Patient Billing & Collections Specialist

Covenant Health; Sevierville (TN); On-site; USD 34,000 - 46,000; Full time

Job summary

Covenant Health is seeking a Patient Account Representative for CWHN LeConte in Sevierville, TN. This full-time role (75 hours per pay period, day shift) handles all insurance and billing processes, from coding reviews to statements and collections.

You will post charges, file claims, respond to patients, credential providers, and back up clerical staff, ensuring accurate billing and timely reimbursements in a busy Perinatal Center setting.

Qualifications

• Experience in medical billing or financial area required.
• Strong knowledge of medical terminology preferred.
• Familiarity with insurance plans and requirements and collection practices.

Responsibilities

• Reviews medical records to ensure ICD-9 and CPT codes are used in accordance with coding and reimbursement guidelines.
• Ensures that charges for all services are captured.
• Posts office and hospital charges.
• Files claims to insurance companies.
• Sends statements to patients.
• Posts personal, insurance and collection agency payments.
• Follows-up with insurance companies regarding unpaid claims.
• Reviews credit balance accounts and generates refunds when appropriate.
• Reviews delinquent accounts and conducts collection activities including letters, phone calls and turn-over to collection agencies when appropriate.
• Conducts in-office collection activities including reviewing accounts prior to office visits, establishing delivery contracts with patients, explaining accounts to patients and setting up payment plans.
• Responds to patients’ phone calls regarding billing questions.
• Completes insurance company credentialing paperwork for provider participation.
• Serves as a back-up for all clerical positions.
• Performs other duties as assigned to the satisfaction of the department manager.

Education

HS diploma or GED

Job description

Covenant Health is seeking a Patient Account Representative for CWHN LeConte in Sevierville, TN. This full-time role (75 hours per pay period, day shift) handles all insurance and billing processes, from coding reviews to statements and collections.

You will post charges, file claims, respond to patients, credential providers, and back up clerical staff, ensuring accurate billing and timely reimbursements in a busy Perinatal Center setting.