Senior Patient Accounts Specialist

Under the direction of the Director or Manager of Patient Accounts, this role performs billing and collection functions for hospital receivables, customer service duties, and processing/reconciliation of charge-entry, edit, and error reports. The position requires broad knowledge of patient accounts follow-up techniques and multiple payer types, including Managed Care, Self Pay, and Auto. It also supports performance improvement efforts by identifying cash flow issues and communicating trends to leadership.

Essential duties include:

• Perform hospital billing and collections activities for assigned accounts in accordance with payer requirements and hospital policies.
• Process and reconcile charge-entry, edit, and error reports to ensure accurate and timely claim submission and follow-up.
• Follow up on unpaid or underpaid Medicare, Medicaid, Managed Care, Self-Pay, and Auto claims.
• Review and apply contractual adjustments in compliance with payer contracts and regulatory guidelines.
• Communicate with Medicare and Medicaid fiscal intermediaries, insurance carriers, and other payers to resolve claim issues.
• Provide professional customer service to patients and payers regarding billing inquiries, balances, and payment options.
• Identify cash flow issues, document findings, and report trends or concerns to leadership.
• Use electronic billing systems efficiently to meet productivity and quality expectations.
• Assist with training and mentoring new team members.
• Perform duties in alignment with the mission, vision, and values of Tampa General Healthcare.