Covenant Health

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: Bradley Sparks || bsparks2@covhlth.com || 865-374-0852

• 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.

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