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Patient Services Representative

Patient Services Representative

TeamHealthLouisville, TN, US
30+ days ago
Job type
  • Full-time
Job description

Job Description and Responsibilities

JOB DESCRIPTION OVERVIEW :

The Patient Services Coordinator serves as a liaison between Team Health affiliates, National Patient

Services Call Center, and BasePointe Billing Center in solving and researching complex client-related

issues.

ESSENTIAL DUTIES AND RESPONSIBILITIES :

  • Resolve and research Team Health Client Services complaints. Suspend and unsuspend

accounts per Team Health affiliates.

  • Resolve and research hospital complaints relating to patient issues concerning billing and

    • charges.

  • Researching accounts on the system and requesting medical records.
  • Submitting researched accounts to Medical Coding for review.
  • Submitting researched accounts on to Medical Director after the Medical Coding Manager has reviewed. Complaints needing clinical review.
  • Adjusting reviewed complaints after Medical Coding Manager or Medical Director has

    • approved and adjusting accounts per Team Health affiliates.

  • Corresponding with collection agency in order to coordinate the resolution of billing and

    • reimbursement related issues.

  • Corresponding to resolve client-related issues to the Better Business Bureau and to the

    • Consumer Affairs office.

  • Handle the National Patient Services Call Center warm transfers for all business.
  • Processing NPSC and patient web site information.
  • Processing NPSC ETM Tasks.
  • Processing incoming mail (LOD - Letters of Dispute - from service center or lockbox,

    • insurance update).

  • Communicate and follow up all client complaints to Client Services Manager.
  • Comply with mandatory requirements at the direction of the Client Services Manager.
  • Assume other tasks, duties and responsibilities as assigned by the Client Services Manager.

    • Job Requirements : Requirements

  • 12 weeks of ONSITE training and can be remote / hybrid AFTER training is complete

    • QUALIFICATIONS / EXPERIENCE :

    Excellent personal computer skills, including proficiency in Microsoft Office. Ability to handle

    a variety of tasks in a fast-paced environment, knowledge of IDX-BAR preferred.

    Excellent problem-solving, communication, organizational, and customer service skills.

    Education should be equivalent to completion of the 12th grade or a GED. A minimum of 6

    months experience in a medical billing setting, with an emphasis on patient relations.

    Travel may be required to billing locations concerning the resolution of billing related issues.

    SUPERVISORY RESPONSIBILITIES :

    None

    PHYSICAL / ENVIRONMENTAL DEMANDS :

    This position may require manual dexterity and / or frequent use of the computer, telephone, 10-key, calculator, office machines (copier, scanner, fax) and / or the ability to perform repetitive motions and / or meet production standards to comply with the essential functions. Also, may require physical and / or mental stamina to work overtime, additional hours beyond a regular schedule and / or more than five days per week.

    DISCLAIMER :

    Cooperative, positive, courteous and professional behavior and conduct is an essential function of every position. All employees must be able to work with others beyond giving and receiving instructions. This includes getting along with co-workers, peers and management without exhibiting behavior extremes. Job functions may require personal leadership skills such as conflict resolution, negotiating, instructing, persuading, speaking with others as well as responding appropriately to job performance feedback from the supervisor. Additionally, the information contained in this job description has been designated to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this position.

  • This position description is not an employment agreement or contract. Management has the exclusive right to alter this job description at any time without notice.
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    Patient Service Representative • Louisville, TN, US