PT ACCOUNT REP I-CLINIC

Covenant Health; Knoxville (TN); Sur place; USD 35 000 - 50 000; Plein temps

Résumé du poste

Covenant Health is seeking a full-time Patient Account Representative for its Fort Sanders Women's Specialists location in Knoxville, TN. The role covers all aspects of the insurance and billing process, requiring experience in medical billing. Responsibilities include managing claims, reviewing accounts, and performing collection activities. Candidates with a high school diploma or GED are preferred. The position offers opportunities to contribute to high-risk pregnancy care among women.

Qualifications

• Previous experience in medical billing or financial areas required.
• Strong understanding of medical terminology preferred.
• Must be familiar with insurance plans and collection practices.

Responsabilités

• Review medical records for proper coding compliance.
• Ensure charges for all services are captured.
• Post office and hospital charges accurately.
• File insurance claims and manage follow-ups.
• Conduct in-office collections and manage patient inquiries.

Connaissances

Medical billing experience

Knowledge of medical terminology

Familiarity with insurance plans

Collection practices knowledge

Formation

High school diploma or GED preferred

Description du poste

Overview

Patient Account Representative, Fort Sanders Women's Specialists

Full Time, 80 Hours per pay period, Day Shift

Perinatal Overview:

Fort Sanders Perinatal Center, part of Covenant Health, specializes in caring for women with high-risk pregnancies. For more than 25 years, the center has provided expert guidance and advanced services for complex conditions such as multiples, maternal age, diabetes, hypertension, and infertility-related pregnancies. With locations in Knoxville, Morristown, and Sevierville, the team is dedicated to helping families make informed decisions and ensuring the safest possible outcomes for mothers and babies.

Position Summary:

This position will be responsible for all aspects of the insurance and billing process.

Responsibilities

• Reviews medical records to ensure that 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.
• Perform other duties as assigned to the satisfaction of the department manager.

Qualifications

Minimum Education

None specified; will accept any combination of formal education and/or prior work experience sufficient to demonstrate possession of the knowledge, skill and ability needed to perform the essential tasks of the job, typically such as would be equivalent to a high school diploma or GED. Preference may be given to individuals possessing a HS diploma or GED.

Minimum Experience

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

Licensure Requirement

None