Revenue Cycle Specialist I BAR-Medicaid

UF Health • Gainesville, FL

5d • Onsite

About The Position

Help drive the financial success of a leading healthcare organization by ensuring accurate billing, reimbursement, and resolution of complex insurance claims. 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 Diploma or equivalent required
• Minimum of six (6) months of healthcare billing, collections, revenue cycle, or financial experience required; OR Minimum of one (1) year of experience in a business environment involving finance, accounting, insurance, collections, or accounts receivable functions.
• Strong communication, organizational, and problem-solving skills.
• Ability to professionally discuss financial matters with patients, insurance carriers, and payers.
• Comfortable collecting payments and resolving billing and reimbursement issues.
• Ability to multitask, prioritize responsibilities, and manage a high-volume workload.
• Strong analytical skills with the ability to research and resolve account discrepancies, denials, and payment variances.
• Ability to work effectively both independently and in a team environment.

Nice To Haves

• Associate's degree may substitute for the required work experience.
• Working knowledge of CPT and ICD-10 coding.
• Knowledge of federal, commercial, and managed care billing rules, regulations, and compliance requirements.
• Epic system experience preferred.

Responsibilities

• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED