Covenant Health is seeking a Full TimeDay Shift Associate
Billing/Collection Representativefor Lonestar CBODepartment at
Covenant Medical Group.
Apply Today! Applicants that meet qualifications will receive a
text with some additional questions from our Modern Hire
Job Summary: 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 compliant manner. Essential Functions:
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
performance: Verify claim is received by all payers timely in
accordance with the timely filing limits of the contractual
agreement and/or state regulations.
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
appropriate. Minimum Position Qualification: Experience: Experience
in computer applications.
Preferred Position Qualifications: Education: H.S. Diploma or
GED Experience: 1 yearHealth care business office experience or
3 yearsMedical 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 Childrens Covenant
Specialty 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.