Patient Service Rep/Precertification Specialist - University GYN Oncology
University Physicians' Association, Inc. (UPA)
Date: 2 days ago
City: Knoxville, TN
Contract type: Full time
Description
Position Overview
The Patient Service Representative / Precertification Specialist plays a vital role in supporting patient care and clinic operations. This position involves scheduling appointments, managing authorizations, patient check-in, and ensuring smooth communication between patients, providers, and administrative teams.
Key Responsibilities
Scheduling & Coordination
Customer Service
Essential Skills & Abilities
Position Overview
The Patient Service Representative / Precertification Specialist plays a vital role in supporting patient care and clinic operations. This position involves scheduling appointments, managing authorizations, patient check-in, and ensuring smooth communication between patients, providers, and administrative teams.
Key Responsibilities
Scheduling & Coordination
- Schedule follow-up visits, chemotherapy, labs, and new patient appointments.
- Manage multi-patient task lists and oncology future orders.
- Create encounters and follow up with no-show patients.
- Scan and upload patient documents into Cerner.
- Obtain prior authorizations for chemotherapy, scans, and medications.
- Ensure chemotherapy orders are printed and authorized at least two days before infusion.
- Coordinate referrals and notify patients of scheduled tests.
- Support billing processes including Good Faith Estimates and FMLA paperwork.
- Greet patients warmly and professionally.
- Collect copays and verify insurance, contact details, and registration forms.
- Register patients in Intergy and Cerner with accuracy.
- Maintain confidentiality and privacy standards.
- Answer calls promptly (within 3 rings).
- Return patient messages within 24 hours via Powerchart.
- Assist with triage and direct calls appropriately.
- Complete blue referral forms and schedule appointments within 5–7 days for known cancer diagnoses.
- Request records from referring providers and coordinate with Nurse Navigators.
- Create patient profiles in Cerner and Intergy.
Customer Service
- Exhibit a positive attitude and professional demeanor.
- Partner with patients and families in care planning.
- Respect confidentiality and respond to concerns promptly.
- Maintain clear, concise verbal and written communication.
- Foster ethical and therapeutic relationships with patients and staff.
- Collaborate with team members to ensure clinic efficiency.
- Arrive by 7:45 AM on clinic days.
- Maintain a clean and organized workspace.
- Train assistants and floaters on clinic procedures.
- Ensure= all clinics run smoothly to support excellent patient care.
Essential Skills & Abilities
- Ability to work in high-stress environments and make quick decisions.
- Strong problem-solving and customer service skills.
- Competency in physical assessments and medical documentation.
- Ability to maintain composure and confidentiality.
- Professional, compassionate attitude toward patients and colleagues.
- High school diploma or equivalent required.
- 1–2 years of experience in a hospital or clinical setting preferred.
- Ability to meet performance expectations within 4–6 months of hire.
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