Revenue Cycle Specialist | BAR - Medicare

UF Health; Gainesville (FL); Hybrid; USD 40,000 - 52,000; Full time

Job summary

UF Health Gainesville is seeking a billing professional to ensure accurate professional service billing and timely reimbursement. You will verify insurance eligibility, research patient accounts, and resolve issues affecting payments.

This role supports compliance with federal regulations and payer guidelines, collaborates across teams, and aims to maximize reimbursement while maintaining accurate accounts receivable records.

Qualifications

• Six months of healthcare billing, collections, revenue cycle, or financial experience.
• Strong communication, organizational, problem-solving, and customer service skills.
• Ability to discuss financial matters and collect payments from patients and payers professionally.

Responsibilities

• Bills professional claims in accordance with federal regulations and payer guidelines.
• Researches and resolves patient account issues to ensure accurate billing and reimbursement.
• Verifies insurance eligibility, benefits, and coverage information.
• Identifies reimbursement issues, payment variances, and revenue opportunities.
• Processes account credits and issues refunds per policy.
• Follows up on denied claims to maximize reimbursement and reduce AR.
• Maintains compliance with revenue cycle policies and payer requirements.

Skills

Healthcare billing

Communication

Organizational skills

Problem-solving

Team collaboration

Education

High school diploma or equivalent

Associate's degree substitute for experience

Tools

Epic EHR system

Job description

Overview

Ensure accurate billing. Maximize reimbursement. Support revenue integrity.

Work Style: Onsite

Location: Gainesville, FL

FTE: Full-Time (1.0 FTE)

Schedule: Monday – Friday, 8:00 AM – 5:00 PM

Ensures the financial integrity of the UF Health Physicians Billing and Accounts receivables by performing established financial processes that enable and expedite the billing and collection of professional services. This includes: billing claims according to Federal/Managed Care rules, regulations and compliance guidelines, patient account research and resolution, insurance verification and benefits determination, identification of reimbursement issues, resolution of credits and issuance of refunds, identification of payment variance invoices, follow up and resolution of denied claims.

Responsibilities

Key Responsibilities

• Bills professional claims in accordance with federal regulations, managed care requirements, and payer compliance guidelines.
• Researches and resolves patient account issues to ensure accurate billing and reimbursement.
• Verifies insurance eligibility, benefits, and coverage information.
• Identifies reimbursement issues, payment variances, and revenue opportunities.
• Processes account credits and issues refunds in accordance with organizational policies.
• Follows up on and resolves denied claims to maximize reimbursement and reduce accounts receivable.
• Maintains compliance with revenue cycle policies, billing regulations, and payer requirements.

Qualifications

Education

• High school diploma or equivalent required.
• Associate's degree may substitute for the required work experience.

Minimum Qualifications

• Minimum of six (6) months of healthcare billing, collections, revenue cycle, or financial experience or one (1) year of experience in a business environment involving finance, accounting, insurance, or collections.
• Strong communication, organizational, problem-solving, and customer service skills.
• Ability to discuss financial matters and collect payments from patients and payers in a professional manner.
• Demonstrated ability to multitask, prioritize competing responsibilities, and work effectively in a team environment.

Preferred Qualifications

• Working knowledge of CPT and ICD-10 coding.
• Knowledge of federal regulations, managed care rules, and healthcare billing compliance requirements.
• Experience using the Epic electronic health record (EHR) system.

Licensure/Certification

• No licensure or certification required.