Top 38 Revenue cycle specialist Jobs in Weston Fl

Reimbursement Specialist
Pediatric Associates —Plantation, FL
- Full-time
- Research
- High school diploma or GED
- Data entry
Medical Records Specialist
HCA Florida Westside Hospital —Plantation, FL
- Part-time
- Ability to lift 25 pounds
- Entry level
- Under 1 year
- Employee stock purchase plan
- Disability insurance
Quick Apply
18h
Revenue Cycle Specialist
Broward Community —Hollywood, FL
- Full-time
- Background check
- Computer literacy
- Mid-level
- Paid holidays
- Dental insurance
Quick Apply
Medical Biller
Infinity Healthcare Group, LLC —Sunrise, FL
- $58,000 - $62,000 a year
- Background check
- Mid-level
- 2 years
10d
Cash Applications Specialist
LUX Infusion —Plantation, FL
- $24 - $26 an hour
- Microsoft Excel
- Customer service
- Computer literacy
Quick Apply
Sr. Revenue Cycle Audit Specialist (H)
University of Miami —Medley, FL
- Full-time
- Hybrid work
- 5 years
- Office
- Bachelor's degree
- Health insurance
- Dental insurance
Patient Logistic Specialist
HCA Healthcare —Tamarac, FL
- 12 hour shift
- Mid-level
- Organizational skills
- Communication skills
- Employee stock purchase plan
- Disability insurance
Quick Apply
8d
Revenue Cycle Specialist
SANITAS USA INC —Doral, FL
- Full-time
- Spanish
- English
- Mid-level
Quick Apply
7d
Chart Capture Specialist
Mount Sinai Medical Center - Florida —Westchester, FL
- Part-time
- Hospital
- Mid-level
- Bachelor's degree
- Wellness program
- Disability insurance
Quick Apply
Billing and Coding Coordinator
Empower "U", Inc. —Miami, FL
- $26.44 - $34.61 an hour
- Full-time
- Hybrid work
- Background check
- HIPAA
- Mid-level
Quick Apply
6d
Medical Billing Specialist - DME
Quest Health Solutions LLC —Coral Springs, FL
- Full-time
- Research
- Mid-level
- Organizational skills
- Paid holidays
- Health insurance
Quick Apply
7d
Medical Coding Manager
Confidential —Florida
- Full-time
- Remote
- HIPAA
- Analysis skills
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
Billing Supervisor
Codemax LLC —Fort Lauderdale, FL
- $65,000 - $85,000 a year
- Full-time
- Addiction Medicine
- HIPAA
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Principal Specialist (Medical Billing/Coding Expert)
Codemax LLC —Fort Lauderdale, FL
- $65,000 - $95,000 a year
- Full-time
- HIPAA
- Research
- Office
- Paid holidays
- Health insurance
Quick Apply
Revenue Cycle Manager
REVA Air Ambulance —Fort Lauderdale, FL
- Full-time
- Sales
- HIPAA
- Office
- Paid holidays
- Disability insurance
Quick Apply
MEDICAL BILLING AND COLLECTIONS SPECIALIST
The Neurology Institute —Coral Springs, FL
- From $22 an hour
- Full-time
- Background check
- Customer service
- Research
- Health insurance
- Dental insurance
Quick Apply
8h
VOB & Collections Specialist
evolutions treatment center —Miami, FL
- From $20 an hour
- Full-time
- Addiction Medicine
- HIPAA
- Office
- Health insurance
- Dental insurance
Quick Apply
10d
Medical Claims Specialist
Community Medical Group —Miami, FL
- Spanish
- Computer Science
- English
- Paid holidays
- Health insurance
Quick Apply
Billing Specialist
Panzarella Waste & Recycling Services —Fort Lauderdale, FL
- Full-time
- Spanish
- Microsoft Outlook
- English
Quick Apply
Claims & Billing Analyst
Independent Living Systems —Miami, FL
- Full-time
- HIPAA
- Mid-level
- Office

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revenue cycle specialist jobs near weston fl

