Patient Account Representative

1 month ago


Knoxville, United States Covenant Health Full time

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. The Patient Account Representative (PAR) Level II position serves as a resource to PAR Level I staff by providing training and assistance in solving complex issues. A Level II has the ability to handle and resolve complex issues with little or no supervision resulting in the correct outcome.

Responsibilities Assists Collection 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. 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. Proactive in performing additional tasks necessary to meet department responsibilities and needs. Proficient and knowledgeable in all aspects of job duties in their relative area. No current disciplinary action as a PAR Level I. 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. 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. Performs specific functions relating to collection of patient accounts. Work load is consistently completed and accurate. Departmental Quality Audit results of 95% accuracy or higher. Performs other duties as assigned to the satisfaction of the department Supervisor and Manager. 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”. 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 management, 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 ad the facilities, adhering to desired behaviors. Positive resource to peers; approachable and successful at training and development of others. 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. Participates freely in intradepartmental quality improvement activities whenever called upon to do so. Provide assistance to new employees. Attends required In-Service training as scheduled. Attends monthly staff meetings and participates in discussions regarding work performance and departmental/facility updates. Supports, models and adheres to desired behaviors of the KBOS Constitution for caring which are; build a trusting environment by listening with a open mind and valuing different opinions; asking questions for understanding and allowing others to speak openly, do not gossip or criticize people behind their back, resolve conflicts, notice and express appreciation for good work and respect differences by listening with a open mind. The KBOS Constitution for developing people which are: commit time to learning and development, help others obtain the information and skills they need to succeed on the job, and utilize training, education and development opportunities. Demonstrates promptness in reporting for and completing work, ensuring follow-through on assigned tasks. Follows protocols as established by the department. Demonstrates initiative in increasing skills and attends training programs as available. Utilizes resources available appropriately, i.e. use of equipment and supplies. Attendance is acceptable per the policy guidelines as defined. Supports, models and adheres to the desired behaviors of the KBOS Constitution for using the community’s resources wisely which are; be aware of cost and quality when making spending decisions, demonstrate a personal commitment to reduce waste, consider the impact on other departments and facilities within Covenant health when making decisions or taking action and ensure that meetings lead to solutions. 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:

Two to three years’ (2-3) experience in health care is required. 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 thee to six (3-6) months on the job. Must be familiar with insurance plans and requirements ad collection practices e.g. Fair Debt Credit and Collection Act. Hospital UB or 1500 Medical Billing experience and Microsoft preferred. 

Licensure Requirement:

None.



  • Knoxville, Tennessee, United States Covenant Health Full time

    Job SummaryCovenant Health is seeking a highly skilled and detail-oriented Patient Account Representative to join our team. As a key member of our revenue cycle department, you will be responsible for working patient accounts and ensuring accurate and timely reimbursement.Key ResponsibilitiesAssist in the recognition and resolution of complex patient account...


  • Knoxville, Tennessee, United States Covenant Health (Tennessee) Full time

    Job SummaryCovenant Health (Tennessee) is seeking a skilled Patient Account Representative to join our team. As a key member of our healthcare team, you will be responsible for managing all aspects of the insurance and billing process.Key ResponsibilitiesReview medical records to ensure accurate coding and reimbursement.Ensure all charges are captured and...


  • Knoxville, Tennessee, United States Covenant Health (Tennessee) Full time

    Job Summary:Covenant Health (Tennessee) is seeking a highly skilled Patient Account Representative II to join our team in the Clinic. As a key member of our Business Office, you will be responsible for providing timely and accurate follow-up of claim issues, working on accounts receivable, and responding to inquiries from insurance carriers, patients, and...


  • Knoxville, United States Covenant Health Full time

    Position Summary: The Patient Account Rep II is responsible to provide timely and accurate follow-up of claim issues, working of accounts receivable and responding to inquiries from insurance carriers, patients, office managers and other staff. The Patient Account Rep II will respond to a minimum of 32 tasks per day or an equivalent work assignment,...


  • Knoxville, Tennessee, United States Covenant Health (Tennessee) Full time

    Job SummaryCovenant Health (Tennessee) is seeking a highly skilled Patient Account Representative II to join our team in the Clinic setting. As a key member of our Business Office, you will be responsible for providing timely and accurate follow-up of claim issues, working on accounts receivable, and responding to inquiries from insurance carriers, patients,...


  • Knoxville, United States Prestige Staffing Full time

    Insurance Claim Follow Up Overview:Seeking detailed oriented candidate with strong problem-solving & verbal-written communication skills, as well as excellent time management.Review patient accounts for resolution- check status with insurance company for billed claims that have not processed & determine what may be needed in order for claim for...


  • Knoxville, United States Prestige Staffing Full time

    Insurance Claim Follow Up Overview:Seeking detailed oriented candidate with strong problem-solving & verbal-written communication skills, as well as excellent time management.Review patient accounts for resolution- check status with insurance company for billed claims that have not processed & determine what may be needed in order for claim for...


