PT Account Rep I-Clinic
About The Position
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.
Requirements
- Experience in medical billing or financial area required.
- Must be familiar with insurance plans and requirements and collection practices.
Nice To Haves
- Strong knowledge of medical terminology preferred.
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.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
