PATIENT ACCOUNT REP II CORPORATE

Responsibilities

• Assists Collection 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, 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.
• Proactively performs additional tasks necessary to meet department responsibilities and needs.
• Proficient and knowledgeable in all aspects of job duties in their relative area.
• 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.
• 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.
• Performs specific functions relating to collection of patient accounts. Work load is consistently completed and accurate.
• Attends meetings as required and participates on committees as directed.
• Performs other duties as assigned or requested.
• Promotes good public relations for the department ad the facilities, adhering to desired behaviors.
• Positive resource to peers; approachable and successful at training and development of others.
• 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 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 management, and other facility personnel, effectively performing tasks of position.
• Attends required In-Service training as scheduled.
• Attends monthly staff meetings and participates in discussions regarding work performance and departmental/facility updates.
• Supports, models and adheres to the desired behaviors of the KBOS Constitution for caring which are; build a trusting environment by listening with a 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 a open mind.

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: Two to three years (2-3) experience in health care is required.
• 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 to six (3-6) months on the job.
• Must be familiar with insurance plans and requirements ad collection practices e.g. Fair Debt Credit and Collection Act.
• Hospital UB or 1500 Medical Billing experience.
• Responsible for researching and correcting medical claims and edits in billing software.