Revenue Cycle Specialist | BAR - Commercial/Managed Care | Gainesville

UF Health • Gainesville, FL

126d

About The Position

Ensures the financial integrity of the UF Health Physicians Billing and Accounts receivables by performing established financial processes that enable and expedite the billing and collection of professional services. This includes: billing claims according to Federal/Managed Care rules, regulations and compliance guidelines, patient account research and resolution, insurance verification and benefits determination, identification of reimbursement issues, resolution of credits and issuance of refunds, identification of payment variance invoices, follow up and resolution of denied claims.

Requirements

• High school graduate or equivalent.
• Six months of healthcare/billing and collections/financial experience required or minimum one year experience in a business setting dealing with finance, accounting, insurance, or collection system.
• 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

• Working knowledge of CPT, ICD-10 coding and Federal/managed care rules and regulations.
• Epic system knowledge.

Responsibilities

• Perform established financial processes for billing and collection of professional services.
• 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.
• Issue refunds as necessary.
• Identify payment variance invoices.
• Follow up and resolve denied claims.

What This Job Offers

• Industry: Ambulatory Health Care Services
• Education Level: High school or GED