Patient Representative jobs in Tennessee

Patient Representative acts as a liaison between patients, families, and the healthcare organization to support patient-centric care delivery. Communicates patients' questions, concerns, and issues to appropriate staff members, follows up, and facilitates solutions as needed. Being a Patient Representative explains policies, procedures, rights, and applicable regulations to patients and provides informational resources about available services. Working with multi-disciplinary teams may make recommendations for improvements to the patient experience. Additionally, Patient Representative may participate in discharge processes or administer patient satisfaction surveys. Follows all applicable regulations regarding patient information privacy policies. Requires a high school diploma. Typically reports to a supervisor. The Patient Representative works independently within established procedures associated with the specific job function. Has gained proficiency in multiple competencies relevant to the job. To be a Patient Representative typically requires 3-5 years of related experience. (Copyright 2024 Salary.com)

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INSURANCE VERIFICATION REPRESENTATIVE - PATIENT ACCESS - PRN
  • PATIENT ACCESS - PRN in FRANKLIN, TN - Williamson Health
  • FRANKLIN, TN FULL_TIME
  • Summary

    Located in Franklin, Tennessee, Williamson Health is one of the South’s most exceptional health care systems with a 203 bed hospital (Williamson Medical Center), over 40 providers at our Williamson Health Medical Group locations, the Bone & Joint Institute and the Monroe Carell Junior Children’s Hospital Vanderbilt at Williamson Medical Center.  Williamson Health offers comprehensive in-patient and out-patient services. We have more than 825 providers representing over 70 medical specialties and sub-specialties. 

    Williamson Health is a system where your talents will be valued and your skillset expanded. We are rooted in our promise to world-class, compassionate care for the residents of Williamson County and surrounding communities, taking exceptional pride in serving our community. We’re committed to empowering our employees to work in innovative ways and reserve time and space for curiosity, laughter and creativity. We value and support the diversity and cultural differences among one another and are committed to upholding an inclusive environment that appreciates the uniqueness of all individuals. Our values are at the heart of everything we do: respect for every individual, the health and total well-being of all people, human compassion and integrity. These shape who we are as an organization and are essential for delivering the highest level of culturally competent care and treatment of every patient, family member, visitor, physician and employee.

    Williamson Health is pleased to offer a comprehensive benefits program, that offers you choice and flexibility, so you can take charge of your physical, financial, and emotional well-being. 
    o    Medical, Dental, Vision
    o    PTO
    o    Retirement Matching
    o    Tuition reimbursement
    o    Discount programs
    o    FSA (Flexible Spending Accounts)
    o    Identity Theft Protection
    o    Legal Aid

    Williamson Health is an equal-opportunity employer and a drug-free workplace.
     

    POSITION SUMMARY
     
    Verifies insurance benefits and performs pre-certification on Surgical Day Care Patients, Observation Patients, Inpatients and Outpatient procedures, to achieve maximum reimbursement in a timely manner.  Works closely with other departments and referring physician offices and is professional in all communications.   
     

    POSITION REQUIREMENTS

    Formal Education/ Training:
    High School diploma or equivalent

    Workplace Experience:
    At least three years clerical experience in a professional customer service oriented office environment
    At least one year Insurance verification/pre-certification experience required
    Interprets physician orders and understands radiology protocols

    Equipment and Skills Training:
    Meditech, Fax, Copier, time and attendance system, patient access software, cash management/posting, AllScripts, FormsFast, Education system, Label and armband printers, hand-held communication equipment, email.

    Physical Environment:
    Office in all areas pertinent to position

    Physical Effort:
    Able to communicate in English verbally and legibly
    Prolonged sitting, consistent keyboard and terminal usage
    Standing, walking, bending, 
    Efficient verbal and written communication
    Ability to work well under pressure, to function dependently and 

    PERFORMANCE STANDARDS

    1. Consistently is up to date with payer requirements and is knowledgeable of billing requirements/regulations.  Consistently and accurately completes insurance verification sheets after verifying insurance benefits/precertification requirements by using  Passport, insurance websites, insurance cards and contacting insurance company by phone for all direct admits, ER admits and scheduled procedures.  Scans completed document to patient’s account.  Completely reviews insurance information entered by scheduler or registrar and updates information accurately to insure timely reimbursement.
    2. Consistently uses good customer service skills when contacting patients, or physician offices when benefits have terminated or insurance information is incomplete or not available upon registration.
    3. Consistently reviews faxcert or AllScripts to obtain physician orders, clinical information, insurance information and contacts physician office when discrepancies or additional information is needed. 
    4. Consistently reviews printer for add-on and divides work between co-workers to insure timely verification and authorization throughout the day.
    5. Consistently obtains and verifies prior authorizations and compares to the physician orders to insure accuracy.  Obtains updated orders as needed.  Relays clinical information to insurance companies accurately.  Consistently follows-up on after hour and weekend patients/procedures for authorization/retro authorization in a timely manner.
    6. Consistently communicates and assists (throughout the workday) other insurance verifiers with daily and future work.
    7. Participates in departmental meetings/huddles/etc. and recommends improvement opportunities.  Performs other duties as assigned by Patient Registration director or manager and independently seeks out job duties during down time.
    8. Consistently notifies the Medicaid counselor and financial counselor of self-pay patients or when patients insurance has terminated to make financial arrangements.
    9. Understands and willingly adjusts working hours and job duties to accommodate patients and the department.  Recognizes the need for change in daily routine; willingly alters lunch/break schedule to accommodate patients waiting to register.
    10. Communicates with all stakeholders when issues delay treatment due to pre-certification or verification requirements.
    11. Consistently communicates and documents significant patient information to hospital departments and physician offices by outlook, BAR module and scheduling module in a professional manner. Acknowledges e-mails in a timely manner. 
    12. Reports concerns requiring attention to supervisor or director.  Is a problems' solver that brings possible solutions with the concerns or problems.
       
