PT ACCOUNT REP II-CLINIC

Responsibilities

• Understands Patient Accounts/Customer Service process including HIPAA policy regarding patient confidentiality guidelines.
• Understands and interprets billing procedures relative to account resolution.
• Exhibits the ability to handle assigned tasks from supervisor.
• Demonstrates knowledge of State and Federal regulations, HCFA guidelines, TennCare guidelines and other Third Party Payor requirements assuring departmental compliance.
• Communicates effectively with patients/public, co-workers, physicians and or their offices, and other office personnel using verbal, nonverbal and written communication skills.
• Handles incoming telephone inquiries on assigned patient accounts in compliance with the CMG policies.
• Recognizes situations, which necessitate supervision and guidance, seeks appropriate resources after complete review of claim issue when all resources are executed.
• Demonstrates good judgment when handling financial discussions with patients, maintaining a professional and confidential environment.
• Interprets and explains to patients and their families’ charges, services, insurance coverage, financial application guidelines and office policy regarding payment of their bills.
• Handles all correspondence relating to assigned patient accounts within five working days of receipt of task and/or denial of claim.
• Consults and works collaboratively with Supervisors, Co-workers, Managers, Department Director, and other office personnel, effectively performing assigned task timely and accurately.
• Promotes positive public relations for the physician CBO and clinics adhering to desired behaviors.
• Attends in-services and other meetings as required to enhance professional growth and development.
• Completes all required CovLearn assignments timely on CovNet.
• Provides assistance to new employees with questions and training.
• Demonstrates promptness in reporting for and completing work-ensuring follow-through on assigned tasks.
• Demonstrates appropriate utilization of resources, i.e. equipment and supplies.
• Does not promote or participate in solicitation during working hours within the department.
• 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.

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 of experience in Physician Billing, Business Office or 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 90 days on the job.