Patient Account Representative - Insurance Claim Follow-Up
Full-time position with 80 hours per pay period on day shift.
Covenant Health is a community-owned integrated healthcare delivery system based in Knoxville, Tennessee. The organization operates 10 hospitals, outpatient and specialty services, and a physician practice division serving patients across East Tennessee.
This role is focused on insurance claim follow-up and patient account resolution. The position starts on-site, with the opportunity to work remotely after training is complete and productivity and quality metrics are consistently met.
Responsibilities
- Review patient accounts to determine claim status and identify what is needed for final claim processing.
- Work accounts with full or partial denials to determine root cause and the best resolution path.
- Learn and apply payer rules as well as state and federal guidelines.
- Prioritize work according to departmental productivity and quality standards.
- Communicate with insurance companies, patients, and internal departments to resolve issues that delay claim processing.
- Assist with collection-related functions for patient accounts.
- Support compliance, quality improvement, training, and departmental workflow needs.
- Provide assistance to new employees and participate in meetings and required training.
- Perform other duties as assigned.
Requirements & Qualifications
Qualifications
- High school diploma or GED preferred.
- One to two years of healthcare experience preferred.
- Computer experience required.
- Knowledge of medical terminology, claims submission, and customer service preferred.
- Must be familiar with insurance plans, requirements, and collection practices, including the Fair Debt Credit and Collection Act.
- Ability to understand payer requirements and work effectively with patients, co-workers, physicians, and insurance representatives.
- Strong problem-solving, communication, time management, and organizational skills.
- Ability to learn and perform adequately within 3 to 6 months on the job.
- No licensure required.
Location
Tennessee, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
Yes
Posted
1 year ago