Medical Billing Representative

Medical Billing Representative

Crisis Center of Tampa Bay - Tampa, FL 33613

Overview

Position Type Full Time Job Shift Day Education Level High School Travel Percentage None Category Admin - Clerical

Description

Position Summary

The Crisis Center of Tampa Bay brings help, hope and healing to people facing serious life challenges or trauma resulting from sexual assault or abuse, domestic violence, financial distress, substance abuse, medical emergency, suicidal thoughts, emotional or situational problems. The Medical Billing Representative's primary responsibility is to complete the billing process for TransCare. This position reports to the Senior Director of Reimbursement and in his or her absence the Chief Financial Officer.

Strategic/Transformational Duties and Responsibilities

• To utilize medical billing experience to accurately code, bill and collect for services rendered by TransCare Medical Transportation Services, which assists in funding of Crisis Center programs.
• Participates in the performance quality improvement (PQI) process and uses data to improve services and outcomes.

Transactional/Administrative Duties and Responsibilities

• Verifies all patient demographic and insurance information.
• Determines appropriate payer sources and accurately codes claims.
• Bills for all third party, self-pay, and governmental billings for TransCare.
• Provides customer service for insurance companies, self-pay clients, and other telephone inquiries.
• Assists in gathering data for statistical reports.
• Assists in maintaining the proper security and storage of client records.
• Composes and provides correspondence, memoranda, and reports, as needed.
• Knows and complies with HIPAA regulations.
• Knows and complies with Policies and Procedures of the Agency.
• Inputs data from run reports and other logs.
• Performs such other duties as may be assigned by supervisor.

Required Competencies

• Cooperation/Teamwork - Works toward win/win solutions. Deals with conflict collaboratively. Discusses root causes underlying the problem. Develops effective working relationships.
• Engaging Communication - Relates to people in an open, honest, sincere manner. Treats people with respect. Is friendly and approachable. Listens attentively to others. Communicates ideas clearly. Communicates appropriately with leadership and coworkers.
• Customer Service (Internal & External) - Recognizes and attends to important details with accuracy and efficiency. Treats customers courteously. Responds to customer requests in a timely manner. Elicits feedback from customers to monitor their satisfaction. Considers both short and long-term interests of the customer in making service decisions. Proactively identifies customer needs. Takes responsibility to resolve customer complaints. Takes business or personal risks to serve customers' long-term interests. Creates strategies to help the organization serve customers more effectively.
• Adaptability - Adapts readily to changes. Works effectively under stress. Needs minimal supervision. Comfortable working in a fast-paced environment. Is reliable, dependable and results oriented. Maintains productivity and composure under pressure. Effectively prioritizes work and establishes clear goals and plans.
• Problem Solving - Views problems as opportunities to create new solutions. Anticipates potential problems and analyzes alternative solutions.
• Judgment - Gathers sufficient input before making decisions. Sees interrelatedness between issues. Considers alternative solutions. Makes appropriate and timely decisions.
• Valuing & Fostering Diversity - Demonstrates respect for individual differences and establishing a climate where all people can be comfortable and productive through sensitivity, empathy, and acceptance of cultural, racial, mental health, and socio-economic diversity.
• Self-Management – Takes responsibility for one's behavior and well-being; Works effectively under stress and adapting one's style to changing situations; Comfortable working in a fast-paced environment and needs minimal supervision; Exhibits a professional demeanor.

Education and Experience

• Two (2) years of medical billing experience using medical terminology and ICD coding.
• High school diploma or its equivalent.
• Minimum typing speed of 45 computer wpm.

Knowledge, Skills, and Abilities

• Knowledge of HIPAA regulations.
• Knowledge of medical terminology and ICD coding.
• Knowledge of insurance coding, billing and collection practices.
• Knowledge of Medicare and Medicaid reimbursement procedures.
• Knowledge of office procedures and practices.
• Knowledge of the principles and techniques of verbal and written communications.
• Knowledge of Microsoft Office, faxing and scanning.
• Ability to read and interpret EOBs and other insurance correspondence.
• Ability to prepare correspondence and reports.
• Ability to understand and apply policies and procedures.
• Ability to type 45 cwpm.
• Ability to ensure timely completion of work assignments.
• Ability to communicate effectively verbally and in writing.
• Ability to establish and maintain effective working relationships with others.
• Skill in the operation of a variety of computer software.

Physical Demands/Working Conditions

Physical Requirement: Must have ability to lift and carry up to 10 lbs. The employee frequently is required to sit and reach with hands and arms. The employee is occasionally required to stand and walk. Specific vision abilities required by the job include close vision, color vision, and the ability to adjust focus. This position performs duties of above average difficulty requiring reasonable initiative and independent judgment under limited supervision.

Working Conditions : Duties are performed in an office setting. The noise level is moderate.

Travel : None.

Hours : Monday-Friday, hours may vary depending on department need.

This job description is not intended to describe, in detail, the multitude of tasks that may be assigned but rather to give a general sense of the responsibilities and expectations of this position. As the nature of business demands change so, too, may the essential functions of this position.

CCTB is committed to a policy of equal employment opportunity and affirmative action for our applicants and employees. It is our policy to apply recruiting, hiring, training, promotion, compensation, and professional development practices without regard to actual or perceived race, color, religion, sex (including pregnancy), gender identity, sexual orientation, national origin, age, disability or certain classifications based on genetic information, marital status, or any other characteristic protected by federal, state, or local laws, regulations or ordinances.