Revenue Cycle Specialist

Revenue Cycle Specialist

Do you want to make a difference in the lives of those navigating serious medical challenges? Are you able to focus on the details that matter to help patients receive the timely care they require? If you are looking for an opportunity to have an impact and not just looking for a job, then we would like to hear from you!

If the above describes you, please read on!

We are seeking a Revenue Cycle Specialist who has a Can-do Attitude and an Eye for Detail. This person will be responsible for ensuring timely filing of all third-party claims and the experience to follow-up promptly.

Position sits in Broward County, Florida - exact location will depend on need (Fort Lauderdale, Hollywood, or Pembroke Pines)

Who we are:

PET Imaging Institute of South Florida’s, mission is to superbly care for patients by providing the finest Positron Emission Tomography services available in Broward County. Our team of experienced, onsite Radiologists and nurturing staff come together in comfortable, spa-like environments that feature state-of-the-art medical equipment and extremely fast reporting of results so that patients can receive the right diagnosis quickly.

Visit us: www.petimagingflorida.com

In this position, you will:

• Follow CMS updates and adhere to billing guidelines dictated by Medicare CMS and insurance carriers for payments and reimbursements.
• Work and manage Insurance claims through Revenue Cycle and Denial Management to timeline determined by commercial, managed care, and governmental insurance providers.
• Review insurance claims for effective payment and timely billing turnaround for claim adjudication.
• Provide timely notation of actions and remediation practices taken on patient accounts.
• Electronic claims submission and paper claim submission according to insurance file order for payment and collection activities across all payor types.
• Re-bill claims with additional ICD-10 codes from medical report and records as needed.
• Operates effectively across department lines and adhere to the PIISF Team Norms to enable uninterrupted cash flow from payors and patients.
• Process insurance and patient refunds, providing payments solutions and recouping patient out-of-pocket balances across all account types.
• Respond to patient account inquires and provide billing statements, payment receipts, itemized statement and billing records as requested.
• Work insurance correspondence, remittance advice, submit appeals and make adjustments to claims in efforts to receive payments for open balances.
• Engage patient involvement for continued claim issues with insurance carriers as needed for Coordination of Benefits and claim remediation purposes (except Medicare and Medicaid Insurance.)
• Notify management of any insurance trends identified.
• Correct authorizations and verification information, when necessary.

Our ideal candidate:

Education and Requirements

• High School diploma is required. College degree or working towards one is a plus.
• 3 - 5 years extensive billing and collections A/R experience is required. Radiology and imaging services setting, preferred.
• Coding experience is a plus
• Must successfully pass AHCA Level 2 screening - https://info.flclearinghouse.com
• Must be approved for EPIC access by MHS
• Must have flexibility to travel between all PIISF Centers and willingness to work from any one site for extended periods, as needed.

Skills and abilities:

• Can-do attitude with a willingness to work in a team environment
• Bilingual a plus (English/Spanish)
• Sound Analysis/Judgement
• Organized and focused
• Computer literacy, particularly with EMR programs and Microsoft Office programs
• Reliability
• Excellent organizational & time management skills
• Knowledge of medical terminology a plus
• Excellent written & oral communication skills

What we offer:

• Competitive salary; commensurate with experience
• Bonus eligible within the first full quarter
• Medical, dental and vision insurance
• 401k eligible after 1st year

NO PHONE CALLS PLEASE