• Revenue Specialist- Insurance Follow-Up

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

    We have three 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 Insurance Follow Up Specialist I is responsible for accounts receivable through claim follow up, cash collection, and denial management for services rendered by Florida Medical Clinic Physicians. This position requires knowledge of Federal, State, and payor regulations, reimbursement methodologies; and communication with third party payors to facilitate timely and accurate reimbursement. Employees will be working on Insurance Follow-Up projects and placing calls to insurance payers. Must be able to multitask and use knowledge of insurance, workers comp, MVA, CPT Codes and ICD10 Codes to reprocess claims and manage patient's accounts. Monthly quota must be met.


    • Run and work a Summary Aging Report Monthly/Claim Control Work Queue Filters
    • Run and work denial work list
    • Run and work unbilled items report weekly
    • Prepare for monthly Divisonal meetings
    • 90% or better audit scores
    • Perform incidental duties as needed


    • 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
    • Minimum two 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
    • 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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