Covenant Health

Patient Account Representative, Perinatology

Full Time, 80 Hours Per Pay Period, Day Shift

Fort Sanders Perinatal Center

Fort Sanders Perinatal Center has served women in East Tennessee for more than 20 years, delivering more than 20,000 babies. Our main office is located at Fort Sanders Regional Medical Center. We have additional offices in Morristown and Sevierville in order to conveniently provide elite high risk pregnancy care throughout the region. For more information please visit https://www.fortsandersperinatal.com/ .

Position Summary:

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

If you have any questions please contact Recruiter: Kimberlin Woods || 865-374-5403 || kwoods8@COVHLTH.COM

• 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.

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 Requirements:

None