Biller
Gulfside Healthcare Services
57 reviews
-
Tampa, FL 33612
Gulfside Healthcare Services
57 reviews
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Job details
Salary
$18 - $20 an hour
Full Job Description JOB TITLE: Revenue Cycle Specialist, II
LOCATION: 2061 Collier Parkway, Land O Lakes, FL 34639
HOURS: Monday thru Friday, 8:00 AM to 5:00 PM
POSITION SUMMARY:
Reporting to the Revenue Cycle Manager, the Revenue Cycle Specialist II is responsible for managing accurate, timely completion and submission of multiple third party payers including, but not limited to, Medicare, Medicaid, commercial carriers and self pays as well as collections and accounts receivable functions respectively.
EDUCATION AND QUALIFICATIONS:
• High school diploma/GED required. Associates preferred.
• Two-to-four years’ experience in health care billing and collections preferred.
• Billing information systems knowledge, Netsmart preferred.
• Working knowledge of home health, hospice and physician billing.
• Knowledge of Microsoft Excel.
• Knowledge of governmental regulations and billing guidelines.
• Demonstrates good communication skills.
• Demonstrated capability to accurately manage detailed information.
• Able to deal tactfully with patients, family members, referral sources and payers.
• Demonstrates autonomy, organization, assertiveness, flexibility and cooperation in performing job responsibilities.
ESSENTIAL JOB RESPONSIBILITIES:
• Ensures reimbursement through efficient, accurate and timely billing process for effective accounts receivable management.
• Work pre-billing report for assigned payers in preparation for month end close.
• Generates claims for submission to payers in accordance with established schedule.
• Utilizes technology to manage clearinghouse and payor accept/reject submissions and reports timely.
• Reviews A/R reports and researches unpaid claims. Takes necessary steps to collect unpaid claims and address credit balances. Provide reports to the Patients Account Manager as needed.
• Process correspondence and telephone calls from all payors regarding claims.
• Complete appeals on underpaid claims to the payer.
• Identify, prepare and submit patient account adjustments to Revenue Cycle Manager and post in Netsmart once approved.
• Assist as needed with payer authorizations and verification as required and completed documentation in Netsmart.
• Protects the confidentiality of patient and organization information through effective controls and supervision of billing operations.
• The incumbents may be requested to perform job-related tasks other than those stated in this description.
• Other tasks and special projects as assigned.