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

• Work Style:
  Remote (Must reside in an authorized state (FL, GA, MO, PA, SC, NC, TN, or TX)
• Location:
  
  Gainesville, FL
• FTE:
  Full-Time (1.0 FTE)
• Schedule:
  
  Monday – Friday, 7:00 AM – 4:00 PM

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.

• Manages patient billing process ensuring accuracy and timely claim submissions.
• Verifies patient insurance coverage and resolves billing discrepancies.
• Analyzes accounts receivable and manages outstanding payments.
• Guides patients through payment options and financial assistance programs.
• Ensures compliance with healthcare regulations and billing policies.
• Supports revenue cycle improvements and system upgrades.
• Collaborates with internal teams to enhance revenue collection efforts.

• High school graduate or equivalent.
• Associates degree may substitute for required work experience.

• 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.
• 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.