  • Knoxville, Tennessee, United States Covenant Health (Tennessee) Full time

    Job Summary:This position is responsible for managing all aspects of the insurance and billing process for Covenant Health (Tennessee). The ideal candidate will have experience in medical billing and a strong understanding of insurance plans and requirements.Key Responsibilities:Review medical records to ensure accurate coding and reimbursement.Ensure all...


  • Knoxville, United States TeamHealth Full time

    If you are driven by success and want to work with a reputable company then apply with us! Team Health has ranked three years running as "The World's Most Admired Companies" by Fortune Magazine and one of America's 100 Most Trustworthy Companies by Forbes Magazine in past years. TeamHealth, an established healthcare organization is physician-led and...


  • Knoxville, Tennessee, United States Covenant Health (Tennessee) Full time

    Job SummaryCovenant Health (Tennessee) is seeking a highly skilled Patient Account Representative II to join our team in the Clinic setting. As a key member of our Business Office, you will be responsible for providing timely and accurate follow-up of claim issues, working on accounts receivable, and responding to inquiries from insurance carriers, patients,...


  • Knoxville, Tennessee, United States Total Quality Logistics Full time

    About the Role:Total Quality Logistics (TQL) is seeking a highly motivated and results-driven Account Representative to join our team. As an Account Representative, you will be responsible for supporting and working with our established Sales Team to drive revenue growth. You will start your career in an accelerated training program to learn the industry and...


  • Knoxville, Tennessee, United States Total Quality Logistics Full time

    About the Role:As a key member of our Sales Team at Total Quality Logistics, you will play a vital role in driving revenue growth and supporting our customers. You will embark on an accelerated training program to learn the industry and our company culture. Once trained, you will become a dedicated Account Representative, focused on identifying and growing...


  • Knoxville, Tennessee, United States Covenant Health (Tennessee) Full time

    Job SummaryCovenant Health (Tennessee) is seeking a highly skilled Patient Service Representative to join our team. As a Patient Service Representative, you will be responsible for providing exceptional administrative support to our patients and healthcare providers.Key ResponsibilitiesMaintain accurate and up-to-date patient records, including demographic...


  • Knoxville, Tennessee, United States Covenant Health (Tennessee) Full time

    About the RoleCovenant Health (Tennessee) is seeking a highly skilled Patient Service Representative to join our team. As a Patient Service Representative, you will play a vital role in providing exceptional patient care and administrative support to our medical practice.Key ResponsibilitiesMaintain accurate and up-to-date patient records, including...


  • Knoxville, Tennessee, United States PDS Health Full time

    About the RoleWe are seeking a highly skilled and detail-oriented Patient Service Representative to join our team at PDS Health. As a key member of our front office staff, you will play a vital role in ensuring the smooth operation of our dental practice.Key ResponsibilitiesModel Company Culture: Demonstrate a warm and approachable demeanor to each patient,...


  • Knoxville, Tennessee, United States Covenant Health (Tennessee) Full time

    Job Title: Patient Service RepresentativeWe are seeking a highly skilled and detail-oriented Patient Service Representative to join our team at Covenant Health (Tennessee). In this role, you will play a critical part in ensuring the smooth operation of our physician practice.Key Responsibilities:Collect and process patient data to ensure accurate medical...


  • Knoxville, Tennessee, United States Daikin Full time

    About the RoleDaikin Applied is seeking a skilled Account Representative to join our team as a technical sales expert. This role involves developing and maintaining customer relationships, selling preventative maintenance contracts, and providing recommendations for service and repair work for HVAC systems.Key ResponsibilitiesPartner with Independent...


  • Knoxville, Tennessee, United States UNIVERSITY PHYSICIANS ASSOC INC. Full time

    Job Summary: University Physicians Association is seeking a detail-oriented and organized Patient Service Representative to join our team. As a key member of our front office staff, you will be responsible for providing exceptional patient care and ensuring a smooth and efficient experience for our patients.Responsibilities:Greet patients in a friendly and...


  • Knoxville, United States East Tennessee Children's Hospital Full time

    ****Patient Service Representative**** East Tennessee Children's Hospital Hardin Valley Pediatrics Knoxville , TN Clerical Full-Time , Days Hours/Pay Period: 80 Posted 01/05/2022 Req # 9539 * **BASIC PURPOSE OF THE JOB** + To greet patients and ensure all information is gathered for efficient encounters and billing outcomes. * **JOB REQUIREMENTS** +...


  • Knoxville, Tennessee, United States UNIVERSITY PHYSICIANS ASSOC INC. Full time

    **Job Summary**University Physicians Association is seeking a highly skilled and detail-oriented Patient Service Representative to join our team at University Women's Specialists in Knoxville, TN. As a key member of our front office staff, you will play a critical role in ensuring a positive patient experience.**Key Responsibilities:**Greet patients in a...