• Revenue Specialist- Insurance Follow-Up

    ID 2018-4756
    Department *9401 CENTRAL BUSINESS OFFICE
    Position Level
    6A
    Job Status
    Regular Full-Time
    Location
    US-FL-Land O'Lakes
    Shift
    Monday-Friday, 7:30 AM - 4:00 PM
  • Job Description

    We have seven Full Time openings for experienced Revenue Specialists within the Insurance Follow-Up section of our Central Business Office in Land O Lakes. Typical schedule is Monday-Friday, 7:30 AM - 4:00 PM. The role is responsible for accounts receivable through claim follow-up, cash collection, and denial management for services rendered by Florida Medical Clinic Physicians. Candidates must have at least three years of billing, insurance follow-up, and denials management experience.

    Responsibilities

    • Responsible for accounts receivable through claim follow-up, cash collection, and denial management
    • Knowledge of Federal, State, and payor regulations, reimbursement methodologies, and communication with third party payor regulations
    • Participate in follow-up projects and placing calls to insurance payers
    • Ensure all protocols for the appropriate clients are created, maintained, and observed
    • Perform incidental duties as required

    Requirements

    • High school diploma or GED equivalent and four years of experience in Health Care Insurance OR
    • Graduate of a Health Insurance Specialist Certification or Degree program
    • Three years of experience in billing, insurance follow-up, denials management/appeals
    • Expert working Knowledge of EOB's, copay/coninsurance/deductibles, denial codes, insurance allowable, adjustments, write-offs, understanding of Managed Care contracts, denials, and payor methodology
    • Expert knowledge of UB and 1500 claim forms
    • Strong knowledge of Medicare, Medicaid, United, Aetna, Humana, Workers Comp, and MVA payer and billing policies
    • Expert knowledge of CPT and ICD-10 codes
    • Knowledge of charge posting and EDI preferred
    • Ability to navigate different computer systems
    • Accounting principles, basic office skills required; advanced office skills preferred
    • Accounting principles and basic office skills required; advanced office skills preferred
    • Ability to work in a fast pace environment and meet daily quotas
    • Detail oriented with excellent organizational skills
    • Excellent telephone etiquette
    • Must be present at work in the last week of every month, plus the first two business days of the following month

    Physical and Mental Demands:

    • Normal physical ability to sit for long periods of time while on the phone.
    • Maintaining a positive and professional attitude.
    • Able to handle stressful situations.
    • Able to meet deadlines. 

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