Gastro Florida is the largest gastroenterology group in Tampa Bay with over 65 providers and over 25 locations in Pinellas, Hillsborough, Pasco, and Polk counties. Gastro Florida offers G.I. screening & treatment, colon cancer prevention, non-surgical cancer intervention, IBD infusions & therapy, nutrition & weight loss services, monitoring between visits, pharmacy & pathology services, and the latest therapies, including clinical research, to provide an integrated patient experience. Our mission is to provide general and advanced/interventional gastroenterology services in an Affable, Affordable & Accessible manner for Accurate Answers.
We are seeking a competent, conscientious, service-oriented individual with strong character while working as a Patient Insurance Collector in our Central Business Office (CBO). This individual will work collections of insurance claims (work A/R report, insurance follow up, denials, appeals, researching unpaid balances). He/She will work under the direction of our Billing Manager.
Role:
-Code, prepare and submit clean claims to insurance companies via electronic and paper submissions
-Monitor insurance claims by running appropriate reports and contacting insurance companies to resolve claims that are not paid in a timely manner -Identify coding or billing problems from EOBs and work to correct the errors in a timely manner
-identify payor issues and trends and resolve recoup issues
-Update demographic information in the patient account record and identify actions taken on the account
-Provide thorough, efficient, and accurate account updates/notes in computer system for each communication made -Identify problem accounts and escalate as appropriate -Work with patients and guarantors to secure payment on outstanding account balances
- Researching and obtaining necessary information provider/office -Sort and file correspondence -Verify patient eligibility with insurance carriers
-Properly calculates and collects out of pocket expenses for patients
-Obtain and maintain CPC or CGIC or similar coding certifications
Other Duties as Assigned (~10%)
-Able to work overtime as needed, including evening and weekend hours
-Attend staff meetings, phone conferences and training as needed
-Maintain confidentiality of all company and patient information in accordance with HIPAA regulations and company policies
Experience:
Criminal background and drug screening required as well as excellent professional references.