Covenant Health

Senior Administrative Assistant, Clinical Informatics

Full Time, 80 Hours Per Pay Period, Day Shift

Covenant Health Overview:

Covenant Health is the region’s top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant Medical Group, our area’s fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area’s largest employer. Our more than 11,000 employees, volunteers, and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million patients and families we serve every year. Covenant Health is the only healthcare system in East Tennessee to be named a Forbes “Best Employer” seven times. 

Insurance Claim Follow Up Overview:

Seeking detailed oriented candidate with strong problem-solving & verbal-written communication skills, as well as excellent time management.

• Review patient accounts for resolution- check status with insurance company for billed claims that have not processed & determine what may be needed in order for claim for finalize.
• Review accounts with full or partial claim denials to find out root-cause & determine best course of action for proper resolution.
• Responsible for learning & understanding payer rules, as well as state/federal guidelines.
• Responsible for prioritizing & completing work per the department’s productivity & quality standards.
• Responsible for facilitating communication between insurance company and the patient to resolve issues holding up claims processing, such as: incorrect demographic information or coordination of benefits.
• Responsible for facilitating communication between other Covenant departments in order to correct any issues with billed claims to ensure correct billing and proper claim processing.

Position Summary: 

Performs administrative duties for 3 or more VP level executives.  Does work of a confidential nature and relieves executives of designated administrative details.  Prepares correspondence, memoranda, reports, etc., utilizing advanced PC software skills.  Schedules and maintains calendar of appointments, meetings, and travel itineraries, and coordinates related arrangements.   Must exercise initiative, judgment and knowledge of company practices, policies, and organization.

Recruiter: Kathleen Rice || kkarnes@covhlth.com || 865-374-5386

•  Types, edits and proofs correspondence, policies, committee minutes, manuals, letters, forms, procedures, and/or other general typing as directed, initiating other documents and correspondence as appropriate.
• Records and transcribes minutes of committee meetings to maintain an accurate record of decisions.
• Opens and screens incoming mail. Locates and attaches appropriate file to correspondence to be answered. Prepares outgoing mail.
• Maintains daily appointment calendar. Coordinates appointments and meetings and organizes agenda materials.
• Receives and screens telephone calls and may respond to moderately complex inquiries. Takes messages and/or redirects callers.
• Maintains and organizes department files.
• Makes travel and lodging arrangements directly or through travel agencies.
• Maintains and orders office supplies as necessary.
• Assists in the preparation of presentations using the appropriate software packages. Receives and summarizes the related data.
• Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives and participates in quality improvement initiatives as requested.
• Perform other related duties as assigned or requested.

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:       

   Five (5) or more year’s clerical/administrative experience. 

Licensure Requirement:      

None