Revenue Cycle Liaison

University of Central Florida • Orlando, FL

1d • Onsite

About The Position

The Revenue Cycle Liaison at UCF Health - Student Health Services (SHS) serves as a crucial point of contact for insurance companies and patients, ensuring timely and accurate revenue cycle operations. This role involves managing outstanding accounts receivable, handling insurance denials, submitting and re-billing insurance claims, and processing insurance and patient payments. The liaison also assists patients with balance resolution and billing inquiries. A key part of the position is reviewing and analyzing Explanation of Benefits (EOBs), including co-payments, deductibles, co-insurance, contractual adjustments, and denials, to verify the accuracy of patient balances. UCF Health provides primary and specialty care services to students, faculty, and staff, with the Health Center located on the Main Campus.

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 Preferred
• Experience with accounts receivable reports, claims, appeals and insurance billing
• Experience interpreting Electronic Remittance Advice (ERA) in medical billing
• Experience with posting insurance and patient payments
• Experience in medical coding and medical terminology
• Knowledge of Electronic Medical Records (EMR) and how to appropriately use EMR in the performance of work
• Experience working in a medical office setting

Responsibilities

• Monitor clearing house for claim denials
• Review 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 and review A/R aging report to ensure claims are paid in a timely manner
• Track unpaid claims and contact insurance companies to secure payment
• 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

Benefits

• Benefit packages, including Medical, Dental, Vision, Life Insurance, Flexible Spending, and Employee Assistance Program
• Paid time off, including annual and sick time off and paid holidays
• Retirement savings options
• Employee discounts, including tickets to many Orlando attractions
• Education assistance

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 1,001-5,000 employees