Associate Billing and Collections Representative - Plainview
Company: St. Joseph Health
Posted on: January 12, 2022
Covenant Health is seeking a Full-time, Day Shift Associate
Billing and Collections Representative with the Covenant Plainview
RHC Department at Covenant Plainview.
Under the direction of the Central Business Office Director and the
direct supervision of the Manager and/or Supervisor, the Associate
Billing and Collections Representative is responsible for ensuring
correct coding initiatives are met for clean claim submission and
correction of claim billed and collected on behalf of Covenant.
This individual addresses claim edits, files all claims on either a
UB-04 (RHC) or 1500 (835/837 file formats) and completes follow-up
on outstanding accounts. In addition, this individual identifies
functional issues and reports them to the appropriate leader.
Associate Billing and Collection Representatives are responsible
for all billing and collection activities in an ethical and
Bill all primary claims on most appropriate management system (the
electronic billing system) or prints to paper, if appropriate, with
necessary edits to ensure compliant billing practices. Report any
variances in workload to the Director, Manager or Supervisor.
Review encounters and/or claims for accuracy and completeness,
collecting and verifying all documentation necessary for timely
billing of patient accounts, including requesting and collecting
medical records and other documents ensuring the acceptance of the
Work all reports related to billing, such as work lists, hold
reports, no activity reports and rejection reports to ensure claims
are submitted timely and accurately per department guidelines.
Identify recurring errors and corrections being made to claims and
report these to management. Make recommendations to resolve
Complete all secondary billing and rebilling. Ensures required
attachments, such as remittance advices or explanation of benefit
forms are appropriately attached, if required.
Resolve rejected claims and perform rebilling as needed.
Accurately document actions taken in the system of record to drive
effective follow-up and ensure an accurate audit trail.
Maintain ongoing knowledge of Medicaid, Medicare, and all other
applicable party billing requirements and payer guidelines. Keep
current with knowledge of payer billing and coding guidelines.
Understand billing timelines and urgency in meeting all claims and
- Complete account follow-up based on preset follow-up guidelines
based on payor type and account balance; ensure that all activities
related to PB collection functions meet department requirements,
maximize revenue collection, and achieve leading practice levels of
Verify claim is received by all payers timely in accordance with
the timely filing limits of the contractual agreement and/or state
Monitor accounts receivable daily through work lists and check
claim status through payor claims department or online to ensure
proper claims processing.
Complete periodic payor phone calls to confirm claim status and
drive claim resolution as dictated by department collections
Document follow-up activity or pertinent notes (e.g., date of
receipt, reference number) within PMS to track and record overall
claim process history.
Submit any necessary documentation to support claim processing if
required by the contractual agreement, payor guidelines, or state
Report any critical account issues or barriers in the collections
process to direct reports.
Trend and document ongoing payor issues and notify management.
- Daily focus on attaining productivity standards, recommending
new approaches for enhancing performance, and productivity when
Minimum Position Requeirements
- Experience in computer applications.
Preferred Position Qualifications:
1 year Health care business office experience or related field.
- 3 years Medical billing and medical terminology.
Covenant Health is celebrating over 100 years of serving Lubbock
and our South Plains region. As the oldest and largest health
system in Lubbock and the region, we currently employ over 5,200
people with a medical staff of over 600 physicians.
For over 100 years, Covenant has been driven by a mission of
providing a Christian ministry of healing and caring for the whole
person - mind, body and spirit. Our vision and differentiator is we
are the only faith-based, integrated health network in the West
Texas/eastern New Mexico region dedicated to a Christian ministry
As an expression of our mission, we believe we hold an important
Covenant with our patients and try and treat every interaction as
Our ministry includes six hospitals with over 1,100 licensed
Covenant Medical Center - CMC
Covenant Plainview - PLV
Covenant Levelland - LVL
Trustpoint (joint venture: Rehab Hospital of Lubbock)
Covenant Medical Group (CMG)
Covenant Health Partners
Hospice of Lubbock
Covenant Health's total service area includes 25 counties that
covers most of West Texas and eastern New Mexico. The service area
covers approximately 750,000 people and approximately 35,000 square
Covenant provides equal employment opportunities (EEO) to all
employees and applicants for employment without regard to race,
color, religion, sex, national origin, age, disability or genetics.
In addition to federal law requirements, Covenant complies with
applicable state and local laws governing nondiscrimination in
employment in every location in which the company has facilities.
This policy applies to all terms and conditions of employment,
including recruiting, hiring, placement, promotion, termination,
layoff, recall, transfer, leaves of absence, compensation and
training. Positions specified as "on call, per diem" refers to
employment consisting of shifts scheduled on as "as needed basis"
to fill in for staff vacancies.
Keywords: St. Joseph Health, Lubbock , Associate Billing and Collections Representative - Plainview, Accounting, Auditing , Plainview, Texas
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