  • 2 Months Ago

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Freelance Side Jobs - Customer Service Representative
  • Customer Service Representative - Fud
  • Memphis, TN OTHER
  • Fud, the World's First Social Hustling Community, is seeking a Freelance Side Jobs - Customer Service Representative to join our community. As an expert and mentor in our community, you will play a vi...
  • 9 Days Ago

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Sales Representative
  • TruGreen - Sales Representative - Nashville, TN
  • Eagleville, TN FULL_TIME
  • TruGreen is Hiring Territory Sales RepresentativesImmediate Openings in Nashville, TNAt TruGreen, we are committed to our customers, our teams, our values, and the science of lawn care. A career with ...
  • 2 Days Ago

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Patient Representative
  • HCA Healthcare
  • Franklin, TN FULL_TIME
  • Description This position is incentive eligible. IntroductionLast year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Patient Representative with CareN...
  • 23 Days Ago

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Patient Representative
  • CareNow
  • Smyrna, TN FULL_TIME
  • This position is incentive eligible. Introduction Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Patient Representative with CareNow you can ...
  • 3 Days Ago

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Patient Representative
  • CareNow
  • Madison, TN FULL_TIME
  • This position is incentive eligible. Introduction Do you want to join an organization that invests in you as a Patient Representative? At CareNow, you come first. HCA Healthcare has committed up to $3...
  • 8 Days Ago

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Patient Representative
  • Zufall Health Center
  • Bridgewater, NJ
  • Patient Representative Bridgewater, NJ, USA ? Dover, NJ, USA ? Flemington, NJ 08822, USA ? Hackettstown, NJ 07840, USA ?...
  • 3/29/2024 12:00:00 AM

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Patient Representative
  • Methodist Healthcare San Antonio
  • Seguin, TX
  • Description This position is incentive eligible. Introduction Do you want to join an organization that invests in you as...
  • 3/29/2024 12:00:00 AM

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Patient Representative
  • HCA
  • Overland Park, KS
  • This position is incentive eligible. Introduction Last year our HCA Healthcare colleagues invested over 156,000 hours vo...
  • 3/28/2024 12:00:00 AM

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Patient Representative
  • Adventhealth
  • Lake Wales, FL
  • All the benefits and perks you need for you and your family: · Benefits from Day One · Paid Days Off from Day One · Care...
  • 3/27/2024 12:00:00 AM

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Patient Representative
  • Methodist Health System
  • Allen, TX
  • Your Job: Greet, Instruct and schedules patients, registers patients into the computer system, and determines their insu...
  • 3/27/2024 12:00:00 AM

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PATIENT REPRESENTATIVE
  • Methodist Health System
  • Richardson, TX
  • Hours of Work : 8am-5pm Days Of Week : Mondy-Friday Work Shift : Job Description : JOB TITLE: PATIENT REPRESENTATIVE DEP...
  • 3/27/2024 12:00:00 AM

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Patient Representative
  • Ivy Rehab
  • Virginia Beach, VA
  • Description Position at Ivy Rehab for Kids Patient Representative (40 hrs/week) Ivy Rehab for Kids - Outpatient Pediatri...
  • 3/26/2024 12:00:00 AM

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Patient Representative
  • PHYSIOFITNESS PT PC
  • New York, NY
  • Job Description Job Description Physiofitness Physical Therapy is looking for a full-time Patient Representative to join...
  • 3/25/2024 12:00:00 AM

Tennessee borders eight other states: Kentucky and Virginia to the north; North Carolina to the east; Georgia, Alabama, and Mississippi on the south; Arkansas and Missouri on the Mississippi River to the west. Tennessee is tied with Missouri as the state bordering the most other states. The state is trisected by the Tennessee River. The highest point in the state is Clingmans Dome at 6,643 feet (2,025 m). Clingmans Dome, which lies on Tennessee's eastern border, is the highest point on the Appalachian Trail, and is the third highest peak in the United States east of the Mississippi River. The ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Patient Representative jobs
$37,482 to $50,437

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According to O*NET OnLine, around 60% of the patient representatives surveyed held a bachelor’s degree and less than 10 percent held an associate’s degree.
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There are also community colleges that offer certification programs that prepare a person to become a patient representative.
December 10, 2019