Revenue Cycle SpecialistBAR - Commercial​/Managed Care

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.

• Bill claims according to Federal/Managed Care rules, regulations and compliance guidelines.
• Research patient accounts and resolve issues.
• Verify insurance and determine benefits.
• Identify reimbursement issues and resolve credits; issue refunds when applicable.
• Identify payment variance invoices and follow up on resolution of denied claims.

• 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