Hybrid Remote Claims Resolution Specialist I - AR & Appeals

Tampa General Hospital; Tampa (FL); Hybride; USD 45 000 - 60 000; Temps partiel

Résumé du poste

Tampa General Hospital is seeking a Claims Resolution Specialist I to ensure timely submission, follow-up, and resolution of third-party insurance claims for accurate reimbursement. The role requires analyzing trends, handling appeals, and adhering to payer guidelines and regulations.

The position is part-time with hybrid remote eligibility in the Tampa area. Qualified candidates will have at least 2 years in physician billing, experience with EPIC, and strong communication skills to interact

Qualifications

• Minimum 2 years’ physician billing and collection experience.

Responsabilités

• Submit, follow-up, and resolve third-party insurance claims to ensure proper reimbursement.
• Review assigned accounts and respond to status inquiries; file appeals as needed.
• Identify trends affecting claims and support clean claim submissions to reduce denials.

Connaissances

Payer processes

Claim workflows

Denial analysis

Root cause analysis

Strong communication

Time management

Formation

High School Diploma or GED

Outils

EPIC

Billing systems

Payer portals

Description du poste

Tampa General Hospital is seeking a Claims Resolution Specialist I to ensure timely submission, follow-up, and resolution of third-party insurance claims for accurate reimbursement. The role requires analyzing trends, handling appeals, and adhering to payer guidelines and regulations.

The position is part-time with hybrid remote eligibility in the Tampa area. Qualified candidates will have at least 2 years in physician billing, experience with EPIC, and strong communication skills to interact