Covenant Health is seeking a Patient Account Representative to work patient accounts and ensure timely and accurate completion of tasks, while adhering to departmental policies and procedures, and State and Federal regulations.
Requirements
- Computer experience is required.
- Knowledge of medical terminology, claims submission, customer service is preferred.
- Must be familiar with insurance plans and requirements and collection practices e.g. Fair Debt Credit and Collection Act.
- Hospital UB or 1500 Medical Billing experience.
- Must be proficient in Microsoft and familiar with all standard office equipment.
- Ability to understand the payer requirements of insurance carriers.
- Ability to understand all patient information from the facilities and the specifics of each follow-up to ensure appropriate reimbursement is received.
Responsibilities
- Assists 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.
- Performs specific functions relating to collection of patient accounts.
- Responsible for researching and correcting medical claims and edits in billing software.
- Must be proficient in Microsoft and familiar with all standard office equipment.
Other
- 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.
- Minimum Experience: One to Two (1-2) years’ experience in health care is preferred.
- Licensure Requirements: None.
- Must be able to communicate effectively with patients/public, co-workers, physicians, facilities, agencies and/or their offices, and other facility personnel using verbal, nonverbal and written communication skills.
- Must be able to attend meetings as required and participate on committees as directed.
