Patient Account Representative I Corporate: Assists Supervisor to recognize and identify issues pertaining to the working of accounts. Demonstrates knowledge of State and Federal regulations, HIPAA guidelines, HCFA guidelines, TennCare guidelines and other Third Party Payer requirements assuring departmental compliance.
Requirements
- Assists Supervisor to recognize and identify issues pertaining to the working of accounts.
- Demonstrates knowledge of State and Federal regulations, HIPAA guidelines, HCFA guidelines, TennCare guidelines and other Third Party Payer requirements assuring departmental compliance.
- Demonstrates ability to handle varying tasks and understanding and interpreting procedures relative to the revenue process.
- 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.
- Supports, models and adheres to the desired behaviors of the KBOS constitution and Covenant Health for integrity which are; hold others accountable for living the values and behaviors, protect confidential information, deal with difficult issues honestly, directly, respectfully and tell the truth.
- Demonstrates an ability to understand the payer requirements of insurance carriers.
- Demonstrates an understanding of all patient information from the facilities and the specifics of each follow-up to ensure appropriate reimbursement is received.
- Performs specific functions relating to collection of patient accounts.
- Supports, models and adheres to the desired behaviors of the KBOS Constitution for quality which are; celebrate and reward successes, seek out better ways to do our job, set improvement goals and standards striving to meet or exceed them, participate in forming and being part of work teams when necessary and do not say 'It's not my job'.
- Communicates effectively with patients/public, co-workers, physicians, facilities, agencies and/or their offices, and other facility personnel using verbal, nonverbal and written communication skills.
- Consults and works collaboratively with Supervisors, Co-workers, Department Manager, and other facility personnel, effectively performing tasks of position.
- Attends meetings as required and participates on committees as directed.
- Promotes good public relations for the department and the facilities, adhering to desired behaviors.
- Assists Vice President, Director, Managers and Supervisors on activities and projects, as needed.
- Supports, models and adheres to the desired behaviors of the KBOS Constitution and Covenant Health for service which are; take ownership for our mistakes, resolve customer problems on the spot whenever possible, treat all people with respect and kindness, strive to meet or exceed customer expectations, collect and use customer feedback/data to improve processes and service and set an example for accountability and responsiveness: return e-mail and phone calls promptly, assure deadlines are met, keep commitments.
- 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.
- Supports, models and adheres to desired behaviors of the KBOS Constitution for caring which are; build a trusting environment by listening with an open mind and valuing different opinions; asking questions for understanding and allowing others to speak openly, do not gossip or criticize people behind their back, resolve conflicts, notice and express appreciation for good work and respect differences by listening with an open mind.
- 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.
- Supports, models and adheres to the desired behaviors of the KBOS Constitution for using the community's resources wisely which are; be aware of cost and quality when making spending decisions, demonstrate a personal commitment to reduce waste, consider the impact on other departments and facilities within Covenant Health when making decisions or taking action and ensure that meetings lead to solutions.
- 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.
Benefits
- Paid Time Off
- Health Insurance
- Dental Insurance
- Vision Insurance
- Retirement Plan
- Life Insurance
