Remote Revenue Cycle: Denials & Collections Specialist II

Team Member Services; Tampa (FL); Hybrid; USD 27,000 - 50,000; Full time

Benefits offered by this job

Medical, Dental, Vision Insurance

Life Insurance

Disability Insurance

PTO from Day One

403-B Retirement Plan

Parental Leave (4 weeks)

Job summary

AdventHealth in Tampa is seeking a Revenue Cycle Associate to support billing, collections, and denial resolution within a collaborative team. You will work with payers, patients, and employers to ensure accurate claims processing and timely reimbursements, while upholding HIPAA and company standards.

This role emphasizes daily follow-ups, contract analysis, and continuous learning, with opportunities for career development and a transition to Epic-based workflows as you progress.

Qualifications

• High school diploma or equivalent required.
• Associate degree preferred.
• 3+ years of revenue cycle experience required.
• CRCR certification preferred.
• Experience with Epic and SSI Claims Scrubber preferred.
• Ability to work in remote or hybrid environments.

Responsibilities

• Collaborate with insurance payers to ensure accurate billing, collections, and denial resolution.
• Analyze payer contracts to ensure proper reimbursement and identify inconsistencies; communicate findings and updates to the team.
• Work daily follow-up reports to meet productivity goals; escalate barriers to leadership as needed.
• Respond to correspondence related to denials, underpayments, and billing issues. Provide written communication to payers and patients regarding claim status or additional information requests.
• Review account history and determine appropriate actions to resolve accounts, including billing, follow-up, or collections.
• Initiate contact with patients, insurers, or employers as needed; submit primary and secondary claims appropriately.
• Accurately document all billing, denial, and collection activities, including escalations.
• Process appeals, refunds, reinstatements, and claim rejections.
• Maintain consistent communication with team members and leadership; participate in meetings and projects.
• Support training and audits, and provide performance feedback.

Skills

Communication skills

Problem-solving

Typing speed

Microsoft Office

Confidentiality

Remote/hybrid work

Education

High School diploma or equivalent

Associate degree

Tools

Epic

SSI Claims Scrubber

Job description

AdventHealth in Tampa is seeking a Revenue Cycle Associate to support billing, collections, and denial resolution within a collaborative team. You will work with payers, patients, and employers to ensure accurate claims processing and timely reimbursements, while upholding HIPAA and company standards.

This role emphasizes daily follow-ups, contract analysis, and continuous learning, with opportunities for career development and a transition to Epic-based workflows as you progress.