Support Service Representative II

4 weeks ago


SaintBauzilledePutois, Occitanie, United States First Physicians Group Full time

Job Summary:

As a Support Service Representative II at First Physicians Group, you will play a critical role in ensuring accurate and timely payment posting for physician services. Your attention to detail and analytical skills will be essential in reviewing and verifying modifier and CPT-4 code usage to ensure proper reimbursement. You will also be responsible for analyzing remittances to ensure accurate reimbursement and denials are posted correctly.

Key Responsibilities:

  • Post payments for physician services in a timely manner
  • Review and verify modifier and CPT-4 code usage
  • Analyze remittances to ensure accurate reimbursement
  • Post denials correctly
  • Calculate and post contractual allowances accurately and timely
  • Handle incoming and outgoing mail
  • Research and answer customer questions
  • Interact with FPG physicians, office managers, CBO staff, and other SMH staff to review payment posting issues
  • Stay up-to-date with third-party regulations and ensure compliance
  • Ensure all fee schedules are current
  • Handle all correspondence and communications in a timely manner

Requirements:

  • Two years of experience working with Medicare, Medicaid, and commercial billing and collections
  • Ability to analyze problems and consistently follow through to resolution
  • Ability to meet and greet public and handle difficult situations diplomatically
  • Clear and distinct speaking voice
  • Ability to operate an adding machine quickly and accurately by touch
  • Ability to use standard office equipment
  • Basic mathematical, organizational, and communication skills
  • Basic knowledge of Managed Care remittance and adjustment process

Preferred Qualifications:

  • Associate's degree or two years of equivalent experience
  • Two years of experience in utilizing Windows-based software applications
  • Ability to type thirty words per minute for CRT and PC input
  • General knowledge of ICD-10 and CPT coding
  • Financial or banking experience


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