Revenue Cycle Support Specialist

Revenue Cycle Support Specialist | St. Petersburg, FL

Metro Healthy Communities (FQHC) | Full-Time | On-site

One of Tampa Bay's best non-profit healthcare employers is seeking to add a Revenue Cycle Support Specialist, based in St. Petersburg, FL. Metro Healthy Communities is mission driven and offers you an opportunity to make a difference in a workplace that values accuracy and teamwork!

What We Offer

• $800 sign on bonus
• Generous paid time off, sick, and holidays
• 401k (403b) retirement plan with 5–7% company match
• Excellent Medical, Dental & Vision insurance
• Mileage reimbursement for multi-site travel
• Free short- and long-term disability insurance
• Casual dress code

About the Role

The Revenue Cycle Support Specialist is responsible for range of functions within Revenue Cycle for the Health Center including but not limited to billing and AR, Cash Posting, Insurance Verification, Sliding Fee Discount Program application processing, and Patient Collections.

Key Responsibilities

• Daily processing of claims for health center services
• Working directly with the insurance company, the patient, and clinic staff to ensure claims are processed and paid
• Reviewing and appealing denied and unpaid claims to resolve denial instances
• Monitoring and updating patient AR balances
• Scrubbing of claims, timely follow-up for missing required items.
• Tracking and updating the Aging Report and working patient accounts for accuracy.
• Answering questions patients, providers and third party insurers may have about billing
• Reviewing patient bills for accuracy and completeness and obtain any missing information
• Handling collections and unpaid accounts by establishing payment arrangements with patients, monitoring payments, and following up with patients if or when there is a lapse in payment.
• Process and support the Sliding Fee Applications process and performing rigorous Insurance Verification and Preauthorization services as assigned.
• This position also monitors, approves/denies, process and maintains Sliding Fee Discount Program applications for patients, including sending out expiration reminders.
• Submits and tracks preauthorization for medical benefits and outpatient services as requested.
• Maintain Cash Posting & Payment Reconciliation: Accurately post payments from insurance carriers, patients, and third-party payers to the correct accounts.
• Audit Support: Ensure all posted cash matches bank deposits and electronic remittance advice (ERA), manual check posting and manual credit card posting.
• Maintains collections and reminders of patient payment plans including reestablish new payment plans as needed.

Qualifications

• Minimum of 3 years of healthcare experience (medical front office, billing department, or community health center (FQHC) environment.
• Insurance Verification & Preauthorization experience.
• Cash Posting, collections and patient financial services experience.
• High School Diploma or GED equivalent
• Experience working with multiple third-party payers including Medicaid, Medicare, Managed Care, HMO/PPOs.
• Knowledge of EMR systems, preferably with eClinicalWorks.
• Credentialing Platforms & Protocols: Understanding of provider enrollment requirements, including CAQH, NPPES, CMS, and third-party payer portals. Detail Orientation, structured organization, deadline upkeep and submissions.
• Valid Florida driver's license, proof of insurance, and reliable transportation.
• Must pass Level II background check (https://info.flclearinghouse.com) and E-Verify employment eligibility (https://www.e-verify.gov/).

Metro Healthy Communities is an equal opportunity employer.

Pay: From $21.00 per hour

Expected hours: 40.0 per week

Benefits:

• Dental insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Education:

• High school or equivalent (Required)

Experience:

• healthcare : 3 years (Required)

Work Location: In person

Salary : $21