PATIENT ACCOUNT REP I CORPORATE
Tennessee Staffing, Knoxville, Tennessee, United States, 37902
Patient Account Representative
Covenant Health is the region's top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant Medical Group, our area's fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area's largest employer. Our more than 11,000 employees, volunteers, and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million patients and families we serve every year. Covenant Health is the only healthcare system in East Tennessee to be named a Forbes "Best Employer" seven times. This position has the responsibility of working patient accounts as defined by the department established policies and procedures under the Manager and Supervisor within the department. Specifics and volume of work is defined by the functional area within the Business Office that the employee is assigned. All work shall be completed in a timely and accurate manner. Responsibilities include: Assisting Supervisor to recognize and identify issues pertaining to the working of accounts. Demonstrating the ability to handle varying tasks as well as understanding and interpreting procedures relative to the revenue process. Demonstrating knowledge of State and Federal regulations, HIPAA guidelines, HCFA guidelines, TennCare guidelines and other Third Party Payer requirements assuring departmental compliance. Recognizing situations, which necessitate supervision and guidance, seeking appropriate resources. Adhering to established departmental policies and procedures, objectives, process improvement initiatives, safety, environmental and infection control standards. Supporting, modeling and adhering to the desired behaviors of the KBOS constitution and Covenant Health for integrity. Demonstrating an ability to understand the payer requirements of insurance carriers. Demonstrating an understanding of all patient information from the facilities and the specifics of each follow-up to ensure appropriate reimbursement is received. Professionally dealing with patients/public, co-workers, physicians, facilities, agencies and/or their offices, and other facility personnel using verbal, nonverbal and written communication skills. Performing specific functions relating to collection of patient accounts. Supporting, modeling and adhering to the desired behaviors of the KBOS Constitution for quality. Communicating effectively with patients/public, co-workers, physicians, facilities, agencies and/or their offices, and other facility personnel using verbal, nonverbal and written communication skills. Consulting and working collaboratively with Supervisors, Co-workers, Department Manager, and other facility personnel, effectively performing tasks of position. Attending meetings as required and participating on committees as directed. Promoting good public relations for the department and the facilities, adhering to desired behaviors. Assisting Vice President, Director, Managers and Supervisors on activities and projects, as needed. Supporting, modeling and adhering to the desired behaviors of the KBOS Constitution and Covenant Health for service. Participating freely in intradepartmental quality improvement activities whenever called upon to do so. Providing assistance to new employees. Attending required In-Service training as scheduled. Supporting, modeling and adhering to desired behaviors of the KBOS Constitution for caring. The KBOS Constitution for developing people. Demonstrating promptness in reporting for and completing work, ensuring follow-through on assigned tasks. Demonstrating initiative in increasing skills and attending training programs as available. Utilizing resources available appropriately, i.e. use of equipment and supplies. Supporting, modeling and adhering to the desired behaviors of the KBOS Constitution for using the community's resources wisely. Following policies, procedures, and safety standards. Completing required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested. Performs other duties as assigned. Qualifications: Minimum Education: None specified; will accept any combination of formal education and/or prior work experience sufficient to demonstrate possession of the knowledge, skill and ability needed to perform the essential tasks of the job, typically such as would be equivalent to a high school diploma or GED. Preference may be given to individuals possessing a HS diploma or GED. Minimum Experience: One to Two (1-2) years' experience in health care is preferred. Computer experience is required. Knowledge of medical terminology, claims submission, customer service is preferred. Expected to perform adequately within the position after working at least three (3) to six (6) months on the job. Must be familiar with insurance plans and requirements and collection practices e.g. Fair Debt Credit and Collection Act. Licensure Requirement: None
Covenant Health is the region's top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant Medical Group, our area's fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area's largest employer. Our more than 11,000 employees, volunteers, and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million patients and families we serve every year. Covenant Health is the only healthcare system in East Tennessee to be named a Forbes "Best Employer" seven times. This position has the responsibility of working patient accounts as defined by the department established policies and procedures under the Manager and Supervisor within the department. Specifics and volume of work is defined by the functional area within the Business Office that the employee is assigned. All work shall be completed in a timely and accurate manner. Responsibilities include: Assisting Supervisor to recognize and identify issues pertaining to the working of accounts. Demonstrating the ability to handle varying tasks as well as understanding and interpreting procedures relative to the revenue process. Demonstrating knowledge of State and Federal regulations, HIPAA guidelines, HCFA guidelines, TennCare guidelines and other Third Party Payer requirements assuring departmental compliance. Recognizing situations, which necessitate supervision and guidance, seeking appropriate resources. Adhering to established departmental policies and procedures, objectives, process improvement initiatives, safety, environmental and infection control standards. Supporting, modeling and adhering to the desired behaviors of the KBOS constitution and Covenant Health for integrity. Demonstrating an ability to understand the payer requirements of insurance carriers. Demonstrating an understanding of all patient information from the facilities and the specifics of each follow-up to ensure appropriate reimbursement is received. Professionally dealing with patients/public, co-workers, physicians, facilities, agencies and/or their offices, and other facility personnel using verbal, nonverbal and written communication skills. Performing specific functions relating to collection of patient accounts. Supporting, modeling and adhering to the desired behaviors of the KBOS Constitution for quality. Communicating effectively with patients/public, co-workers, physicians, facilities, agencies and/or their offices, and other facility personnel using verbal, nonverbal and written communication skills. Consulting and working collaboratively with Supervisors, Co-workers, Department Manager, and other facility personnel, effectively performing tasks of position. Attending meetings as required and participating on committees as directed. Promoting good public relations for the department and the facilities, adhering to desired behaviors. Assisting Vice President, Director, Managers and Supervisors on activities and projects, as needed. Supporting, modeling and adhering to the desired behaviors of the KBOS Constitution and Covenant Health for service. Participating freely in intradepartmental quality improvement activities whenever called upon to do so. Providing assistance to new employees. Attending required In-Service training as scheduled. Supporting, modeling and adhering to desired behaviors of the KBOS Constitution for caring. The KBOS Constitution for developing people. Demonstrating promptness in reporting for and completing work, ensuring follow-through on assigned tasks. Demonstrating initiative in increasing skills and attending training programs as available. Utilizing resources available appropriately, i.e. use of equipment and supplies. Supporting, modeling and adhering to the desired behaviors of the KBOS Constitution for using the community's resources wisely. Following policies, procedures, and safety standards. Completing required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested. Performs other duties as assigned. Qualifications: Minimum Education: None specified; will accept any combination of formal education and/or prior work experience sufficient to demonstrate possession of the knowledge, skill and ability needed to perform the essential tasks of the job, typically such as would be equivalent to a high school diploma or GED. Preference may be given to individuals possessing a HS diploma or GED. Minimum Experience: One to Two (1-2) years' experience in health care is preferred. Computer experience is required. Knowledge of medical terminology, claims submission, customer service is preferred. Expected to perform adequately within the position after working at least three (3) to six (6) months on the job. Must be familiar with insurance plans and requirements and collection practices e.g. Fair Debt Credit and Collection Act. Licensure Requirement: None