PATIENT ACCOUNT REP I CORPORATE

Covenant Health•Knoxville, TN

26d

About The Position

The Patient Account Representative I works patient accounts according to department policies and procedures, under the direction of the Manager and Supervisor. The assigned Business Office functional area determines the specific duties and work volume. Work must be completed accurately and in a timely manner. The role includes account follow-up and collection functions, understanding payer and insurance requirements, and supporting appropriate reimbursement. The representative works with patients, the public, coworkers, physicians, facilities, agencies, and other personnel, and contributes to department operations, quality improvement, training, and service goals.

Requirements

No specific minimum education is stated; a combination of formal education and/or prior work experience sufficient to demonstrate the necessary knowledge, skills, and abilities is acceptable, typically equivalent to a high school diploma or GED.
Computer experience is required.
Must be familiar with insurance plans and requirements and collection practices, including the Fair Debt Collection Act.
Able to understand and interpret procedures related to the revenue process and handle varying tasks.
Able to communicate professionally and effectively with patients, the public, coworkers, physicians, facilities, agencies, and other personnel.

Nice To Haves

A high school diploma or GED is preferred.
One to two years of healthcare experience is preferred.
Knowledge of medical terminology, claims submission, and customer service is preferred.

Responsibilities

Work patient accounts according to established policies and procedures, completing assigned work accurately and promptly.
Assist the Supervisor in recognizing and identifying issues related to account work.
Handle varying tasks and interpret procedures related to the revenue process.
Apply knowledge of State and Federal regulations, HIPAA, HCFA, TennCare, and third-party payer requirements to support departmental compliance.
Recognize when supervision or guidance is needed and seek appropriate resources.
Follow departmental policies, procedures, objectives, process improvement initiatives, and safety, environmental, and infection control standards.
Understand payer requirements and patient information from facilities to ensure appropriate account follow-up and reimbursement.
Perform functions related to collection of patient accounts.
Communicate professionally and effectively with patients, the public, coworkers, physicians, facilities, agencies, offices, and other facility personnel.
Collaborate with Supervisors, coworkers, the Department Manager, and other facility personnel to perform job duties.
Attend required meetings and participate on committees as directed.
Promote good public relations for the department and facilities.
Assist Vice Presidents, Directors, Managers, and Supervisors with activities and projects as needed.
Participate in intradepartmental quality improvement activities when called upon.
Provide assistance to new employees and attend required in-service training.
Report to work promptly, complete assigned work, and follow through on tasks.
Take initiative to increase skills and attend available training programs.
Use equipment, supplies, and other resources appropriately and help reduce waste.
Complete annual required education assignments, work toward goals and objectives, and participate in quality improvement initiatives as requested.
Perform other duties as assigned.