Collection Representative

Crisis Center of Tampa Bay

1d•Onsite

About The Position

The Crisis Center of Tampa Bay brings help, hope and healing to people facing serious life challenges or trauma resulting from sexual assault or abuse, domestic violence, financial distress, substance abuse, medical emergency, suicidal thoughts, emotional or situational problems. The Collection Representative’s primary responsibility is to assist in the collection process for TransCare. This position reports to the Senior Director of Reimbursement and in his or her absence the Chief Financial Officer. Strategic/Transformational Duties and Responsibilities To utilize medical billing/collection experience to accurately and effectively collect for services rendered by TransCare Medical Transportation Services, which assists in funding of Crisis Center programs. Participates in the performance quality improvement (PQI) process and uses data to improve services and outcomes. Transactional/Administrative Duties and Responsibilities Review and verify/correct patient demographic and/or insurance information on return mail Provide customer service for insurance companies, self-pay clients and other telephone inquiries Follow-up on late reimbursements Follow appropriate dispute/resolution process with insurance companies regarding denials and underpayments Review accounts in insurance discovery queue Review accounts in deductible hold status 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 Know and comply with HIPAA regulations Know and comply with Policies and Procedures of the Agency Perform such other duties as may be assigned by supervisor

Requirements

Two (2) years of medical billing or collection experience using medical terminology and ICD coding.
High school diploma or its equivalent.
Minimum typing speed of 45 computer wpm.
Knowledge of HIPAA regulations.
Knowledge of medical terminology and ICD coding.
Knowledge of insurance coding, billing and collection practices.
Knowledge of Medicare and Medicaid reimbursement procedures.
Knowledge of office procedures and practices.
Knowledge of the principles and techniques of verbal and written communications.
Knowledge of Microsoft Office, faxing and scanning.
Ability to read and interpret EOBs and other insurance correspondence.
Ability to prepare correspondence and reports.
Ability to understand and apply policies and procedures.
Ability to type 45 cwpm.
Ability to insure timely completion of work assignments.
Ability to communicate effectively verbally and in writing.
Ability to establish and maintain effective working relationships with others.
Skill in the operation of a variety of computer software.

Responsibilities

Review and verify/correct patient demographic and/or insurance information on return mail
Provide customer service for insurance companies, self-pay clients and other telephone inquiries
Follow-up on late reimbursements
Follow appropriate dispute/resolution process with insurance companies regarding denials and underpayments
Review accounts in insurance discovery queue
Review accounts in deductible hold status
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
Know and comply with HIPAA regulations
Know and comply with Policies and Procedures of the Agency
Perform such other duties as may be assigned by supervisor