Reimbursement Specialist

Pediatric Associates -
Plantation, FL

Apply Now

Job Details

Full-time

Qualifications

Appeals
Correspondence management
Accounts receivable management
Medical insurance coverage verification
Practice management software
Patient management software
Medical billing compliance checks
Research
High school diploma or GED
Task prioritization
Healthcare privacy protection
Medical billing and coding communication with insurance companies
Medical denial root cause analysis (RCA)
Policy verification in claims processing
Data entry
Medical insurance appeals management
Data verification
Organizational skills
Medical claims submission
Medicaid
Insurance provider collaboration
Insurance claims appeal handling
Healthcare coding investigations
Medical claim status updates
Entry level

Full Job Description

PRIMARY FUNCTION:

Reimbursement Specialist is responsible for analyzing the billing process to determine appropriateness in payment (reimbursement). This position manages all components of claims processing including: 1) coordination of disputed, rejected, and delayed claims, and 2) to problem solve and review returned, disputed or rejected claims from Government and other third party Payers. Additionally, this position is responsible for communicating with billers regarding coding processes to prevent future denials.

ESSENTIAL FUNCTIONS OF THE JOB: (This list may not include all of the duties that may be assigned.)

Processes correspondence related to assigned contracted and/or non-contracted insurance carriers including self-pay accounts.

Researches denied and improperly processed claims by contacting assigned carriers to ensure proper processing of said claims. Call and check claim status, work A/R and insurance carrier reports, and insurance denials. Verifies insurance eligibility / PCP / patient benefits to reconcile denied claims.

Identifies and corrects any claim processing errors due to data entry, verification, coding and/or posting. Add or update insurance carriers into practice management system. Review the Financial Class and the Insurance Group and verify that they are in the correct financial reporting groups.

Resubmits improperly paid/denied claims to the carrier for proper payment in a timely manner.

Monitor payer payment policies (bundling process) for each carrier to ensure guidelines are followed.

Responsible for validating appeal opportunities, creating appeal letters, generating and submitting individual and/or batch appeals in a timely manner, tracking appeals and recoveries. Follow up on outstanding appeals, and work closely with the appropriate teams to validate contracts.

Communicate and escalate denial trends, short payments, or payer policies to Management.

Other various duties as assigned, including cross training in other functional areas.

Non patient-facing

PERFORMANCE REQUIREMENTS:

Adhere to all organizational information security policies and protect all sensitive information including but not limited to ePHI and PHI in accordance with organizational policy, Federal, State, and local regulations.

TYPICAL WORKING CONDITIONS:

Indoor Work

Operating Computer

Reach Outward

Manual Dexterity

Lift/Carry 20 lbs. or less

Push/Pull 12 lbs. or less

Sitting

Other Physical Requirements

Vision

Sense of Sound

Sense of Touch

EDUCATION: High school diploma/GED or equivalent.

LICENSURE/CERTIFICATION: None

EXPERIENCE: Minimum of 1 year of insurance/collection experience in a medical environment preferred.

KNOWLEDGE, SKILLS & ABILITIES:

Knowledge of billing and collection policies and procedures, all types of insurance (HMO, PPO, POS, Medicaid etc.)

Skill in defining problems, diagnostics of common coding errors, and impact on claims processing, collection of data, interpreting billing information.

Must possess strong interpersonal skills; must be able to communicate effectively with co-workers, the Business Office Manager and must be able to work effectively as a team member within the Business Office.

Ability to multi-task in a face paced environment while meeting established production and quality goals/metrics.

Strong organizational skills, with ability to effectively prioritize work and daily basis and follow up on open items in a timely manner.

Location: Pediatric Associates · Revenue Cycle Management
Schedule: Full Time, Hybrid

Apply Now

Refine Your Search

revenue cycle specialist jobs in weston fl

Reimbursement Specialist

Medical Records Specialist

Revenue Cycle Specialist

Medical Biller

Cash Applications Specialist

Sr. Revenue Cycle Audit Specialist (H)

Patient Logistic Specialist

Revenue Cycle Specialist

Chart Capture Specialist

Billing and Coding Coordinator

Medical Billing Specialist - DME

Medical Coding Manager

Billing Supervisor

Principal Specialist (Medical Billing/Coding Expert)

Revenue Cycle Manager

MEDICAL BILLING AND COLLECTIONS SPECIALIST

VOB & Collections Specialist

Medical Claims Specialist

Billing Specialist

Claims & Billing Analyst

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