Gulfside Healthcare Services · 1 month ago
Revenue Cycle Specialist II
Land O' Lakes, FL
Full-time
Onsite
Entry, Mid Level
2+ years expGulfside Healthcare Services is seeking a Revenue Cycle Specialist II who will report to the Revenue Cycle Manager. This role is responsible for managing the accurate and timely completion of billing and collections for various third-party payers, ensuring effective accounts receivable management.
Hospital & Health Care
Responsibilities
Ensures reimbursement through efficient, accurate and timely billing process for effective accounts receivable management
Work pre-billing report for assigned payers in preparation for month end close
Generates claims for submission to payers in accordance with established schedule
Utilizes technology to manage clearinghouse and payor accept/reject submissions and reports timely
Responsible for accurate posting of cash payments and preparation of cash balancing process
Review A/R reports and research unpaid claims. Takes necessary steps to collect unpaid claims and address credit balances. Provide reports to the Patients Account Manager as needed
Process correspondence and telephone calls from all payors regarding claims
Complete appeals on underpaid claims to the payer
Identify, prepare, and submit patient account adjustments to Revenue Cycle Manager and post in electronic health record (EHR) once approved
Assist as needed with payer authorizations and verification as required and completed documentation in electronic health record (EHR)
Protects the confidentiality of patient and organization information through effective controls and supervision of billing operations
The incumbents may be requested to perform job-related tasks other than those stated in this description
Qualification
Required
High school diploma/GED required
Two-to-four years' experience in health care billing and collections
Preferred
Associates preferred
Billing information systems knowledge preferred
Working knowledge of home health, hospice and physician billing preferred
Knowledge of Microsoft Excel preferred
Knowledge of governmental regulations and billing guidelines preferred
Company
Gulfside Healthcare Services
**NOW SERVING PASCO, PINELLAS, AND HILLSBOROUGH COUNTIES ** Gulfside Healthcare Services is an innovative non-profit organization offering a unique and compassionate continuum of care for families transitioning through the stages of life.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Dr Lisa Barker
Chief Medical Officer
Elizabeth Kerns, DBA, MSIS, PMP
Chief Information Officer
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