Senior Patient Accounts Representative
Full Time
Knoxville, TN 37916
Posted Just posted
Job description
Overview:
Patient Account Representative II, Knoxville Heart Group
Covenant Medical Group is Covenant Health’s employed and managed medical practice organization, with more than 300 top Physicians and providers spanning the continuum of care in 20 cities throughout East Tennessee. Specialties include cardiology, cardiothoracic surgery, cardiovascular surgery, endocrinology, gastroenterology, general surgery, infectious disease, neurology, neurosurgery, obstetrics and gynecology, occupational medicine, orthopedic surgery, physical medicine and rehabilitation, primary care, pulmonology, reproductive medicine, rheumatology, sleep medicine and urology.
Position Summay:
The Patient Account Rep II serves as a resource to Patient Account Rep I’s by providing training and assistance with more complex issues.
There are several sub-categories of the Patient Account Rep II position that are used as internal designations. There may be variations within these designations as to specific responsibilities, related primarily to the customer base being served and the functional area within the Business Office. Responsibilities:
Minimum Experience:
Licensure Requirement:
For information on Knoxville Heart Group https://www.knoxvilleheartgroup.com/
Patient Account Representative II, Knoxville Heart Group
Full-time, 80 hours per pay period, Day shift
Covenant Medical Group is Covenant Health’s employed and managed medical practice organization, with more than 300 top Physicians and providers spanning the continuum of care in 20 cities throughout East Tennessee. Specialties include cardiology, cardiothoracic surgery, cardiovascular surgery, endocrinology, gastroenterology, general surgery, infectious disease, neurology, neurosurgery, obstetrics and gynecology, occupational medicine, orthopedic surgery, physical medicine and rehabilitation, primary care, pulmonology, reproductive medicine, rheumatology, sleep medicine and urology.
Position Summay:
The Patient Account Rep II is responsible for inbound inquiries from patients, family members, insurance carriers or other payment sources. The primary responsibility of the Patient Account Rep II is to provide timely and accurate follow-up in response to these inquiries. The Patient Account Rep II will respond to a minimum of 60 inquiries per day or an equivalent work assignment, contingent upon which functional area within the Business Office the position is assigned.
The Patient Account Rep II serves as a resource to Patient Account Rep I’s by providing training and assistance with more complex issues.
There are several sub-categories of the Patient Account Rep II position that are used as internal designations. There may be variations within these designations as to specific responsibilities, related primarily to the customer base being served and the functional area within the Business Office.
Integrity
Demonstrates the ability to handle varying tasks as well as understanding and interpreting procedures relative to the Patient Accounts/Customer Service process.- Demonstrates knowledge of State and Federal regulations, HCFA guidelines, TennCare guidelines and other Third Party Payor requirements assuring departmental compliance.
- Recognizes situations, which necessitate supervision and guidance, seeks appropriate resources.
- Adheres to established departmental policies and procedures, objectives, process improvement initiatives, safety, environmental and infection control standards.
- Does not promote or participate in solicitation during working hours within the department.
- Demonstrates good judgment when having financial discussions with customers, maintaining a professional and confidential environment.
Quality
- Interprets and explains to patients and their families’ charges, services, insurance coverage, and office policy regarding payment of their bills.
- Counsels patient or family regarding office financial policies including payment arrangements, charity guidelines, and payroll deduction.
- Demonstrates an understanding of payer requirements for all payers.
- Demonstrates an understanding of all patient types with the facilities.
- Serves as a resource for the Patient Account Rep I position by assisting in resolution of complex issues, seeking guidance from appropriate supervisory staff as needed.
- Handles all correspondence relating to assigned patient accounts within five working days of receipt.
- Handles incoming telephone inquiries on assigned patient accounts in compliance with the Covenant Health standards of Telephone Excellence policy.
- Refers patient accounts to auditor upon request by patient or insurance company, and monitors account until completion of audit and follow up is done.
- Performs other duties as assigned to the satisfaction of the department manager.
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 Patient Accounts/Customer Service is required. Must meet all requirements of Patient Account Rep I position. Expected to perform adequately within the position after working at least three to six (3-6) months on the job.
Licensure Requirement:
None
For information on Knoxville Heart Group https://www.knoxvilleheartgroup.com/
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