Insurance Account Representative

WHO WE ARE:

State of Franklin Healthcare Associates is a physician-led and team member-owned multi-specialty care group of more than 250 providers and 900 team members headquartered in Johnson City, TN with 35 locations in the upper East Tennessee & Southwest Virginia region. Our mission is to improve the health and well-being of our patients and our team members.

PRIMARY RESPONSIBILITIES:

• Review and appeal claim denials from third-party carriers as justified.

• Comply with HCFA's billing guidelines.

• Follow-up on unpaid third-party carrier claims.

• Proper documentation; operative notes, progress notes, consent forms, referral forms, and primary EOB's.

• Transfer unpaid insurance balances to the guarantor.

• Answer patient phone calls and assist patients with resolving unpaid third-party claims.

• Identify problem payers and report them to the CBO manager.

• Balance all postings.

REQUIREMENTS:

• High school diploma or GED.

EXPERIENCE:

Two years of insurance billing and follow-up experience in the medical field or additional related education may be substituted for the two years of insurance experience.

WHAT WE OFFER:

State of Franklin Healthcare provides a comprehensive and competitive total compensation package designed to meet the needs of our full-time team members to include:

• Company Provided Life and Accidental Death and Dismemberment Insurance

• Company Provided Long Term Disability Insurance

• Employee Stock Ownership Plan

• 401(k) Company Contributions

• Voluntary options for Medical, Dental, Vision, and additional Life Insurance.

• Company match in Health Savings Account Plans (restrictions apply)

• Vacation, Personal, Sick and Holiday Time Off

• An array of team member perks and discounts

• Tuition Assistance Programs

• And more!

Qualifications