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Billing and Collections Representative

1 month ago

Temple Terrace, Florida, United States Chapters Health System Full time
It's inspiring to work with a company where people truly BELIEVE in what they're doing

When you become part of the Chapters Health Team, you'll realize it's more than a job. It's a mission. We're committed to providing outstanding patient care and a high level of customer service in our communities every day.

Our employees make all the difference in our successRole:

The Billing and Collection Representative is responsible for processing and submission of third party claims, denial management, and account resolution

Qualifications:

  • High School Diploma or GED
  • Minimum of one (1) year of medical billing and collection experience
  • Knowledge of third party billing and state and federal collection regulations preferred
  • Ability to prioritize and multi-task independently with little supervision
  • Must be self-motivated and service oriented
  • Excellent written and verbal communication skills

Accurate typing and data entry skills Competencies:

  • Satisfactorily complete competency requirements for this position

Responsibilities of all employees:

  • Represent the Company professionally at all times through care delivered and/or services provided to all clients.
  • Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse.
  • Comply with Company policies, procedures and standard practices.
  • Observe the Company's health, safety and security practices.
  • Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the Company.
  • Use resources in a fiscally responsible manner.
  • Promote the Company through participation in community and professional organizations.
  • Participate proactively in improving performance at the organizational, departmental and individual levels.
  • Improve own professional knowledge and skill level.
  • Advance electronic media skills.
  • Support Company research and educational activities.
  • Share expertise with co-workers both formally and informally.
  • Participate in Quality Assessment and Performance Improvement activities as appropriate for the position

Job Responsibilities:

  • Prepares and submits accurate billing to third party payor's and self-pay invoices.
  • Identifies and resolves billing clearinghouse rejections.
  • Conducts root cause analysis on unpaid accounts receivable (AR) and resolves with third party payor's.
  • Analyzes and resolves credit balances.
  • Handles incoming and outgoing customer service calls to third party payor's, outside providers and patients/guarantors to resolve and achieve account resolution.
  • Processes correspondence.
  • Initiates and resolves technical denial appeals.
  • Identifies payor denial and cash fluctuation trends and escalates as appropriate.
  • Performs other duties as assigned.


This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy.