PCON Support Representative

POSITION SUMMARY:

Under the direct supervision of the Manager, Revenue Management, the PCON Support Rep researches and resolves assigned contractual patient account issues.

KEY RESPONSIBILITIES:

Perform validation of reason codes for technical overpayments as documented on the account or correspondence. (Overpayments/Underpayments based on clinical reasons will be handled by Clinical Appeals)
Resolve account discrepancies
Monitor third party payer trends via assigned reports
Escalate contract issues to the Manager
Practice and adhere to the "Code of Conduct" philosophy and "Mission and Value Statement"
Other duties as assigned
Supportive of the compliance program set forth by Steward Health Care System LLC as demonstrated by:
o Upholding the Code of Conduct and Corporate Compliance.
o Adhering to and helps to enforce all compliance policies relevant to his/her area.
o Assuring timely compliance education as requested by the Regional Compliance and Safety Officer and/or through corporate initiatives.
Sets an example to all staff in daily activities.

REQUIRED KNOWLEDGE & SKILLS:

Communication - communicates clearly and concisely, verbally and in writing
Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations
Interpersonal skills - able to work effectively with other employees, patients and external parties
Policies & Procedures - demonstrates knowledge and understanding of organizational policies, procedures and systems
Basic skills - able to perform basic mathematical calculations, balance and reconcile figures, punctuate properly, spell correctly and transcribe accurately

EDUCATION/EXPERIENCE/LICENSURE/TECHNICAL/OTHER:

Education:
HS Diploma or GED required.

Experience (Type & Length):
At least one year of related experience.
Relevant education may substitute experience requirement.

Software/Hardware:
PC skills - demonstrates proficiency in PC applications as required.