PT ACCOUNT REP I-CLINIC

Covenant Health Inc.

Sevierville, TNFull-timeSeen 2mo agoSeen in employer's feed 5 days ago

Sevierville, TNFull-timeNo compensation foundSeen 2mo agoSeen in employer's feed 5 days ago

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At a glance

Compensation

No compensation found

Location

Sevierville, TN

Schedule

Full-time

Work Authorization

Not specified

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Job overview

Covenant Health Inc. is hiring a PT ACCOUNT REP I-CLINIC. The Patient Account Representative at Fort Sanders Perinatal Center is responsible for all aspects of the insurance and billing process. This includes reviewing medical records for coding compliance, ensuring all service charges are captured, and posting office and hospital charges. The role also involves filing claims, sending statements, posting payments, and following up on unpaid claims. Additionally, the representative will handle credit balance accounts, collection activities, and patient billing inquiries.

Key focus areas include Reviews medical records for coding and reimbursement guidelines., Ensures charges for all services are captured., and Posts office and hospital charges..

Successful candidates bring Medical Billing Experience. Important skills include ICD-9, CPT Codes, and Medical Terminology.

Skills & qualifications

RequiredNice to have

Skills

ICD-9CPT CodesMedical Terminology

Qualifications

Medical Billing ExperienceFinancial Area ExperienceFamiliar With Insurance Plans and RequirementsFamiliar With Collection PracticesHigh School Diploma or GED

Full job description

Overview

Patient Account Representative, CWHN LeConte

Full Time, 75 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

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Job Title PT ACCOUNT REP I-CLINIC

ID 4601501

Facility Fort Sanders Perinatal Center

Department Name CWHN-LECONTE-LOVE