Support Service Rep II - Patient Account Specialist

About the role

This position performs collection functions for First Physician Group.

Responsibilities

• Reviews charges and verifies appropriate usage of modifiers, CPT-4, ICD-9 and ICD-10 code ensure appropriate reimbursement
• Analyzes and corrects claims to ensure accurate and timely claims submission
• Sets up account for Client Services and collects past due balances
• Responsible for resubmission of claims for additional reimbursement and/or appealing said claims with timely follow up
• Responsible for calculating and posting contractual allowances accurately and timely keeping the AR to a minimum
• Responsible for incoming and outgoing mail
• Researches and answers customer's questions regarding billing disputes
• Interacts with FPG Physicians, Office Managers, CBO staff, and other appropriate SMH staff to review coding and billing issues
• Responsible for keeping abreast of and complying with all third party regulations
• Responsible for ensuring all fee schedules are kept current and MMS updated
• Handles all correspondence and all communications in a timely manner
• Job knowledge is section specific
• Ability to demonstrate Customer Service Recovery, be flexible and adapt to changes in growth within the CBO Department

Qualifications

• Require an Associate's Degree. A high school diploma, plus two (2) years of relevant Patient Financial Services or related experience, may be substituted for required degree
• Require the ability to manage special projects and task to completion
• Require the ability to be cross-trained in two (2) or more specialty areas
• Require general knowledge of ICD-9, ICD-10 and CPT coding
• Require the ability to analyze problems, develop solutions and consistently follows through to resolution
• Require the ability to meet and greet public and handle difficult situations diplomatically
• Require a clear and distinct speaking voice
• Require the ability to operate an adding machine quickly and accurately by touch
• Require the ability to use standard office equipment
• Require basic mathematical, organizational, and communication skills
• Require basic knowledge of Managed Care remittance and adjustment process

Preferred qualifications

• Anesthesia Collections Experience Is Preferred
• Prefer three (3) years of experience working with Medicare, Medicaid and commercial billing and collections
• Prefer three (3) years of experience in utilizing Windows based software applications
• Prefer the ability to type fifty (50) words per minute for CRT and PC input
• Prefer financial or banking experience

Schedule

Monday - Friday

FPG Central Billing office is located in downtown Sarasota, FL on Main St. at our SMH Support Services building.