Medicare Coordinator I
Job Description
Department
Patient Financial Services
Job Summary
“Working and Living in Paradise."
Come join us in beautiful Sarasota, Florida as part of our Patient Financial Services team for Sarasota Memorial Healthcare System. Sarasota is the home one of America’s #1 beaches. Located minutes from the beautiful sandy beaches of Florida’s West Coast, our Magnet hospital is continuing to grow and expand! Sarasota Memorial Health Care System is a community-owned regional medical center and leading acute care hospital and named by U.S. News & World Report as one of “America’s Best Hospitals;” ranking above all other Florida institutions in several specialties. These awards combined with our supportive team environment help to ensure your success. At Sarasota Memorial Hospital, you will be a part of a diverse environment where all people are valued and respected.
Do you want to work side by side with highly engaged team members? Do you want to perform on a very high level, consistent with prestigious academic medical centers? Come and join our team!
Performs billing collection functions for Medicare account receivables keeping accounts to a minimum and cash flow to a maximum. Reviews and processes electronic claims along with analyzing and correcting claims via AccessANYware, SSI and DDE software systems to ensure timely reimbursement has been received. Problem solves RTP and denied claims and provides support/maintenance for the electronic Medicare billing system. Responsible for the coordination and updating of the CM and DDE billing updates, billing tables and system edits to ensure maximization of electronic capability. Responsible for running job streams, generating and evaluating electronic Medicare billing reports. Responsible for education and training of staff in electronic claims submissions. Keeps current on changes to Medicare billing regulations and compliance issues. Responds to incoming calls and walk-in patients.
Required Qualifications
• Require a minimum of four (4) years of Patient Financial Services experience, two (2) of which are in working with Medicare billing and collections. An Associate's degree or higher can be considered in lieu of the Medicare billing and collections experience requirement.
Preferred Qualifications
• Prefer two (2) years of experience in utilizing Windows based software applications.
• Prefer Certified Patient Account Technician (CPAT), Certified Revenue Cycle Specialist (CRCS) or subsequent certification.
• Prefer the ability to analyze problems and consistently follow through to resolution.
• Prefer the ability to meet public and handle difficult situations diplomatically.
• Prefer working knowledge of ICD-10 and CPT coding.
• Prefer the ability to type a minimum of thirty (45) words per minute.
Mandatory Education
HS EQ: High School Diploma, GED or Certificate
Mon-Fri / 40 hours
Reputation. Community. Impact. Growth.
Every day, our patients at Sarasota Memorial Health Care System receive a first-class experience in care from a team on a mission to deliver the highest level of care in America. In the process of rising to that challenge, one by one, our people are finding their purpose and feeling their impact. Now it is your turn to see yourself here.
Recognition
• 5- Star Quality Rating- SMH- Sarasota is the only hospital in Florida to earn the federal Centers for Medicare & Medicaid Services' highest rating every year since its inception.
• 50 Best Hospitals- SMH ranked among U.S. News & World Report's 50 Best Hospitals in two specialties, Rehabilitation and Obstetrics/Gynecology in 2023-2024, and among the nation's top 10% high peformers in 18 other medical specialties, procedures and conditions.
• World's Best Hospitals- SMH- Sarasota has made Newsweek's prestigous list six years in a row, since the global rankings began in 2019.
• "A" for Patient Safety- SMH- Sarasota has earned straight A's since it began participating in the Leapfrog Group's hospital safety survey in 2016.
• Magnet Hospital- SMH has been recognized as a Magnet hospital for the past 20 years by the American Nurses Credentialing Center, a continuous achievement for nursing excellence shared by less than 1% of hospitals nationwide.
• America's Best Employer/Workplace- SMH topped Forbe's list of America's Best Employers, ranking among the top 20% of large employers across all industries in 2024, and #1 healthcare employer in Florida in 2023. The health system also earned a 5-star rating in Newsweek's 2024 list of "America's Greatest Workplaces for Women."
The Benefits Of Being The Best
Our commitment to becoming the best community hospital and health care system means providing the best possible benefits to our people. Some highlights:
Total Rewards Package
• Paid Time Off (start earning PTO on day one of employment)
• Tuition Reimbursement
• Discounted Medical, Prescription, Dental, Vision Benefit Plans for Full & Part-Time Employees
• Flexible Spending Accounts (Health Care and Dependent Care) - Pre-Tax Dollars
• Life Insurance
• Competitie rates
• Bonuses offered
• Disability Insurance
• Retirement Savings Plan: 403b
• Sarasota Campus for now - Discounted Child Care & Before and After School Program and Summer Camp!
• Bereavement Leave
• Free Parking
• On Campus Dining w/ a 10% discount
• Credit Union w/ teller machines on campus
• Direct Deposit
• Free Wellness Screening
• Free confidential counseling services
• Employee Discount Programs
• Recognition Programs
• Referral Programs
• Tremendous growth opportunities for hard workers!
Hospitals and Health Care
Other
Full-time