Patient Accounts Specialist Senior

Tampa General Hospital•Tampa, FL

About The Position

Under the direction of the Director or Manager, Patient Accounts, the Patient Accounts Specialist Senior performs functions involved in billing and collecting hospital receivables, customer service, and processing and reconciling charge-entry, edit, and error reports. The role requires diverse knowledge of patient accounts follow-up techniques and familiarity with payers such as Managed Care, Self Pay, and Auto. The specialist is expected to be consistent, dependable, and accurate, and to understand the department’s purpose, objectives, practices, and procedures. The position also performs other tasks assigned by the Manager and carries out duties in accordance with Tampa General Healthcare’s mission, vision, and values. The role performs hospital billing and collection activities for assigned accounts, follows up on unpaid or underpaid claims, applies contractual adjustments, and works with payers to resolve issues. It provides courteous service to patients and payers, identifies and reports issues affecting cash flow, uses electronic billing systems to manage work and meet expectations, and supports new team members through training and mentoring.

Requirements

High school diploma or GED.
Three years of hospital experience in billing and collecting Medicare and Medicaid.
Working knowledge of Federal, State, and County guidelines as they relate to billing.
Knowledge of electronic billing systems.

Responsibilities

Perform hospital billing and collection activities for assigned accounts in accordance with payer requirements and hospital policies and procedures.
Process and reconcile charge-entry, edit, and error reports to support accurate and timely claim submission and follow-up.
Follow up on unpaid or underpaid Medicare, Medicaid, Managed Care, Self-Pay, and Auto claims to support timely reimbursement.
Review, analyze, and apply contractual adjustments in compliance with payer contracts and regulatory guidelines.
Communicate with Medicare and Medicaid fiscal intermediaries, insurance carriers, and other payers to resolve claim issues.
Provide professional, courteous customer service to patients and payers regarding billing inquiries, balances, and payment options.
Identify issues affecting cash flow, document findings, and report trends or concerns to leadership as part of performance improvement efforts.
Use electronic billing systems and available resources efficiently to manage workload and meet productivity and quality expectations.
Assist in training and mentoring new team members and provide management with feedback regarding progress and development needs.
Perform duties in alignment with Tampa General Healthcare’s mission, vision, and values while promoting teamwork, accountability, and service excellence.
Perform other tasks assigned by the Manager.