Do you want to work for a company that Forbes' named one of the best employers of 2023? Do you want to fast-track your career by working for one of LinkedIn's top companies in the US?

If so, keep reading! Title of Job : Billing Representative The CSI Companies is hiring a Billing Representative for our Fortune 100 healthcare client. In Tampa, FL . Job Summary

The Billing Rep reports to the Billing Manager and is responsible for performing medical billing functions and providing administrative support to the Billing and Collections department.

Positions in this function interact with customers and ancillary departments gathering support data to ensure invoice accuracy and work through specific billing discrepancies.

Manage the preparation of invoices and complete reconciliation of billing with accounts receivables. May also include quality assurance and audit of billing activities.

Pay : $19 - 21 an hour based on experience (overtime will be paid at 1.5 times the normal hourly pay rate). Hours : Full Time - M-F standard business hours Location : Tampa, FL Why this Opportunity?

• Top ranked company in Fortune's 2023 "World's Most Admired Companies" for over a decade consecutively.
• This healthcare client is ranked number one in all nine key attributes of reputation :
• Innovation
• People management
• Use of corporate assets
• Social responsibility
• Quality of Management
• Financial soundness
• Long-term investment value
• Quality of products
• Services and global competitiveness.

Status :

Consultant position. This position starts off as a long-term contractor / consultant. Also, all the positions start off this way for this large company.

The potential to go permanent after 6-12 months is a possibility upon performance and business needs. Effective Date / Tentative Start Date : Interviewing Immediately Job Duties :

• Consistently exhibits behavior and communication skills that demonstrate commitment to superior customer service, including quality and care and concern with every internal and external customer.
• Represents the Company in a professional manner, following all Company policies and procedures.
• Uses, protects, and discloses Optum Care patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
• Ability to establish and maintain effective and positive working relationships with staff and management.
• Ensures the timely submission of primary and secondary claims.
• Performs electronic claims submission.
• Notifies management of issues arising from erroneous codes, missing information, and error / edit messages.
• Analyze relevant information to determine potential reasons for billing discrepancies and changes.
• Seek assistance from internal partners (e.g., Coding; Credentialing; Clinics; Contracting) and / or external stakeholders (e.

g., individual customers / payers; brokers) to resolve billing issues.

• Reviews insurance claim forms for accuracy and completeness. Makes necessary corrections.
• Demonstrates and applies knowledge of Medicare and Medicaid guidelines in reviewing claims to ensure appropriate use of modifiers and CPT / ICD 10 codes.
• Review medical documentation to confirm appropriateness of codes when necessary.
• Corrects claims appearing on Edit Reports.
• Communicates system and claim formatting issues to the IT department and Billing Manager.
• Serves as a resource to Optum Care staff on general billing guidelines.
• Demonstrate understanding of business partners' operations to identify appropriate resources for support and information.
• Perform quality checks on data entries prior to submitting information to internal and / or external customers / payers / clients.
• Inform customers / payers of billing problem / issue findings and resolution as appropriate.
• Contact external customers / payers to keep them informed of outstanding balances and required payment, as appropriate.
• Demonstrate and maintain understanding of state and federal regulatory requirements as they apply to billing operations (e.

g., health-care reform; state surcharges; CMS)

• May conduct training (e.g., on-line demonstration; knowledge base; invoice inquiry) to co-workers (e.g., new staff members, collection / cash posting teams) on how to access, review, and / or submit claims for payments.
• Must be dependable and well organized.
• Performs additional duties as assigned.

Requirements

• High school diploma, G.E.D. or equivalent
• Large healthcare corporation experience
• CMC, CPC-A Certification
• Over 1 year of related job experience.
• CPT / ICD 10 codes experience
• Computer literate.
• Microsoft Office skills
• Working knowledge of business billing office duties.
• Working knowledge of Medicare, Medicaid, and Managed care.
• Good verbal and written communication skills.
• Organized and detail oriented.
• Ability to work under time constraints.
• Bilingual preferred.

Preferred Qualifications :

• Some college education preferred.
• CPC Certification
• Previous coding experience.
• HMO / managed care, Medicare experience.
• Previous Allscripts, eCW, Athena, and / or RCX system experience.
• PCP and Hospitalist billing and coding experience.

WHO SHOULD APPLY?

If you have experience in medical billing, administration, ICD-10, CMC, CPC-A, or CPC.Apply to become part of the team that is not only changing people's lives for the better but changing the health care system for the next generations to come. About Us

The CSI Companies is a recruiting firm established in 1994 that has been awarded "Best of Staffing" for 5 years in a row.

We provide outstanding services to the world's leaders in the healthcare field as well as other organizations. For consideration, please submit your resume with all of your relevant experience included on it for immediate consideration.

Only those candidates identified for an interview will be contacted. Benefits Offered :

• Weekly pay
• Medical, dental, and vision coverage
• Voluntary Life and AD&D coverage
• Paid Training
• Opportunity for advancement upon performance and availability

Last updated : 2024-05-14