Top 6 Hospital registration representative Jobs in Tampa Fl

Denials Management Follow Up Representative
Shriners Hospitals for Children —Tampa, FL
- $24.16 - $36.24 an hour
- Full-time
- 18 years or older
- Research
- Bachelor's degree
Quick Apply
SERVICE REP III (Apollo Beach)
Johns Hopkins All Children's Hospital —Apollo Beach, FL
- Full-time
- Writing skills
- Medical office experience
- Mid-level
Professional Billing Specialist
Shriners Hospitals for Children —Tampa, FL
- $24.16 - $36.24 an hour
- Full-time
- 18 years or older
- 5 years
- Research
Quick Apply
Patient Services Representative II - TGH Imaging Trinity
Tampa General Hospital —Trinity, FL
- Full-time
- HIPAA
- Mid-level
- High school diploma or GED
7d
Professional Billing Specialist (Anesthesia)
Shriners Hospitals for Children —Tampa, FL
- $24.16 - $36.24 an hour
- Full-time
- 18 years or older
- Research
- Mid-level
Quick Apply

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Denials Management Follow Up Representative

Shriners Hospitals for Children -
Tampa, FL

Quick Apply

Job Details

Full-time
$24.16 - $36.24 an hour

Qualifications

X12 EDI
National Correct Coding Initiative (NCCI) guidelines
EDI
Accounts receivable management
Health insurance policy knowledge
ICD-10
Clinical information systems
Medical explanation of benefits reviews
Hospital experience
Identity & access management

Full Job Description

Company Overview

Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our compassion, integrity, accountability, and resilience define us as leaders in pediatric specialty care for our children and their families.

With 20+ hospitals, outpatient clinics, ambulatory care centers and outreach locations across the globe, we provide excellent care to children up to age 18 regardless of their family’s ability to pay or insurance status. Please click here to learn more about our locations.

Job Description

The Denials Management Follow Up Representative is responsible for following up on payor responses to Shriners Children's submitted appeals. The Representative will contact insurance carriers to ensure timely payment and collection of money due to the Shriners Children's organization after the appeals process has successfully taken place.

Key Responsibilities:

Coordinating payor denial and appeal follow up activities to ensure timely response from third party payors and the processing of all payor denials, documentation requests and appeals for both institutional and professional claims.
Communicating and coordinating with various individuals/distributions and assisting with monitoring of the day to day activities related to appeal follow up and denials.
Maintaining the hospital tracking tool/application that stores/communicates all denial and review activity. This will include user access management, updates to software, and end-user training to support all follow-up activities.
Collecting/analyzing, report status, metrics and trends of activity by different reviews from multiple systems. Developing reports on a routine basis to specific distribution group.
Organizing all data and activity in a retrievable way to ensure timely follow up on appeals to third party payors.
Assisting with the coordination of denial and review activities and materials for committee meetings, including analyses, reports, etc.
Supporting projects and initiatives of the Revenue Integrity team. This may include coordinating meetings, conducting research for payor criteria, and preparing documents.
Strong communication skills and a commitment to delivering the highest level of quality work.

Required Qualifications:

5-7 Years in a healthcare patient accounting revenue cycle environment
Knowledge of Hospital Revenue Cycle revenue management EDI Transaction sets including 837I, 837P Insurance contract rates and terms
Understanding of Registration and Collections
Understanding of Government and Managed Care billing, coverage and payment rules
Ability to comprehend payor 835 and paper EOB responses
Understanding of CCI edits, CPT, HCPCS, ICD-10 and Revenue Codes
Epic EMR (HB and/or PB)
Bachelor's Degree or equivalent combination of education and experience in lieu of degree

Preferred Qualifications:

3 years in Hospital Third Party Collection/AR Receivables

The pay range for this position is $24.16 - $36.24. Compensation is determined based on years of relevant experience and departmental equity.

Quick Apply

Refine Your Search

hospital registration representative jobs in tampa fl

Denials Management Follow Up Representative

SERVICE REP III (Apollo Beach)

Professional Billing Specialist

Patient Services Representative II - TGH Imaging Trinity

Professional Billing Specialist (Anesthesia)

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