Business Representative, Revenue Cycle, Home Health, Full-time

This position is responsible for supporting the financial performance of the organization by ensuring accurate billing, posting, reconciliation, and follow-up of patient accounts and insurance claims, with a strong focus on customer service and self-pay account collections, billing and follow-up. This position plays a critical role in optimizing cash flow, reducing accounts receivable aging, and resolving payment discrepancies through effective communication with patients, payers, internal teams, and accurate payment posting. The specialist analyzes denials, manages claim follow-up, posts and reconciles payments, and ensures compliance with payer contracts and regulatory requirements. This role requires strong analytical skills, knowledge of medical billing and coding practices, and the ability to work collaboratively across the revenue cycle to ensure timely and accurate reimbursement.

Responsibilities: 

• Manage assigned accounts receivable worklists to ensure timely follow-up and resolution of outstanding claims.
• Investigate and resolve payer denials, underpayments, and payment discrepancies.
• Submit corrected claims, appeals, and supporting documentation to insurance carriers as necessary.
• Monitor and manage AR aging to optimize collections
• Ensure timely resolution of outstanding balances to support departmental cash flow goals.
• Accurately post insurance and patient payments including electronic funds transfers (EFT), adjustments, and remittance information.
• Accurately run and post credit card payments.
• Reconcile payment postings and verify payment schedules to ensure correct contractual allowances and account balances.
• Monitor accounts for reversals, refunds, and credit balances and process required reporting.
• Analyze remittance advice and explanation of benefits (EOBs) to identify denial trends and reimbursement issues.
• Respond to patient billing inquiries and assist patients with account resolution in a professional and service-oriented manner.
• Coordinate patient statements, payment arrangements, and collection follow-up as needed.
• Maintain clear and accurate documentation of account activity within the patient accounting system.
• Support additional operational or administrative functions within the revenue cycle department as needed.

Qualifications:

• High School diploma required; Associate or Bachelor’s degree in Healthcare Administration, Business, or related field preferred.
• Minimum 3 years of experience in healthcare revenue cycle, medical billing, accounts receivable, or payment posting.
• Working knowledge of CPT, HCPCS, and ICD-10 coding principles.
• Experience working with government and commercial insurance payers.
• Proficiency in Microsoft Office, particularly Excel and data tracking tools.
• Strong analytical, problem-solving, and organizational skills.
• Excellent written and verbal communication abilities.
• Ability to work independently while managing multiple priorities.

Location: 6676 Corporate Center Pkwy, Jacksonville, Florida

Hours: Monday - Friday, 40 hours per week

Thriving in a culture that you can be proud of, you will also receive many employee benefits such as the following:

• Competitive Pay
• Comprehensive Benefits package
• Vacation/Paid Time Off
• Retirement Plan
• Employee Discounts
• Clinical Education and Professional Development Programs