Covenant Health
PATIENT ACCOUNT REP I CORPORATE
Covenant Health, Knoxville, Tennessee, United States, 37955
Overview
Patient Account Representative, Business Office Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: 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. Specialty Unit: This position primarily works to resolve patient accounts through effective insurance claim follow-up, as defined by the department's established policies and procedures. Responsibilities include review of billed claims for timely and accurate payment. Employees use phones, internal computer systems, web-based insurance company applications, and correspondence in the performance of job functions. Tasks in this role require attention to detail, time management, and the ability to work independently. Timely, accurate follow-up of hospital accounts is essential to ensure payment and prevent denials from insurance companies. Employees in this role work independently as assigned and must meet productivity expectations. Position Summary: 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
Assists Supervisor to recognize and identify issues pertaining to the working of accounts. Demonstrates the ability to handle varying tasks as well as understanding and interpreting procedures relative to the revenue process. Demonstrates knowledge of State and Federal regulations, HIPAA guidelines, HCFA guidelines, TennCare guidelines and other Third Party Payer requirements assuring departmental compliance. Recognizes situations that necessitate supervision and guidance, seeks appropriate resources. Adheres to established departmental policies and procedures, objectives, process improvement initiatives, safety, environmental and infection control standards. Supports, models and adheres to the desired behaviors of the KBOS constitution and Covenant Health for integrity. Demonstrates an ability to understand the payer requirements of insurance carriers. Professionally deals with patients/public, co-workers, physicians, facilities, agencies and/or their offices, and other facility personnel using verbal, nonverbal and written communication skills. Performs specific functions relating to collection of patient accounts. Communicates effectively with patients/public, co-workers, physicians, facilities, agencies and/or their offices, and other facility personnel. Consults and works collaboratively with Supervisors, Co-workers, Department Manager, and other facility personnel. Attends meetings as required and participates on committees as directed. Promotes good public relations for the department and the facilities. Assists Vice President, Director, Managers and Supervisors on activities and projects, as needed. Participates freely in intradepartmental quality improvement activities whenever called upon to do so. Provides assistance to new employees. Attends required In-Service training as scheduled. Demonstrates promptness in reporting for and completing work, ensuring follow-through on assigned tasks. Demonstrates initiative in increasing skills and attends training programs as available. Utilizes resources available appropriately, i.e. use of equipment and supplies. Follows policies, procedures, and safety standards. Completes 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 Requirements: None.
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Patient Account Representative, Business Office Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: 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. Specialty Unit: This position primarily works to resolve patient accounts through effective insurance claim follow-up, as defined by the department's established policies and procedures. Responsibilities include review of billed claims for timely and accurate payment. Employees use phones, internal computer systems, web-based insurance company applications, and correspondence in the performance of job functions. Tasks in this role require attention to detail, time management, and the ability to work independently. Timely, accurate follow-up of hospital accounts is essential to ensure payment and prevent denials from insurance companies. Employees in this role work independently as assigned and must meet productivity expectations. Position Summary: 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
Assists Supervisor to recognize and identify issues pertaining to the working of accounts. Demonstrates the ability to handle varying tasks as well as understanding and interpreting procedures relative to the revenue process. Demonstrates knowledge of State and Federal regulations, HIPAA guidelines, HCFA guidelines, TennCare guidelines and other Third Party Payer requirements assuring departmental compliance. Recognizes situations that necessitate supervision and guidance, seeks appropriate resources. Adheres to established departmental policies and procedures, objectives, process improvement initiatives, safety, environmental and infection control standards. Supports, models and adheres to the desired behaviors of the KBOS constitution and Covenant Health for integrity. Demonstrates an ability to understand the payer requirements of insurance carriers. Professionally deals with patients/public, co-workers, physicians, facilities, agencies and/or their offices, and other facility personnel using verbal, nonverbal and written communication skills. Performs specific functions relating to collection of patient accounts. Communicates effectively with patients/public, co-workers, physicians, facilities, agencies and/or their offices, and other facility personnel. Consults and works collaboratively with Supervisors, Co-workers, Department Manager, and other facility personnel. Attends meetings as required and participates on committees as directed. Promotes good public relations for the department and the facilities. Assists Vice President, Director, Managers and Supervisors on activities and projects, as needed. Participates freely in intradepartmental quality improvement activities whenever called upon to do so. Provides assistance to new employees. Attends required In-Service training as scheduled. Demonstrates promptness in reporting for and completing work, ensuring follow-through on assigned tasks. Demonstrates initiative in increasing skills and attends training programs as available. Utilizes resources available appropriately, i.e. use of equipment and supplies. Follows policies, procedures, and safety standards. Completes 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 Requirements: None.
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