Accounts Payable/Receivable Specialist II

University of Central Florida•Orlando, FL

3d•$18 - $22•Onsite

About The Position

Student Health Services - Business Office: UCF Health - Student Health Services (SHS) provides various primary and specialty care services to help keep students, faculty and staff at their optimum health. The Health Center is located on the Main Campus. Our services are designed with students, faculty and staff needs in mind. Become a part of our committed UCF Student Health Team as an Accounts Payable/Receivable Specialist II and deliver outstanding care to our community. The Accounts Payable/Receivable Specialist II is responsible for communicating with insurance companies to follow up on outstanding accounts receivable, insurance denial management, submitting and re-billing insurance claims, posting insurance and patient payments, and working with patients to resolve balances and billing challenges. Analyze EOB information, including co-pays, deductibles, co-insurances, contractual adjustments, denials and verify accuracy of patient balances.

Requirements

High School Diploma or Equivalent and 2+ years of relevant experience, or an equivalent combination of education and experience pursuant to Fla. Stat. 112.219(6).

Nice To Haves

Bachelor's Degree in Medical Office/Healthcare Administration, Accounting or Business or 5 years of experience of accounting in the medical field.
Experience working in a medical office setting.
Certified Medical Coder preferred.
Experience with understanding insurance processes and payer rules.
Experience with accounts receivable reports, claims, appeals and insurance billing.
Experience with posting insurance payments accurately for patient accounts and claims.
Experience adjusting balances based on contractual agreements (write-offs, discounts)
Experience interpreting Electronic Remittance Advice (ERA) in medical billing.
Knowledge of medical billing codes (CPT, ICD-10, HCPCS) and medical terminology.
Knowledge of Electronic Medical Records (EMR) and how to appropriately use EMR in the performance of work.

Responsibilities

Monitor clearing house for claim denials.
Responsible for reviewing ERA payer denied claim status.
Communicate with insurance carriers and patients as necessary.
Post insurance and patient payments.
Maintain up to date knowledge of healthcare billing regulations and compliance requirements.
Review Cash Health daily and ensure payments are posted correctly in eCW.
Contact payers via phone or payer portal to resolve unpaid claims.
Create monthly A/R reports.
Track unpaid claims and contact insurance companies to secure payment.
Review A/R aging report to ensure claims are paid in a timely manner.
Monitor aging reports to identify trends, resolve discrepancies, and ensure accurate billing.
Manage and provide follow-up regarding COB issues to patients.
Provide clinical expertise to support coding accuracy, documentation and productivity.
Analyze denied claims to identify reasons for rejections, perform follow-up actions, and prepare appeals with necessary documentation.
Research and resolve coding and reimbursement issues.
Manage insurance take backs and process insurance refunds in Workday.
Verify accuracy of medical coding for patient accounts, ensuring accurate reimbursement for services.
Review insurance recoupments and work the claims accordingly.
Prepare for financial audits by ensuring procedural compliance in revenue reporting and collection.
Facilitate the collection of outstanding payments.
Review and process denied claims, submit appeals, and ensure timely reimbursement.
Maintain current and accurate documentation on patient accounts.
Assist with training new staff on revenue cycle processes and procedures.
Perform all other duties as assigned by the Business Manager I, Business Manager II, and/or Associate Director, Business Operations.
Timely completion of all required university, AHSC and SHS training.