PATIENT ACCOUNT REP I CORPORATE

Covenant Health • Knoxville, TN

6d

About The Position

The Patient Account Representative works patient accounts according to departmental policies and procedures, under the direction of the department Manager and Supervisor. Work assignments and volume depend on the functional area within the Business Office. The role requires timely and accurate work, including reviewing patient accounts for resolution, checking with insurance companies on billed claims that have not processed, and determining what is needed for claims to finalize. The representative also performs functions related to collecting patient accounts and supporting appropriate reimbursement.

Requirements

• Computer experience is required.
• Must be familiar with insurance plans and requirements and collection practices, such as the Fair Debt Credit and Collection Act.
• Must demonstrate the knowledge, skills, and abilities needed to perform the essential tasks; these may be shown through a combination of formal education and/or prior work experience.
• No specific licensure is required.

Nice To Haves

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

Responsibilities

• Work patient accounts according to established departmental policies and procedures, completing work accurately and promptly.
• Review patient accounts for resolution, check the status of unprocessed billed claims with insurance companies, and determine what is needed for claims to finalize.
• Assist the Supervisor in recognizing and identifying account-working issues.
• Handle varying tasks and interpret procedures related to the revenue process.
• Apply knowledge of State and Federal regulations, HIPAA guidelines, HCFA guidelines, TennCare guidelines, and other third-party payer requirements to support compliance.
• Recognize situations requiring supervision or guidance and seek appropriate resources.
• Follow departmental policies, procedures, objectives, process-improvement initiatives, and safety, environmental, and infection-control standards.
• Understand insurance payer requirements and patient information from facilities to ensure appropriate reimbursement follow-up.
• Communicate professionally and effectively with patients, the public, co-workers, physicians, facilities, agencies, offices, and other facility personnel using verbal, nonverbal, and written communication.
• Perform specific functions related to collecting patient accounts.
• Consult and collaborate with Supervisors, co-workers, the Department Manager, and other facility personnel to perform job tasks.
• Attend meetings as required 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 requested.
• 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 available resources, equipment, and supplies appropriately and help reduce waste.
• Complete required annual education assignments, work toward goals and objectives, and participate in requested quality-improvement initiatives.
• Perform other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed