Florida Orthopaedic Institute · 1 week ago
Revenue Cycle Specialist - REMOTE - (Must Reside in FL)
United States
Full-time
Remote
Entry, Mid Level
2+ years expFlorida Orthopaedic Institute is a healthcare provider focused on orthopaedic solutions, and they are seeking a Revenue Cycle Specialist to ensure timely collection of accounts receivable and maximize reimbursement for physician billing. The role involves monitoring account activity, resolving claims denials, and collaborating with internal teams to address billing issues.
Health CareMedical
Responsibilities
Perform collection activities, including status calls, appeals, and account reviews to ensure timely reimbursement
Research and resolve claims denials using appropriate internal and external resources
Monitor denied claims to ensure corrections or appeals are completed promptly
Review pre-bill claim holds to ensure claims are submitted cleanly the first time
Ensure appropriate and accurate information is submitted to insurance companies to expedite payment
Take proactive follow-up actions to secure payment on the first follow-up call or appeal whenever possible
Compose and submit appeals to insurance carriers for denied claims
Correct claims billed to incorrect insurance carriers and ensure authorizations are attached to claims
Handle incoming requests for information from insurance companies within 24 hours
Assist Financial Counselors with patient inquiries related to insurance claims
Collaborate with internal teams within the business office to resolve billing and reimbursement issues
Communicate trends, issues, and findings to the lead, supervisor, and management team
Comply with productivity, quality, and performance expectations established by management
Perform all other duties as assigned
Qualification
Required
High School Diploma or General Education Degree (GED) required
2–4 years of physician office billing and denial management experience required
Working knowledge of ICD-10, CPT, and HCPCS coding
Ability to read and interpret Explanation of Benefits (EOBs)
Knowledge of Medicare Part B, Medical Assistance, and commercial insurance products
Familiarity with CMS-1500 claim forms
Basic understanding of medical terminology and anatomy
Preferred
Athena billing system experience strongly preferred
Excellent written and verbal communication skills
Strong attention to detail with the ability to multitask and work independently
Proficient in Microsoft Office Suite and general computer applications
Ability to work effectively in a fast-paced, growing practice environment
Self-starter with strong organizational and problem-solving skills
Benefits
Drug Free Workplace
Pre-employment drug screening
Random drug testing
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
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