PT ACCOUNT REP II-CLINIC

Overview

Patient Account Representative, All Women's Care - Maryville

Full Time, 80 Hours Per Pay Period, Day Shift

 

Perinatal Center Overview:

At Fort Sanders Perinatal Center, we’re here for women with pregnancies that require extra care, and we’re ready to help you make the best healthcare decisions from conception through delivery. For more than 25 years, we’ve provided comprehensive high-risk pregnancy services and delivered over 26,000 high-risk babies at Fort Sanders Regional Medical Center. We offer a range of care services for higher-risk pregnancies, including mothers over age 35, multiples, complications, birth defects, issues such as diabetes or hypertension, or pregnancies after infertility.

 

Our main office is located at Fort Sanders Regional Medical Center. We also have offices in West Knoxville, Morristown, and Sevierville to ensure you get the right care in the right place. We are proud to be a member of Covenant Health.

 

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.

 

Recruiter: Sarah Grey || sgrey1@covhlth.com || 865-374-5271

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.
• Adheres to established departmental policies and procedures, objectives, process improvement initiatives, safety, environmental and infection control standards.
• Does not promote or participate in solicitation during working hours within the department.
• Demonstrates good judgement when having financial discussions with customers, maintaining a professional and confidential environment.

Quality

• Interprets and explains to patients and their families’ charges, services, insurance coverage, and office policy regarding payment of their bills.
• Counsels patient or family regarding office 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 office personnel using verbal, nonverbal and written communication skills.
• Consults and works collaboratively with Supervisors, Co-workers, Managers, Department Director, and other office personnel, effectively performing tasks of position.
• Promotes good public relations for the department and the office adhering to desired behaviors.
• Assists Vice President, Director and Managers on activities and projects, as needed.
• Caring For and Developing Our People
• Attends inservices and other meetings as required to enhance professional growth and devel