Revenue Cycle Specialist for Ambulatory Surgery Center

Baptist Health Care; Pensacola (FL); Vor Ort; USD 42.000 - 62.000; Vollzeit

Zusammenfassung

Baptist Health Care in Pensacola, FL seeks a Revenue Cycle Coordinator for the Ambulatory Surgery Center to maintain revenue cycle operations and medical records compliance. The role emphasizes insurance verification, billing accuracy, patient communication, and cross-training within the ASC business office to keep systems seamless.

Responsibilities include verification of coverage, determining medical necessity, and addressing denials while maintaining HIPAA compliance and strong customer

Qualifikationen

• Knowledge of medical terminology, CPT coding and payer regulations related to billing and medical necessity.
• Experience with denial management and coordination of benefits.
• Strong mathematical and computer skills for revenue cycle tasks.

Aufgaben

• Verifies insurance coverage for ASC cases scheduled for surgery.
• Evaluates medical necessity and documentation requirements to ensure reimbursement.
• Completes modules in the ASC Practice Management System accurately.
• Adheres to HIPAA, PHI, and other regulations; understands billing/coding laws.
• Coordinates patient financial obligations and counseling.
• Manages billing and denial processes to improve AR and cash flow.

Kenntnisse

Medical terminology

CPT coding

ICD-10-CM

Billing rules

Payer contracts

Coordination of benefits

Denial management

Math/computer skills

Ausbildung

High School Diploma or equivalent

Associates/Bachelors/Masters degree (healthcare admin/related)

Tools

Practice Management System

Jobbeschreibung

Baptist Health Care in Pensacola, FL seeks a Revenue Cycle Coordinator for the Ambulatory Surgery Center to maintain revenue cycle operations and medical records compliance. The role emphasizes insurance verification, billing accuracy, patient communication, and cross-training within the ASC business office to keep systems seamless.

Responsibilities include verification of coverage, determining medical necessity, and addressing denials while maintaining HIPAA compliance and strong customer