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Medical Collections in St. Petersburg, FL at Accounting Now

Date Posted: 11/7/2019

Job Snapshot

Job Description

New Collections/ AR role with National company!
Responsible for performing high volume specialized collection functions by interfacing with various departments, insurance carriers, and patients while ensuring good relations.

  • Employee will consistently exhibit behavior and communication skills that demonstrate commitment to superior customer service, including quality, care and concern with each and every internal and external customer.
  • Identify payment and denial trends and communicate to Supervisor of Collections.
  • Provides timely resolution to incoming calls to Billing and Collections.
  • Documents all calls clearly and precisely at time of call.
  • Performs necessary follow-up to ensure timely resolution of appeals, rebilling's, obtaining updated insurance information, identifying and correcting billing errors,
  • Meets department productivity standards.
  • Maintains current working knowledge of CPT and ICD-9 codes, required modifiers and encounter data.
  • Maintains up-to-date information on Medicare laws, HCFA requirements, contractual arrangements and other third party payer requirements.
  • Responsible for review and assignment of payer fatal edits from clearinghouse and documenting edits and resolution for audit.
  • Apply knowledge of third party payer guidelines in reviewing denied claims to ensure appropriate use of modifiers and CPT/ICD-9 codes.
  • High school diploma, G.E.D., or equivalent.
  • Some college preferred.