Department
Reimbursement

Position
Accounts Receivable Representative

Position Summary

Responsible for medical billing and claims resolution for CCS Medical patients, private insurance companies and Medicare.

Essential Duties and Responsibilities

• Reviews patient accounts and decides appropriate action needed to collect payment
• Makes outbound calls to insurance companies and patients to collect outstanding funds
• Focuses on reducing delinquent accounts and achieving maximum collections from all sources
• Documents all activities as completely as possible
• Achieves productivity goals based on call volume, dollars collected, and aging period

Additional Responsibilities

• Responds to overflow incoming patient calls
• Assists other A/R Representatives as workload requires
• Participates in on-going training for Medicare/HIPAA compliance, product information and insurance benefits to augment knowledge of procedures, regulations and products
• Maintains scheduling flexibility to accommodate hours of operation, including evenings and Saturdays. Specifically, must be available until 6:30PM on weekday evenings
• Follows all Medicare, Medicaid and private insurance regulations and requirements
• Actively participates in Continuous Quality Improvement
• Demonstrates thoroughness with all work related activities. Strives to continually improve quality and productivity results displayed by Reimbursement personnel on an ongoing basis
• Maintains and promotes patient confidentiality
• Maintains open lines of communication with administration, department management and other departmental personnel
• Assumes other duties and responsibilities as assigned by the department supervisor
• Abides by all policies, procedures and protocols set forth in the departmental and CCS Medical personnel and administrative policy manuals

Position Accountability

• Cost Control: Ensures effective documentation and adherence to Medicare and private insurance guidelines to facilitate proper payment and reduce waste
• Quality Control: Ensures that company philosophies, policies and procedures regarding patients, government agencies, and other vendors are maintained
• Customer Service: Ensures that patients are treated with the highest level of customer service, per company policies
• Records: Responsible for maintaining accurate patient records
• Confidentiality: Adheres to HIPAA guidelines and company privacy and confidentiality policies
• Compliance: Ensures effective documentation and adherence to Medicare and private insurance guidelines

Responsibility

Reports to: Department Manager/Supervisor
Supervisory: None

Primary Customers

Internal: Departmental employees, managers, supervisors and team leads referencing insurance and Medicare information.
External: Patients, Medicare, and insurance companies regarding specific information relating to benefit plan changes and coordination with CCS Medical’s program.

Knowledge Skills and Abilities Required

• High school diploma or GED equivalent and one to two years experience with Medicare or insurance billing, or equivalent combination of education and experience
• Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals; ability to write routine reports and correspondence
• Ability to speak effectively before groups of customers or employees of the organization
• Ability to add, subtract, multiply and divide all units of measure using whole numbers, common fractions and decimals
• Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists
• Ability to interpret a variety of instructions furnished in written, oral, diagram or schedule form

Physical Requirements

Frequent: Speaking, hearing, sitting, use of hands/fingers, handling or feeling objects, tools or controls, close vision, color vision, peripheral vision, ability to adjust focus
Occasional: Standing, walking indoors, reaching with hands and arms, stooping, kneeling, crouching, crawling, lifting and/or move up to 10 lbs

Desired Key Competencies

• Proficient with various Microsoft Office software such as Word, Excel and PowerPoint
• Strong multi-tasking skills
• Strong interpersonal relation skills
• Strong communication skills
• Good planning, organization and execution skills
• Good facilitation/presentation skills
• Time management experience
• Information management abilities

Work Environment

Moderate noise level similar to typical office environment with computers, printers and light traffic.

To apply for this position, please email or mail a cover letter and your resume to:

CCS Medical
Attn: Recruitment Department
14255 49th Street North
Suite 301
Clearwater, FL 33762

Fax: 727-507-2879
Voice: 727-507-2227
E-mail: recruiter@ccsmed.com