Revenue Cycle Specialist | Billing & Accounts Receivables - Medicare | Day I Full Time

UF Health Flagler Hospital - Gainesville, FL

Full-time

Gainesville, FL

About the position

The Revenue Cycle Specialist is responsible for ensuring the financial integrity of UF Health Physicians Billing and Accounts Receivables. This role involves performing established financial processes to facilitate and expedite the billing and collection of professional services, adhering to Federal and Managed Care rules and regulations.

Responsibilities

• Bill claims according to Federal/Managed Care rules, regulations, and compliance guidelines.
• Conduct patient account research and resolution.
• Verify insurance and determine benefits.
• Identify reimbursement issues and resolve credits and issue refunds.
• Identify payment variance invoices and follow up on denied claims.

Requirements

• High school graduate or equivalent.
• Six months of healthcare/billing and collections/financial experience required or one year experience in a business setting dealing with finance, accounting, insurance, or collection systems.
• Associates degree may substitute for required work experience.
• Working knowledge of CPT, ICD-10 coding and Federal/managed care rules and regulations preferred.
• Epic system knowledge preferred.
• Excellent communication, organization, and problem-solving skills required.
• Comfortable collecting money and discussing financial matters with patients/payors in a professional manner.
• Ability to multi-task, prioritize responsibilities, problem-solve, and achieve successful outcomes in a team environment.

Nice-to-haves

• Experience in a healthcare setting.
• Familiarity with financial processes in billing and collections.