Revenue Cycle Specialist

Florida Orthopaedic Institute; Tampa (FL); Vor Ort; USD 26.000 - 33.000; Vollzeit

Benefits dieser Stelle

Full-time opportunities

Career growth and advancement

Job security and stability

Dynamic, growing team

Zusammenfassung

Florida Orthopaedic Institute in Tampa, FL is seeking a Medical Billing/AR Specialist focused on workers’ compensation and commercial claims. The role requires timely collection, denial management, and accurate submission of pre-bill information to insurers.

The ideal candidate will have strong knowledge of ICD-10, CPT/HCPCS, and EOBs, with 2–4 years of physician office billing experience. This is a full-time position offering growth and stability.

Qualifikationen

• High School Diploma or GED required.
• 2–4 years physician office billing and denial management experience required.
• Basic understanding of ICD-10, CPT/HCPCS.
• Ability to read and interpret explanation of benefits (EOBs).
• 4+ years experience with worker’s compensation and commercial insurance products.

Aufgaben

• Perform collection activities to ensure timely reimbursement, including status calls, appeals, and account review.
• Ensure information is submitted to insurance companies to expedite payment.
• Follow up on assigned cases to ensure claims are paid on first contact or appeal.
• Determin e that information is submitted to insurers to expedite payment.
• Handle incoming inquiries from insurance companies within 24 hours.
• Assist Financial Counselors with patient questions regarding claims.
• Correct accounts billed to incorrect insurance companies and ensure attachments of authorizations.

Kenntnisse

Communication skills

EOB interpretation

Detail oriented

Multi-tasking

Ausbildung

High School Diploma or GED

Tools

Microsoft Office Suite

CMS 1500

Jobbeschreibung

Avion Park | AVION
5315 Avion Park Dr
Tampa, FL 33607, USA

• Pay or shift range: $19 USD to $24 USD
  The estimated range is the budgeted amount for this position. Final offers are based on various factors, including skill set, experience, location, qualifications and other job-related reasons.

Description

Position Summary:

Under direct supervision of theWorker’s Comp Manager, this positionis responsibleforassuringtimelycollection of accounts receivable,monitoringaccountactivityand providing adequatefollow upto ensure maximum reimbursement is receivedfor physician billing.The ideal candidate would have a strong understanding ofmedical claims billing.

• Research and resolve claims denials using theappropriate resources
• Check thatpre-billclaims are passinginternal edits ina timelyfashion
• Monitor that all denied claims are correctedor appealed
• Collaboratewith other teams within the business office
• Provideappropriate feedbackto management.

Key Responsibilities:

• Performing collection activities, such as status calls toensuretimelyreimbursement,appealsand account review.
• Ensuringappropriate informationissubmittedto insurance companiesin order toexpeditepayment.
• Takeappropriate followup actions onaccounts to ensure claims are paid on the first follow-up call or appeal.
• Determinethatappropriate informationissubmittedto insurance companiesin order toexpeditepayment
• 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 informationrequestfrom insurance companies within 24 hours
• Assisting Financial Counselors when patients have questionsregardingclaims
• Corrects accounts that are billed to incorrect insurance companies
• Ensuresauthorizations are attached to claims
• Comply withquantity and qualityexpectationsasprovided by management
• Communicating with the lead,supervisorand team to advise of trends, issuesdiscovered
• Assure compliance with all company plans, policies and procedures set forth by the FloridaOrthopaedicInstitute
• All other duties as assigned.

Qualifications:

• High School Diploma orgeneral education degree(GED)
• 2 – 4 years ofphysician office billing and denial management experiencerequired
• Basic Understanding of ICD10, CPT HCPCS
• Ability to read and interpret explanation of benefits (EOBs)
• 4+ years of experience withworker’s compensation andcommercialinsurance products
• Familiar with CMS 1500
• Basic understanding of medical terminology and anatomy
• Excellent communicationskillsboth written and verbal
• Must bea self-starter that is detail oriented and capable of multi-tasking
• Requires comprehensive knowledge of computer skills including Microsoft Office Suite
• Comfortable in a fast-paced working environment of a growing practice

At FOI our goal is to provide our patients with world-class orthopedic care.

Our mission of providing the best care encompasses not only the care the physician provides, but all medical and administrative aspects of the patients encounter with Florida Orthopaedic Institute (FOI) as well. Every staff member plays a vital role in this mission. We take pride in receiving the Patriot Award from the Department of Defense for the support that we give to National Guard and Reserve members who are employed by FOI. We are committed to encouraging a culture of inclusion reflective of the communities we serve, and we provide equal opportunity to all. Florida Orthopaedic Institute conforms to the spirit as well as to the letter of all applicable laws and regulations.

What we offer:

Full time opportunities available, with room for career growth and advancement.

Excellent job security and stability, to promote an optimal work life balance.

Be part of this dynamic and growing high level team!

Orthopaedic Solutions Management is a Drug Free Workplace

We are committed to maintaining a safe, healthy, and productive work environment. As part of this commitment, we operate as a drug-free workplace. All candidates will be required to undergo pre-employment drug screening and/or be subject to random drug testing in accordance with applicable laws and company policy.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.