• Job Description

  Req#: 56503

  Overview

  Intake Representative I, Knoxville Clinic

  Full Time, 72 Hours Per Pay Period, Day Shift

  Peninsula Overview:

  Peninsula, a division of Parkwest Medical Center, has set a new standard for effective, innovative and caring mental health services in East Tennessee. With a combined total of more than 75 years of experience, Peninsula has helped thousands of people recover from disorders and dependencies, and lead healthy, positive and productive lives.

  Offering both inpatient and outpatient services for children, adolescents and adults, Peninsula is a leader in the changing healthcare environment. The hospital is located in Blount County, with outpatient centers in Knox, Blount, Loudon and Sevier Counties. Additionally, Peninsula offers care specifically designed for seniors with co-existing psychiatric and medical conditions at the Senior Behavioral Center located at Parkwest Medical Center. Peninsula is truly committed to improving the health of the people and communities it serves.

  Knox Clinic:

  This clinic is located at 1451 Dowell Springs Blvd in Knoxville, Tennessee and is open Monday-Friday from 7:30 a.m. - 5:30 p.m. We provide mental health services for those experiencing psychiatric illnesses or symptoms. Our team of mental health professionals provide:

  • Psychiatry
  • Intensive Outpatient Program
  • Office based Opioid Treatment
  • Psychiatric Rehabilitation
  • Group, individual and family therapy
  • Care Coordination
  • Support Groups
  • Medication management
  • Assessment and referral services

  Position Summary:

  Position is responsible for verifying patient insurance benefits on all potential clients. Obtain authorization for treatment from insurance companies using clinical information from electronic medical record. Accurately enters data of benefits and authorizations into multiple systems for communication and billing purposes. Update insurance information prior to billing. Responsible for maintaining the delayed claims database and various reports to ensure correct and timely data. Works closely with clinic registration departments, business office, and access center to resolve insurance questions and issues. Spend majority of time on the phone or working from a computer. Helps foster a positive image of Peninsula Behavioral Health through communication within the Covenant Health System and the community.

  Recruiter: Kathleen Rice || kkarnes@covhlth.com || 865-368-7313

  Responsibilities

  • Gathers pertinent information from systems and/or clinicians to present clear, accurate information to the insurance companies as needed.
  • Verifies patient insurance benefits on all potential clients.
  • Demonstrate the ability to control and direct conversations in an effective manner.
  • Demonstrate knowledge of psychological and medical terminology.
  • Demonstrate the ability to safely and effectively handle and defuse crisis situations.
  • Work closely with the front desk receptionists to manage clients and families at Peninsula Behavioral Health facilities.
  • Be able to demonstrate knowledge regarding chemical dependency, withdrawal symptoms, and medical complications associated with detoxification in order to assess a client’s need and obtain authorizations as appropriate.
  • Assist by suggesting appointments with appropriate Peninsula Behavioral Health facilities depending upon the clinical information that is gathered.
  • Provide clinics with information regarding requirements of insurance companies.
  • Assist professionals in the community with information and referral to appropriate psychiatric and chemical dependency programs.
  • Present clinical information to insurance companies for pre-certification of varying levels of care.
  • Notify clinic registration departments if there are any changes in insurance coverage or policy.
  • Check and respond to emails in a timely manner.
  • Communicate and obtain information from access center and clinics when insurance information is incomplete.
  • Discuss and explain current processes and be able to suggest process improvements.
  • Accurately compile, complete, and distribute excel worksheets with department information.
  • Demonstrate knowledge of medical and clinical exclusionary criteria for all Peninsula Behavioral Health programs.
  • Demonstrate knowledge of Medical Staff and Nursing policies related to admission of patients.
  • Communicate effectively and accurately with employees regarding new admissions and medical necessity.
  • Enter or update patient information in the computer system.
  • Routinely interface with the Business Office staff to ensure the accurate collection of financial information on all clients.
  • Verify and complete daily delayed claims and reports.
  • Make additional copies of paperwork supplies or notify the Office Supervisor if they are to be ordered.
  • Performs other duties as necessary as determined by training and experience.
  • Observes patient’s rights to confidentiality and adheres to the Covenant Health employee code of conduct.
  • Other duties as assigned by Office Supervisor.

  Qualifications

  Minimum Education:

  Bachelor’s degree in psychology, social work, or related field or four (4) or more years experience may be substituted.

  Minimum Experience:

  One (1) year experience in a health setting or in insurance. Experience in residential or outpatient care preferred.

  Licensure Requirement:

  None

• About the company

  Covenant Health is the region's top performing healthcare network and the only health system in East Tennessee to be named by Forbes as one of America's Best Employers. We are a non-profit, local healthcare system whose mission is to improve the health of residents in the communities we serve, and are nationally recognized for our enduring legacy of excellence.

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