Medical Biller II, CMG Business Office Job at Covenant Health (Tennessee), Knoxville, TN

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  • Covenant Health (Tennessee)
  • Knoxville, TN

Job Description

Covenant Health - - Responsibilities: Review, correction, submission/resubmission, and/or appeal of rejected, denied, unpaid, or improperly paid insurance claims; Responsible for daily submission of primary, secondary, and tertiary claim billing via the clearinghouse, payor portals, and paper mailing; Analyze rejections/denials to determine root-cause and best course of action to resolve account issues; Provide guidance to other departmental roles regarding plan eligibility, claims processing details, and patient balance explanations; Prepare and submit payor reconsiderations and appeals

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