Medical Biller I

Covenant Medical Group is Covenant Health’s employed and managed medical practice organization serving multiple specialties across East Tennessee.

This role supports billing and follow-up activities for primary, secondary, and tertiary claims. The position reviews rejected, denied, unpaid, or improperly paid insurance claims; corrects and resubmits claims; communicates with patients and payers; and helps ensure timely and accurate claim processing.

Key responsibilities include:

• Submit claims through clearinghouses, payer portals, and paper mail
• Review claim rejections, make corrections, and process rebills
• Identify and obtain supporting financial and medical records
• Analyze denials and rejections to determine root cause and resolution
• Interpret payer correspondence, CARC and RARC codes, and payer-specific denial language
• Verify eligibility, coordination of benefits, and plan participation
• Update registration information and contact payers or patients when needed
• Provide patient support regarding claims, benefits, and account balances
• Process adjustments, payment transfers, and refunds in the practice management system
• Apply self-pay discounts and good faith estimate adjustments
• Assist with quality improvement efforts and meet productivity/quality expectations