PATIENT ACCOUNT REP I

Overview

 

 

 

Patient Account Representative, Oak Ridge Breast Center

Full Time, 80 Hours Per Pay Period, Day Shift

 

The Oak Ridge Breast Center is committed to helping women detect and begin treatment for breast cancer in its earliest stages. Serving the community since 1984, the Center is the only mammography provider in the Oak Ridge area that offers a complete range of breast health services, bone density screenings, and the very latest technology.

 

Accredited by the American College of Radiology in every modality, Oak Ridge Breast Center is proud to offer registered, experienced, dedicated, and compassionate technologists, and boasts a perfect FDA inspection record.

The Oak Ridge Breast Center is a Designated Comprehensive Breast Imaging Center by the American College of Radiology’s Commission on Quality and Safety and the Commission on Breast Imaging. We are one of an elite group of centers in Tennessee to have received this distinction.

 

We’re proud to be a member of Covenant Health, our region’s top-performing healthcare network.    

 

Position Summary:  This position has the responsibility of working patient accounts as defined by the department established policies and procedures under the Manager and Supervisor within the department. Specifics and volume of work is defined by the functional area within the Business Office that the employee is assigned. All work shall be completed in a timely and accurate manner.

 

Recruiter: Jason Shubert || jshuber1@covhlth.com || 865-374-5393

 

Responsibilities

Integrity

                                                           

1.      Assists Supervisor to recognize and identify issues pertaining to the working of accounts.

2.      Demonstrates the ability to handle varying tasks as well as understanding and interpreting procedures relative to the revenue process.

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

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

5.      Adheres to established departmental policies and procedures, objectives, process improvement initiatives, safety, environmental and infection control standards.

6.      Does not promote or participate in solicitation during working hours within the department.

7.      Supports, models and adheres to the desired behaviors of the KBOS constitution and Covenant Health for integrity which are; hold others accountable for living the values and behaviors, protect confidential information, deal with difficult issues honestly, directly, respectfully and tell the truth.

 

Quality

 

Maintains established departmental policies and procedures, objectives, quality assurance program and safety standards. 

Demonstrates an ability to understand the payer requirements of insurance carriers. 

Demonstrates an understanding of all patient information from the facilities and the specifics of each follow-up to ensure appropriate reimbursement is received

Professionally deals with patients/public, co-workers, physicians, facilities, agencies and/or their offices, and other facility personnel using verbal, nonverbal and written communication skills. 

 

 

 

Serving the Customer

 

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.

 

Consults and works collaboratively with Supervisors, Co-workers, Department Manager, and other facility personnel, effectively performing tasks of position.

 

Attends meetings as required and participates on committees as directed.

 

Perform other duties as assigned or requested.

 

Promotes good public relations for the department and the facilities, adhering to desired behaviors.

 

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

 

Supports, models and adheres to the desired behaviors of the KBOS Constitution and Covenant Health for service which are; take ownership for our mistakes, resolve customer problems on the spot whenever possible, treat all people with respect and kindness, strive to meet or exceed customer expectations, collect and use customer feedback/data to improve processes and service and set an example for accountability and responsiveness: return e-mail and phone calls promptly, assure deadlines are met, keep commitments.

 

Caring for and Developing Our People

 

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

 

Supports, models and adheres to the desired behaviors of the KBOS Constitution for quality which are; celebrate and reward successes, seek out better ways to do our job, set improvement goals and standards striving to meet or exceed them, participate in forming and being part of work teams when necessary and do not say "It's not my job".

Performs other duties as assigned to the satisfaction of the department Supervisor and Manager.

Performs specific functions relating to collection of patient account

Qualifications

  

Minimum Education:

 

 

 

 

 

 

Minimum Experience:

 

 

 

 

 

 

 

Licensure Requirements:

 

 

 

 

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.

 

One to Two (1-2) years’ experience in health care is preferred. Computer experience is required. Knowledge of medical terminology, claims submission, customer service is preferred. Expected to perform adequately within the position after working at least three (3) to six (6) months on the job. Must be familiar with insurance plans and requirements and collection practices e.g. Fair Debt Credit and Collection Act. Medical office experience preferred.

 

None