Support Service Rep II - Patient Account Specialist - FPG Central Billing Office jobs in United States
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Sarasota Memorial Health Care System · 3 weeks ago

Support Service Rep II - Patient Account Specialist - FPG Central Billing Office

Sarasota Memorial Health Care System is a healthcare provider seeking a Support Service Rep II - Patient Account Specialist. The role involves performing collection functions, reviewing charges for appropriate coding, and ensuring accurate claims submission and reimbursement.

Health CareHospital
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Growth Opportunities
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H1B Sponsor Likelynote

Responsibilities

Performs collection functions for First Physician Group
Reviews charges and verifies appropriate usage of modifiers, CPT-4, ICD-9 and ICD-10 code ensure appropriate reimbursement
Analyzes and corrects claims to ensure accurate and timely claims submission
Sets up account for Client Services and collects past due balances
Responsible for resubmission of claims for additional reimbursement and/or appealing said claims with timely follow up
Responsible for calculating and posting contractual allowances accurately and timely keeping the AR to a minimum
Responsible for incoming and outgoing mail
Researches and answers customer’s questions regarding billing disputes
Interacts with FPG Physicians, Office Managers, CBO staff, and other appropriate SMH staff to review coding and billing issues
Responsible for keeping abreast of and complying with all third party regulations
Responsible for ensuring all fee schedules are kept current and MMS updated
Handles all correspondence and all communications in a timely manner

Qualification

ICD-9 codingICD-10 codingCPT codingPatient Financial ServicesManaged Care knowledgeWindows software applicationsCustomer Service RecoveryProblem analysisBasic math skillsTyping speedAdding machine operationOffice equipment usageCommunication skillsOrganizational skills

Required

Require an Associate's Degree. A high school diploma, plus two (2) years of relevant Patient Financial Services or related experience, may be substituted for required degree
Require the ability to manage special projects and task to completion
Require the ability to be cross-trained in two (2) or more specialty areas
Require general knowledge of ICD-9, ICD-10 and CPT coding
Require the ability to analyze problems, develop solutions and consistently follows through to resolution
Require the ability to meet and greet public and handle difficult situations diplomatically
Require a clear and distinct speaking voice
Require the ability to operate an adding machine quickly and accurately by touch
Require the ability to use standard office equipment
Require basic mathematical, organizational, and communication skills
Require basic knowledge of Managed Care remittance and adjustment process

Preferred

Prefer three (3) years of experience working with Medicare, Medicaid and commercial billing and collections
Prefer three (3) years of experience in utilizing Windows based software applications
Prefer the ability to type fifty (50) words per minute for CRT and PC input
Prefer financial or banking experience

Company

Sarasota Memorial Health Care System

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Sarasota Memorial Health Care System, an 839-bed regional medical center, is among the largest public health systems in Florida.

H1B Sponsorship

Sarasota Memorial Health Care System has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (2)
2024 (7)
2023 (3)
2022 (3)
2020 (2)

Funding

Current Stage
Late Stage

Leadership Team

D
David Verinder
CEO
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Company data provided by crunchbase