Revenue Cycle Specialist | BAR - Commercial/Managed Care | Day I Full Time

UF Health

Posted 3 months ago

Full Time

Gainesville, Florida

In Person

Smart Summary

Responsibilities

Ensures financial integrity by managing billing and accounts receivables for professional services. Responsibilities include processing claims, resolving denied claims, and handling patient refunds and insurance verification.

Qualifications

You have a high school graduate or equivalent education and at least six months of healthcare/billing and collections/financial experience, or one year of experience in a business setting dealing with finance, accounting, insurance, or a collection system. You also possess knowledge of CPT, ICD-10 coding, Federal/managed care rules, and Epic system knowledge.

Must Have Skills for ATS

CPT

ICD-10

Epic system

Job Description

Overview

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.
Qualifications

Minimum Education and Experience Requirements: High school graduate or equivalent. Six months of healthcare/billing and collections/financial experience required or minimum one year experience in 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. Incumbent must be comfortable collecting money and discussing financial matters with patients/payors in a professional manner. The ability to multi-task, prioritize responsibilities, problem-solve and achieve successful outcomes in a team environment are necessary attributes of the successful incumbent. Motor Vehicle Operator Designation: Employees in this position: Will not operate vehicles for an assigned business purpose NOTE: A frequent driver is defined as one who uses his/her personal or Shands automobile a) at least once daily, b) at least five individual trips per week or c) drives, on average, over 150 miles per week in the performance of his/her job Licensure/Certification/Registration: None

UF Health

University of Florida Health is a world-class academic health center in Florida, encompassing hospitals, physician practices, colleges, centers, institutes, programs and services across northeast and north-central Florida. UF Health represents the shared vision and commitment to patient care excellence of more than 22,000 employees of the University of Florida Health Science Center and UF Health Shands health care system.
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