Revenue Cycle Specialist - Collections - Must Reside in State of Florida

Florida Orthopaedic Institute; Tampa (FL); On-site; USD 40,000 - 55,000; Full time

Job summary

A leading healthcare organization in Florida is seeking a Revenue Cycle Specialist to manage insurance claims and denials. The role involves ensuring timely collections, understanding medical billing processes, and maintaining compliance with company policies. Ideal candidates will have strong communication skills and a background in medical terminology and billing. This full-time position offers growth opportunities within a dynamic team.

Benefits

Job security

Work-life balance

Growth opportunities

Qualifications

• Minimum 2 years experience in billing and insurance collection.
• Excellent written and verbal communication skills.

Responsibilities

• Manage denied charges to ensure claims are paid promptly.
• Submit information to expedite payment from insurance companies.
• Document accounts accurately and ensure compliance with policies.

Skills

Communication

Medical Terminology

Billing

Insurance Collection

Education

High School Diploma or GED

Tools

Microsoft Office

EMR

Athena EMR

Job description

Revenue Cycle Specialist - Collections - Must Reside in State of Florida

Join to apply for the Revenue Cycle Specialist - Collections - Must Reside in State of Florida role at Florida Orthopaedic Institute.

Job Overview

The Revenue Cycle Specialist works with insurance carriers regarding claim status and denial management. Follows Florida Orthopaedic Institute's policies and procedures, applying federal and state guidelines to collection efforts. Interprets and follows up on Explanation of Benefits, ensuring timely collection of accounts receivable, monitoring account activity, and providing follow-up to maximize reimbursement. Maintains quality and quantity of work.

Key Responsibilities

• Actions on denied charges to ensure claims are paid on the first follow-up call or appeal.
• Manage queues, aging, and denial reports to meet set goals.
• Understand and follow payer guidelines; notify management of policy changes.
• Submit appropriate information to insurance companies to expedite payment.
• Perform adjustments and refund requests based on contracts or denials.
• Handle incoming calls from insurance companies and patients.
• Understand operative notes that dictate procedures billed.
• Reallocate misapplied payments and adjustments.
• Complete special assignments as needed.
• Use coding resources (CPT, ICD-10, CDR, AAOS books) for denied procedures.
• Document accounts accurately.
• Ensure compliance with company policies and procedures.
• Perform other duties as assigned.

Qualifications

• High School Diploma or GED.
• Knowledge of medical terminology, billing, and insurance collection/denial process (minimum 2 years).
• Excellent communication skills (written and verbal).
• Basic computer skills (Microsoft Office, EMR, payer websites).

Preferred Skills

• Experience with Athena EMR.

About the Organization

Florida Orthopaedic Institute aims to provide world-class orthopedic care, emphasizing inclusive culture and community service. Recognized with the Patriot Award for supporting National Guard and Reserve members. Committed to equal opportunity employment.

What We Offer

• Full-time position with growth opportunities.
• Job security and work-life balance.
• Part of a dynamic, high-level Revenue Cycle team.

Additional Details

• Seniority level: Entry level
• Employment type: Full-time
• Job function: Accounting/Auditing and Finance
• Industry: Hospitals and Health Care