Medical Billing Representative

Crisis Center of Tampa Bay•Tampa, FL
•Onsite

About The Position

The Medical Billing Representative completes the billing process for TransCare Medical Transportation Services, helping fund Crisis Center of Tampa Bay programs. The role accurately codes, bills, and collects for services rendered, verifies patient and insurance information, determines appropriate payer sources, and handles third-party, self-pay, and governmental billing. It also provides customer service to insurance companies and clients, assists with reporting and record security, prepares correspondence and reports, and complies with HIPAA and agency policies and procedures. The position reports to the Senior Director of Reimbursement and, in that person's absence, to the Chief Financial Officer. It participates in the performance quality improvement process and uses data to improve services and outcomes. Duties are performed in an office setting under limited supervision and require reasonable initiative and independent judgment. The schedule is Monday through Friday, with hours that may vary depending on department needs.

Requirements

  • Two years of medical billing experience using medical terminology and ICD coding.
  • High school diploma or equivalent.
  • Minimum typing speed of 45 computer words per minute.
  • Knowledge of HIPAA regulations, medical terminology, ICD coding, insurance coding, billing and collection practices, and Medicare and Medicaid reimbursement procedures.
  • Knowledge of office procedures and practices and verbal and written communication principles and techniques.
  • Knowledge of Microsoft Office, faxing, and scanning.
  • Ability to read and interpret EOBs and other insurance correspondence.
  • Ability to prepare correspondence and reports and understand and apply policies and procedures.
  • Ability to complete work assignments on time and communicate effectively verbally and in writing.
  • Ability to establish and maintain effective working relationships.
  • Skill in operating a variety of computer software.
  • Ability to lift and carry up to 10 pounds.
  • Ability to sit and reach frequently, and stand and walk occasionally.
  • Close vision, color vision, and ability to adjust focus.

Responsibilities

  • Accurately code, bill, and collect for services rendered by TransCare Medical Transportation Services.
  • Verify patient demographic and insurance information.
  • Determine appropriate payer sources and accurately code claims.
  • Bill third-party, self-pay, and governmental payers for TransCare.
  • Provide customer service to insurance companies, self-pay clients, and other callers.
  • Assist in gathering data for statistical reports.
  • Assist in maintaining the proper security and storage of client records.
  • Compose and provide correspondence, memoranda, and reports as needed.
  • Comply with HIPAA regulations and agency policies and procedures.
  • Input data from run reports and other logs.
  • Participate in the performance quality improvement process and use data to improve services and outcomes.
  • Perform other duties as assigned by the supervisor.
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