Patient Accounts Specialist Senior
Tampa General Hospital · Tampa, FL · 1 wk ago
Full-time
Essential Functions
- Performs hospital billing and collections activities for assigned accounts in accordance with payer requirements and hospital policies and procedures.
- Processes and reconciles charge-entry, edit, and error reports to ensure accurate, timely claim submission and follow-up.
- Follows up on unpaid or underpaid Medicare, Medicaid, Managed Care, Self-Pay, and Auto claims to support timely reimbursement.
- Reviews, analyzes, and applies contractual adjustments in compliance with payer contracts and regulatory guidelines.
- Communicates directly with Medicare and Medicaid fiscal intermediaries, insurance carriers, and other payers to resolve claim issues.
- Provides professional, courteous customer service to patients and payers regarding billing inquiries, balances, and payment options.
- Identifies issues impacting cash flow, documents findings, and reports trends or concerns to leadership as part of performance improvement efforts.
- Utilizes electronic billing systems and available resources efficiently to manage workload and meet productivity and quality expectations.
- Affords assistance with training and mentoring new team members and provides feedback to management regarding progress and development needs.
Qualifications
- Highschool Diploma or GED required.
- Three (3) years of Hospital experience in billing and collecting Medicare/Medicaid.
- Working knowledge of Federal, State and County guidelines as it relates to billing.
- Knowledge of electronic billing systems.
Work Location
TGH Corporate Center
Eligible for Remote Work
Hybrid Remote
Job Type
Hybrid Remote
Schedule
Full-time
Scheduled Days
Monday, Tuesday, Wednesday, Thursday, Friday
Shift
Day
Shift Hours
8:00 am - 5:00 pm