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    Patient Account Rep II - Nashville, United States - Covenant Health (Tennessee)

    Covenant Health (Tennessee)
    Covenant Health (Tennessee) Nashville, United States

    3 weeks ago

    Default job background
    Description
    Overview
    Patient Account Representative, Proton Center

    Full Time, 80 Hours per Pay Period, Day Shift

    The healthcare professionals at Thompson Oncology Group are leaders in cancer care.

    Our physicians have access to proven drug-based treatments and the latest clinical trial medicines to assure each patient receives the most effective treatment.

    Locations include Knoxville, Maryville, Morristown, Oak Ridge, Sevierville, Harriman, and Lenoir City. For more information visit


    Position Summary:


    The Patient Account Rep II is responsible for inbound inquiries from patients, family members, insurance carriers or other payment sources.


    The primary responsibility of the Patient Account Rep II is to provide timely and accurate follow-up in response to these inquiries.


    The Patient Account Rep II will respond to a minimum of 60 inquiries per day or an equivalent work assignment, contingent upon which functional area within the Business Office the position is assigned.


    The Patient Account Rep II serves as a resource to Patient Account Rep I's by providing training and assistance with more complex issues.

    There are several sub-categories of the Patient Account Rep II position that are used as internal designations.


    There may be variations within these designations as to specific responsibilities, related primarily to the customer base being served and the functional area within the Business Office.

    If you have any questions please contact Recruiter: Kimberlin Woods || ||

    Responsibilities
    Integrity


    Demonstrates the ability to handle varying tasks as well as understanding and interpreting procedures relative to the Patient Accounts/Customer Service process.


    Demonstrates knowledge of State and Federal regulations, HCFA guidelines, TennCare guidelines and other Third Party Payor requirements assuring departmental compliance.

    Recognizes situations, which necessitate supervision and guidance, seeks appropriate resources.

    Quality


    Interprets and explains to patients and their families' charges, services, insurance coverage, and hospital policy regarding payment of their bills.

    Counsels patient or family regarding hospital financial policies including payment arrangements, charity guidelines, and payroll deduction.

    Demonstrates an understanding of payer requirements for all payers.

    Demonstrates an understanding of all patient types with the facilities.


    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.

    Handles all correspondence relating to assigned patient accounts within five working days of receipt.

    Handles incoming telephone inquiries on assigned patient accounts in compliance with the Covenant Health standards of Telephone Excellence policy.


    Refers patient accounts to nurse auditor upon request by patient or insurance company, and monitors account until completion of audit and follow up is done.

    Performs other duties as assigned to the satisfaction of the department manager.

    Serving the Customer


    Communicates effectively with patients/public, co-workers, physicians and or their offices, and other hospital personnel using verbal, nonverbal and written communication skills.

    Consults and works collaboratively with Supervisors, Co-workers, Managers, Department Director, and other hospital personnel, effectively performing tasks of position.

    Assists Vice President, Director, Managers and Supervisors on activities and projects, as needed.

    Caring For and Developing Our People

    Provides assistance and training to new employees.

    Assists with conducting staff meetings.

    Participates freely in intradepartmental quality improvement activities whenever called upon to do so.

    Using the Community's Resources Wisely

    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.

    Demonstrates appropriate utilization of resources, i.e. equipment and supplies.

    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 (1) to two (2) years of experience in 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 three (3) to six (6) months on the job.

    I nsurance verification, pre-cert experience, and collecting patient cost required


    Licensure Requirement:
    None

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