Covenant Health is a large integrated healthcare delivery system headquartered in Knoxville, Tennessee. This role supports accurate and timely medical claims submission and reimbursement for acute care and professional services.
The Medical Biller handles complex claim issues, coordinates daily workflow, resolves pre-bill and failed-bill errors, and works with payers to ensure claims are submitted correctly across multiple payer categories, including Medicare, TennCare, Blue Cross, commercial, and managed care.
The position also supports billing leadership by identifying trends, investigating root causes of claim errors, and assisting with resolution of rejected, denied, suspended, or pended claims.
Qualifications
- High school diploma or GED preferred
- 1-2 years of healthcare experience preferred
- Computer experience required
- Knowledge of medical terminology, claims submission, and customer service preferred
- Familiarity with insurance plans, payer requirements, and collection practices, including the Fair Debt Credit and Collection Act
- Ability to understand UB and 1500 claims, billing processes, reimbursement concepts, ERA/835 denial codes, and payer guidelines
- Knowledge of state and federal regulations, HIPAA, HCFA, and third-party payer requirements
Location
Tennessee, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 year ago