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Florida Orthopaedic Institute · 7 hours ago

Revenue Cycle Specialist

Palm Harbor, FL

Full-time

Onsite

Entry, Mid Level

2+ years exp

Florida Orthopaedic Institute is dedicated to providing world-class orthopedic care, and they are seeking a Revenue Cycle Specialist to manage accounts receivable and ensure timely reimbursement for physician billing. The role involves researching claims denials, collaborating with teams, and providing feedback to management to optimize the revenue cycle process.

Health CareMedical

Responsibilities

Performing collection activities, such as status calls to ensure timely reimbursement, appeals and account review

Ensuring appropriate information is submitted to insurance companies in order to expedite payment

Take appropriate follow up actions on accounts to ensure claims are paid on the first follow-up call or appeal

Determine that appropriate information is submitted to insurance companies in order to expedite payment

Following up on assigned cases from within the organization

Reviewing pre-bill claim holds to verify that the claim goes out clean the first time

Composing appeals to insurance carriers for denied claims

Handle incoming calls for information request from insurance companies within 24 hours

Assisting Financial Counselors when patients have questions regarding claims

Corrects accounts that are billed to incorrect insurance companies

Ensures authorizations are attached to claims

Comply with quantity and quality expectations as provided by management

Communicating with the lead, supervisor and team to advise of trends, issues discovered

All other duties as assigned

Qualification

Physician office billingDenial managementICD10CPT HCPCSMedical terminologyAthena experienceEOB interpretationCMS 1500Multi-taskingComputer skillsMicrosoft Office SuiteCommunication skillsDetail oriented