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, providing 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 a wide variety of payers, including 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. Other tasks may be assigned by the Manager. The position performs assigned duties in accordance with the mission, vision, and values of Tampa General Healthcare, promoting teamwork, accountability, and service excellence.

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 related to billing.
Knowledge of electronic billing systems.

Responsibilities

Perform hospital billing and collections 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, 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 impacting 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 with training and mentoring new team members and provide management with feedback regarding progress and development needs.
Perform other tasks assigned by the Manager and carry out duties in alignment with Tampa General Healthcare’s mission, vision, and values.