PATIENT ACCOUNT REP II CORPORATE

About the role

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. 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.

Responsibilities

The Patient Account Representative (PAR) Level II position serves as a resource to PAR Level I staff by providing training and assistance in solving complex issues. A Level II has the ability to handle and resolve complex issues with little or no supervision resulting in the correct outcome.

• 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.
• 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, quality, service, caring for and developing our people, and using the community’s resources wisely.

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 and collection practices e.g. Fair Debt Credit and Collection Act.

Licensure Requirement: None