Sarasota Memorial Health Care System · 4 months ago
**Now Hiring Patient Billing Advocates, Medicaid Coordinators & Medicare Coordinators
Sarasota, FL
Full-time
Onsite
Entry, Mid Level
$18.35/hr - $26.75/hrSarasota Memorial Health Care System is a community-owned regional medical center and leading acute care hospital located in Sarasota, Florida. They are seeking Patient Billing Advocates, Medicaid Coordinators, and Medicare Coordinators to join their Patient Financial Services team, focusing on billing, collections, and customer service in a supportive environment.
Health CareHospital
Responsibilities
Promotes customer satisfaction in receiving and responding to incoming calls
Evaluates customer’s ability to pay, completes mutually satisfactory payment arrangements and performs all appropriate account updates
Responsible for keeping abreast of and complying with all managed care contracts and third party relations
Maintains knowledge and use of all applicable hospital systems
Refunds, researches, and reviews credit balance accounts
Pulls files, insurance EOBs and zero statements to research and review accounts that have credit balances, refunding the proper party based on completed research
Answers all patient's questions concerning a credit balance
Corrects any accounts via the patient account system that need adjustments to update status
Works all incoming mail concerning credit balances
Performs all other duties as assigned
Reviews and processes billing both electronic and manual claims as well as keeping updated with the ever-changing insurance demands and reviewing rebill requests
Identifies and problem solves billing inaccuracies while keeping statistics of errors found and updating info in AM/PFM as needed
Ensures all claims are submitted both accurately and timely
Manually prepares all special handling claims as well as bill secondary insurance and print/request necessary attachments such as medical records and itemized
Calculates and posts allowances for Medicaid accounts and maternity package plans as well as adjusts off non-covered charges and others outlined by the individual insurance carriers
Verifies insurance eligibility for Medicaid and their HMO's while also searching for authorizations and specific provider numbers
Maintains knowledge and use of the SSI billing system as well as other related programs such as AM/PFM, AccessANYware, EQ Health, FEMMIS and Passport
Documents billing information and works closely with other related departments to ensure 'clean' claim submission
Responsible for keeping abreast of and complying with all managed care contracts and third party billing regulations
Clears fatal edits on AM/PFM accounts to ensure “clean” claim submission to increase the number of daily claims worked by each biller and increasing revenue reimbursement
Receives and responds to incoming calls and representative requests in a professional and timely fashion promoting customer satisfaction
Works as a team member demonstrating time management skills and communicating new information or changes
Works with third party payers to ensure timely receipt, processing, and payment of outstanding accounts receivable by maintaining high productivity and quality standards
Problem solves pended, rejected, and partially denied claims
Responsible for keeping abreast and complying with all managed care contracts and third party relations for your designated payer/s
Tracks and trends escalated payer concerns
Handles all correspondence and communications in a professional and timely manner
Inputs data as required to comply with department specific quality assurance measures and for feedback to other departments and insurance companies
Contributes to departmental operations by performing other job duties as assigned
Performs appropriate account updates and notations for decisive interpretation by end users
Promotes stellar customer service in all dealings
Performs billing collection functions for Medicare account receivables keeping accounts to a minimum and cash flow to a maximum
Reviews and processes electronic claims along with analyzing and correcting claims via AccessANYware, SSI and DDE software systems to ensure timely reimbursement has been received
Problem solves RTP and denied claims and provides support/maintenance for the electronic Medicare billing system
Responsible for the coordination and updating of the CM and DDE billing updates, billing tables and system edits to ensure maximization of electronic capability
Responsible for running job streams, generating and evaluating electronic Medicare billing reports
Responsible for education and training of staff in electronic claims submissions
Keeps current on changes to Medicare billing regulations and compliance issues
Responds to incoming calls and walk-in patients
This position has responsibility for coordinating all Medicaid claims processing and pending Medicaid account handling
Responsible for planning, developing, evaluating and monitoring account transition from self pay to appropriate agency for financial assistance
This position serves as a bridge between financial and ICM and assists in and with communication of referral placement
This position serves as an advisor in all areas of Medicaid and pending Medicaid and has charge of timely referrals when Medicaid is denied
Responsible for keeping abreast of and complying with all Medicaid regulations
Responsible for review of Medicaid Accounts Receivable to ensure timely reimbursement of outstanding accounts receivables and analyzing Medicaid remittances to insure maximum reimbursement has been received
Responsible for resubmission of claims for additional reimbursement and/or appealing said claims with timely follow up
Responsible for maintenance of Medicaid contract manuals, communication of contracts to all departments involved and keeping abreast of all Medicaid related issues
Responds to incoming calls
Responsible for ensuring that all Medicaid claims requiring authorization are submitted for clinical review prior to billing
Fluent in the use of Passport, EQ Health, AccessANYware, Med-decision and FEMMIS
This leader has operational accountability and oversight, and manages the daily activities of Collections Service, as well as, directing and controlling all aspects of hospital collections, recoveries and customer service
In this role, the leader sets the tone and models positive leadership behavior, while ensuring team work tasks, projects, and responsibilities are completed successfully in support of departmental and organizational goals
Qualification
Required
High School Diploma, GED or Certificate required
Minimum of two (2) years of experience in a healthcare, insurance or customer service environment for Insurance Collector
Bachelor's degree can substitute for the required experience for Insurance Collector
Minimum of four (4) years of Patient Financial Services experience, two (2) of which are in working with Medicare billing and collections for Medicare Coordinator I
Associate's degree or higher can be considered in lieu of the Medicare billing and collections experience requirement for Medicare Coordinator I
Two (2) years of experience in healthcare, insurance or customer service setting for Medicaid Coordinator
Bachelor's degree can be considered in lieu of the required experience for Medicaid Coordinator
Bachelor's degree in related field required for Manager of Collections
Three (3) years of prior management experience required for Manager of Collections
Preferred
Master's degree preferred for Manager of Collections
Benefits
Paid Time Off (start earning PTO on day one of employment)
Tuition Reimbursement
Discounted Medical, Prescription, Dental, Vision Benefit Plans for Full & Part-Time Employees
Flexible Spending Accounts (Health Care and Dependent Care) - Pre-Tax Dollars
Life Insurance
Competitie rates
Bonuses offered
Disability Insurance
Retirement Savings Plan: 403b
Sarasota Campus for now - Discounted Child Care & Before and After School Program and Summer Camp!
Bereavement Leave
Free Parking
On Campus Dining w/ a 10% discount
Credit Union w/ teller machines on campus
Direct Deposit
Free Wellness Screening
Free confidential counseling services
Employee Discount Programs
Recognition Programs
Referral Programs
Tremendous growth opportunities for hard workers!
Company
Sarasota Memorial Health Care System
Sarasota Memorial Health Care System, an 839-bed regional medical center, is among the largest public health systems in Florida.
Founded in 1925
5001-10000 employees
H1B Sponsorship
Sarasota Memorial Health Care System has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (2)
2024 (7)
2023 (3)
2022 (3)
2020 (2)
Funding
Current Stage
Late StageLeadership Team
D
David Verinder
CEO
Recent News
2025-10-03
Tampa Bay Business Journal
2025-01-21
Modern Healthcare
2025-01-14
Company data provided by crunchbase