Medicare Billing and Collections Representative Position Available In [Unknown county], Florida
Tallo's Job Summary: The Medicare Billing and Collections Representative in Temple Terrace, FL is responsible for processing third-party claims, managing denials, and resolving accounts. Requirements include a high school diploma, 1 year of billing experience, and knowledge of billing regulations. The role involves accurate billing submissions, resolving rejections, and handling customer service calls. This position may require drug and alcohol testing.
Job Description
Medicare Billing and Collections Representative page is loaded
Medicare Billing and Collections Representative
locations
Temple Terrace, FL
time type
Full time
posted on
Posted 2 Days Ago
job requisition id
R258915
It’s inspiring to work with apany w people truly BELIEVE in what they’re doing! When you be part of the Chapters Health Team, you’ll realize it’s more than a job. It’s a mission. We’remitted to providing outstanding patient care and a high level of customer service in ourmunities every day. Our employees make all the difference in our success!
Role:
The Billing and Collection Representative is responsible for processing and submission of third party claims, denial management, and account resolution.
Qualifications:
- High School Diploma or GED
- Minimum of one (1) year of medical billing and collection experience
- Knowledge of third party billing and state and federal collection regulations preferred
- Ability to prioritize and multi-task independently with little supervision
- Must be self-motivated and service oriented
- Excellent written and verbalmunication skills
- Accurate typing and data entry skills
Competencies:
- Satisfactorilypletepetency requirements for this position.
Responsibilities of all employees: - Represent the Company professionally at all times through care delivered and/or services provided to all clients.
- Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse.
- Comply with Company policies, procedures and standard practices.
- Observe the Company’s health, safety and security practices.
- Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the Company.
- Use resources in a fiscally responsible manner.
- Promote the Company through participation inmunity and professionalanizations.
- Participate proactively in improving performance at theanizational, departmental and individual levels.
- Improve own professional knowledge and skill level.
- Advance electronic media skills.
- Support Company research and educational activities.
- expertise with co-workers both formally and informally.
- Participate in Quality Assessment and Performance Improvement activities as appropriate for the position.
Job Responsibilities:
- Prepares and submits accurate billing to third party payor’s and self-pay invoices.
- Identifies and resolves billing clearinghouse rejections.
- Conducts root cause analysis on unpaid accounts receivable (AR) and resolves with third party payor’s.
- Analyzes and resolves credit balances.
- Handles iing and outgoing customer service calls to third party payor’s, outside providers and patients/guarantors to resolve and achieve account resolution.
- Processes correspondence.
- Initiates and resolves technical denial appeals.
- Identifies payor denial and cash fluctuation trends and escalates as appropriate.
- Performs other duties as assigned.
This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-goingpliance with the Drug-Free Workplace Policy.
