What are the responsibilities and job description for the Healthcare Revenue Cycle Operations position at Jab-Tek?
Job Details
Healthcare Revenue Cycle Operations Dec 2025
Location: Florida
Type: Contract to hire
Industry: Healthcare Industry
Travel from location to location in the Tampa area of Florida
Managing the entire administrative and clinical process of capturing, managing, and collecting patient service revenue, from the initial appointment to the final payment.
Core Responsibilities
- Patient Registration & Insurance Verification: Collecting and verifying accurate patient demographic and insurance information, confirming coverage, and obtaining necessary pre-authorizations or referrals before service is provided.
- Charge Capture & Medical Coding: Reviewing clinical documentation to ensure all services provided are accurately translated into standardized medical codes (e.g., CPT, ICD-10, HCPCS) for billing purposes.
- Claim Submission & Processing: Preparing and submitting "clean" (error-free) claims to insurance providers in a timely manner and tracking their status.
- Denial Management & Appeals: Investigating claim rejections and denials, identifying root causes, and submitting appeals or corrections to recover lost revenue.
- Payment Posting & Reconciliation: Accurately recording payments from insurers and patients in the billing system and reconciling accounts.
- Patient Billing & Collections: Generating clear patient statements, managing outstanding balances, offering payment plans, and following up on unpaid accounts while adhering to fair collection practices.
- Reporting & Analysis: Monitoring key performance indicators (KPIs) like denial rates and accounts receivable days to identify trends, pinpoint inefficiencies, and recommend process improvements to management.
- Compliance: Ensuring all processes adhere to federal and state regulations, including HIPAA and specific payer guidelines (Medicare, Medicaid, commercial insurers).
Essential Skills and Qualifications
- Ability to assess financial data, track metrics, and solve complex problems related to billing and reimbursement.
- Data entry, coding, and claim submission
- Experience with patients, insurance providers, and cross-functional internal teams.
- Electronic Health Record (EHR) systems, Epic and Cerner
- A deep understanding of healthcare laws, billing codes (ICD-10, CPT), and insurance processes is essential.
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