Covenant Health

Patient Account Representative, CMG Business Office

Cash Posting

Full-time, 80 hours per pay period, Day shift

Covenant Medical Group is Covenant Health’s employed and managed medical practice organization, with more than 300 top Physicians and providers spanning the continuum of care in 20 cities throughout East Tennessee. Specialties include cardiology, cardiothoracic surgery, cardiovascular surgery, endocrinology, gastroenterology, general surgery, infectious disease, neurology, neurosurgery, obstetrics and gynecology, occupational medicine, orthopedic surgery, physical medicine and rehabilitation, primary care, pulmonology, reproductive medicine, rheumatology, sleep medicine and urology.

Cash Posting Overview:

Requires a minimum of two years of healthcare cash posting experience.  Requires strong data entry skills and the ability to work independently in a fast-paced environment.  Requires problem-solving skills to resolve balance issues.  Uses insurance explanation of benefits (EOB) to determine how payments and adjustments should be posted to reflect accurate account balances.  Uses electronic bank and insurance payer files to correctly post payments and adjustments.  Ability to post all major financial carrier groups, including Medicare, Managed Care, and Medicaid.  May work reports and aid in the training of new employees.

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.

Recruiter: Kathleen Rice || kkarnes@covhlth.com || 865-374-5386

• 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.

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:         

Preference given to candidates with physician office experience.  One to two (1-2) years of experience in Physician Billing, Business Office or Patient Accounts/Customer Service is required. Must meet all requirements of Patient Account Rep I position.  Expected to perform adequately within the position after working at least 90 days on the job. 

Licensure Requirement:      

None