Patient Account Rep II Corporate

Covenant Health•Knoxville, TN

About The Position

The Patient Account Representative II works patient accounts according to department policies and procedures, with assigned duties and workload determined by the Business Office functional area. The role is responsible for completing work accurately and on time. A Level II representative handles and resolves complex issues with little or no supervision and serves as a resource to Level I staff by providing training and assistance. The position works under the Manager and Supervisor within the department.

Requirements

Two to three years of experience in health care.
Computer experience.
Familiarity with insurance plans, insurance requirements, and collection practices, including the Fair Debt Collection Practices Act.
Ability to handle varying tasks and resolve complex issues with little or no supervision.
Ability to understand payer requirements and patient information relevant to account follow-up and reimbursement.
Professional verbal, nonverbal, and written communication skills.
No specified minimum education; formal education and/or prior work experience must demonstrate the knowledge, skills, and abilities needed for the role, typically equivalent to a high school diploma or GED.
No licensure requirement.
Must have no current disciplinary action as a Patient Account Representative Level I.

Nice To Haves

High school diploma or GED.
Knowledge of medical terminology.
Knowledge of claims submission.
Customer service experience.

Responsibilities

Work patient accounts according to established department policies and procedures, completing assigned work accurately and in a timely manner.
Assist the Collection Supervisor in recognizing and identifying issues related to account work.
Interpret and follow procedures related to the revenue process, and recognize when supervision or guidance is needed.
Comply with applicable State and Federal regulations, HIPAA guidelines, HCFA guidelines, TennCare guidelines, and other third-party payer requirements.
Perform collection functions and follow up on accounts to support appropriate reimbursement.
Maintain departmental policies, procedures, quality assurance objectives, and safety standards; achieve departmental quality audit results of 95% accuracy or higher.
Communicate professionally with patients, the public, coworkers, physicians, facilities, agencies, and other personnel using verbal, nonverbal, and written communication.
Collaborate with supervisors, coworkers, department management, and facility personnel; attend required meetings and participate on committees as directed.
Serve as a positive resource to peers, provide assistance to new employees, and train and develop others.
Participate in quality improvement activities and attend required in-service training and monthly staff meetings.
Complete other duties and projects as assigned or requested.
Report to work promptly, follow department protocols, use equipment and supplies appropriately, and attend training programs as available.