PT ACCOUNT REP I-CLINIC

Patient Account Representative, Administration

Full Time, 80 Hours Per Pay Period, Day Shift

Perinatal Center Overview :

At Fort Sanders Perinatal Center, we're here for women with pregnancies that require extra care, and we're ready to help you make the best healthcare decisions from conception through delivery. For more than 25 years, we've provided comprehensive high-risk pregnancy services and delivered over 26,000 high-risk babies at Fort Sanders Regional Medical Center. We offer a range of care services for higher-risk pregnancies, including mothers over age 35, multiples, complications, birth defects, issues such as diabetes or hypertension, or pregnancies after infertility.

Our main office is located at Fort Sanders Regional Medical Center. We also have offices in West Knoxville, Morristown, and Sevierville to ensure you get the right care in the right place. We are proud to be a member of Covenant Health.

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