Process Concerns
General A1 Process Reminders
Do You Know Your Account Holder
The Basics
Everyday Situations
100

What is the process to activate a rollover account and how many statements do we send out? 

-We need to take a payment

-Push out the follow up date 7 days

-3 statements

100

Who do you email when you are running late, having computer issues etc...

-Email call out

-CC team lead

100

A'h called in two weeks ago to get their account reset, they have now defaulted again due to missed payment, but PA forgot to mention the default policy. What should you do? 

We should advise the a'h that we are to reset once every 12 months 

Place account under review to see what we can do for them

100

It is okay for us to print the contact sheet

No, we should not be printing contact sheet since it gets updated frequently. 

100

What is considered HIPAA violation

-leaving your computer unlocked

-not verifying full demos

-speaking to an unauthorize user

200

Account holder is stating they were approved for Medicaid through Atrium Health, what are the next steps to take?

Ask a'h if they have reach out to Atrium, if not that is the first step, if they have place account on HOLD.

200

Coming late from lunch/break or running late will result how many occurances

0.5 of an occurrence 

200
A'h is calling in super frustrated that we have not received their check and it has been a week already, in your own words how would you try to deescalate the situation? 

-Ask caller if this was made through bill pay if so, explain process

-Ask caller if it cleared their bank account if not to check in with bank if so, send proof of payment 

200

If my lead is not available, I can reach out to a coworker and get assistance from them

No, we should be reaching out to another lead or email PAC

200

What are the max hours of PTO you can roll over at the end of the year?

40 or less

300

Can we combine a Flex Cone account into a Variable rate Cone account?

NO

300

I am trying to get online and it won't let me. I think I have been online before when I set up the account. Why won't it let me in?

What is...You can find it in the History tab and notes

Email verification 

300

I am questioning the charge adjustment made on the account, my balance was $500 and now it is $1,000 explain how you would help the a'h

-Advise the a'h you will place account under review to see why the adjustment was made 

300

What is the minimum balance that we need to set up an account with Franciscan? What is the minimum monthly payment?

-Balance at least $250.00

-$35.00

300

Where in Sabe can you locate the payment address if a'h wants to mail in their payment?

Client info

400

If spouse calling in to let us know wife/husband has passed away, what are the steps that we take?

-We should offer to switch the account to their name if they want to continue paying

-We need copy of death certificate, mail or fax

-Notate and push out follow up date

400

What is not hitting bonus? 

-emails not being read

-not reading script/failing audits

-not meeting productivity

400

A'h is adding new charges on an accessibility account, the payment amounts will be recalculated based on the new balance or will the payments remain the same? 

The same

400

What is...a'h calling in stating they received a call from A1 but you are not able to find their acct in Sabe?

Check in insight>online applications>email PAC the correct provider #

400

Account type is stating AA outreach, does this mean the a'h is on the outreach program...

False- means balance is over 10+

500

A'h is calling stating they are getting a new bill from CTR Shelby, are we able to create an account for them or do we need to have the provider account number? 

Yes, we can still proceed. 

500

A'h declined their activation they called in the same day wanting to activate, are we able to activate the account? If so, what are the steps 

Yes, we can flip the account status to 44 only if it is the same day and we still have the charges

500

A'h is calling in to combine their account with spouse, do we need to have both parties on the line?

Yes, both parties must agree to the combination

500

What is...giving kudos to a colleague through our work organization 

Vantage Circle
500

Who do we not get charges from daily

-Catawba

-Ortho

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