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Patient Account Representative II - Corporate

Covenant Health · Customer

New
Mid 🇬🇧 English
Claims submission Medical terminology HIPAA TennCare

Job description

About the role

Covenant Health, a community-owned integrated healthcare delivery system headquartered in Knoxville, Tennessee, is hiring a Patient Account Representative (PAR) Level II for its Business Office. The position is full time, 80 hours per pay period, day shift, and reports to the Manager and Supervisor within the department. The PAR Level II acts as a resource to PAR Level I staff, providing training and assistance in solving complex issues and handling them with little or no supervision.

Key responsibilities

  • Work patient accounts according to department policies and procedures, completing all work accurately and on time.
  • Assist the Collection Supervisor in identifying account issues and interpret procedures related to the revenue process.
  • Know State and Federal regulations, HIPAA, HCFA, TennCare and third-party payer requirements, and know when supervision is needed.
  • Maintain departmental policies, quality assurance and safety standards, and achieve audit accuracy of 95% or higher.
  • Understand payer requirements and patient information so that appropriate reimbursement is received.
  • Communicate professionally with patients, co-workers, physicians, facilities and agencies, and complete collection-related functions accurately.
  • Support colleagues, train and develop others, attend meetings and committees, and assist managers and supervisors on projects.
  • Take part in quality improvement, provide assistance to new employees, attend in-service training and monthly staff meetings, and follow department protocols.

Required profile

  • No minimum education specified; a high school diploma or GED is preferred.
  • Two to three years of health care experience required.
  • Must be able to perform adequately after 3 to 6 months on the job.
  • Familiarity with insurance plans, requirements and collection practices, including the Fair Debt Collection Act.
  • No current disciplinary action as a PAR Level I.

Required skills

  • Computer experience is required.
  • Knowledge of medical terminology, claims submission and customer service is preferred.

Questions fréquentes

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Published 5 days ago

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Covenant Health

Customer