Patient Account Representative, Revenue Integrity and Utility

Location: Knoxville, TN, USA; full-time, day shift

Company

hirify.global is a community-owned integrated healthcare delivery system operating hospitals, outpatient and specialty services, and physician practices in East Tennessee.

What you will do

• Manage patient accounts according to departmental policies and revenue-cycle procedures.
• Handle and resolve complex account issues with limited supervision to support accurate reimbursement.
• Review payer requirements, patient information, claims, and collection activities.
• Identify account issues and escalate situations requiring supervisory guidance.
• Serve as a resource for Patient Account Representative Level I staff by providing training and assistance.
• Collaborate with patients, physicians, facilities, agencies, supervisors, and coworkers.

Requirements

• Two to three years of healthcare experience required.
• Computer experience required.
• Knowledge of insurance plans, payer requirements, medical terminology, claims submission, customer service, and collection practices.
• Familiarity with the Fair Debt Collection Practices Act and applicable state and federal regulations.
• Ability to follow HIPAA, HCFA, TennCare, third-party payer, quality, safety, and infection-control requirements.
• High school diploma or GED is preferred; equivalent education and experience may be accepted. No licensure is required.

Culture & Benefits

• Full-time schedule of 80 hours per pay period on the day shift.
• Departmental quality expectations include at least 95% audit accuracy.
• Ongoing in-service training, monthly staff meetings, and professional development activities.
• Opportunities to participate in quality improvement initiatives and support new employee development.
• Work is guided by values emphasizing integrity, quality, customer service, caring, and responsible use of community resources.