED

Overview

covenant_logo

 

Patient Access Specialist

Full-Time, 80 Hours Per Pay Period, 11:30AM-8:00PM

 

Covenant Health Overview:

Covenant Health is East Tennessee’s top-performing healthcare network with 10 hospitals and over 85 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, not-for-profit healthcare system and the area’s largest employer with over 11,000 employees.

 

Covenant Health is the only healthcare system in East Tennessee to be named six times by Forbes as a Best Employer. 

 

Position Summary: 

This is an exciting opportunity to join the newly created centralized scheduling team with brand new location and offices. The Patient Access Specialist coordinates the insurance 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.

 

Experience in hospital setting or financial area required.

Experience in medical/hospital offer preferred.

 

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
  • Clearly communicates all necessary information to patients, e.g. clinical preps as outlined in the eCare scheduling guidelines, ABNs, financial responsibility, etc.
  • 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
  • Activates manual systems for computer network downtime, printing schedules in advance when necessary

 

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

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