Revenue Cycle Specialist

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.