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Steward Health Care System PCON Support Representative in Richardson, Texas

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.

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