Customer Service Representative

Job Summary Accurately posts payments for all physician services in a timely manner, reviews and verifies appropriate usage of modifiers and CPT-4 codes to ensure appropriate reimbursement. Demonstrates flexibility in scheduled hours to ensure all payments are posted daily and at month end. Analyzes remittances to ensure accurate reimbursement has been received and denials are posted correctly. . 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. Interacts with FPG Physicians, Office Managers CBO staff and other appropriate SMH staff to review payment posting issues. Responsible for keeping abreast of and complying with all third party regulations. Responsible for ensuring all fee schedules are kept current. Handles all correspondence and all communications in a timely manner. Job knowledge is section specific. Ability to demonstrate Customer Service Recovery, be flexible and adapt to changes in growth within the CBO Department. Required Qualifications - Require two (2) years of experience working with Medicare, Medicaid and commercial billing and collections. - Require the ability to analyze problems and consistently follow 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 Qualifications - Prefer an Associate's degree or two (2) years of equivalent experience. - Prefer two (2) years of experience in utilizing Windows based software applications. - Prefer the ability to type thirty (30) words per minute for CRT and PC input. - Prefer general knowledge of ICD-10 and CPT coding. - Prefer financial or banking experience. Mandatory Education HS EQ: High School Diploma, GED or Certificate Preferred Education Required License and Certs Preferred License and Certs Employment Screening Requirements As part of Sarasota Memorial Health Care System's commitment to keeping people safe, all individuals providing care to vulnerable populations are required to undergo background screening through The Florida Care Provider Background Screening Clearinghouse. #J-18808-Ljbffr