Florida Orthopaedic Institute · 1 week ago
Revenue Cycle Specialist Ancillary Services
Temple Terrace, FL
Full-time
Onsite
Entry, Mid Level
2+ years expFlorida Orthopaedic Institute is a healthcare organization seeking a Revenue Cycle Specialist for Ancillary Services. This role involves ensuring timely collection of accounts receivable and monitoring account activity to maximize reimbursement for advanced imaging services.
Health CareMedical
Responsibilities
Research and resolve claims denials using the appropriate resources
Check that pre-bill claims are passing internal edits in a timely fashion
Monitor that all denied claims are corrected or appealed
Collaborate with other teams within the business office
Provide appropriate feedback to management
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
All other duties as assigned
Qualification
Required
High School Diploma or general education degree
2 – 4 years of physician office billing and denial management experience required
Basic Understanding of ICD10, CPT/ HCPCS
Ability to read and interpret explanation of benefits (EOBs)
Knowledge of Medical Assistance, Medicare Part B and commercial insurance products
Familiar with CMS 1500
Basic understanding of medical terminology and anatomy
Excellent communication skills both written and verbal
Must be a self-starter that is detail oriented and capable of multi-tasking
Requires comprehensive knowledge of computer skills including Microsoft Office Suite
Preferred
Athena experience strongly preferred
Company
Florida Orthopaedic Institute
Florida Orthopaedic Institute is a medical practice that provides orthopedic care services.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Janene Culumber
CFO
Harry Kimball, CPA
Chief Accounting Officer (CAO)
Recent News
2025-08-04
Business Journals
2024-05-31
The Business Journals
2024-04-09
Company data provided by crunchbase