Job description

The Revenue Cycle Specialist works with insurance carriers regarding claim status and denial management. Follows Orthopaedic Specialties - Florida Orthopaedic Institutes policy and procedures along with applying federal and state guidelines to collection efforts. Interprets and follows up on Explanation of Benefits. Assuring timely collection of accounts receivable, monitoring the account activity and providing adequate follow- up to ensure maximum reimbursement is received. Maintaining Quantity & Quality of assigned work.

Key Responsibilities:

• Takes appropriate actions on denied charges to ensure claims are paid on the first follow-up call or appeal.
• Works with assigned queues, aging and denial reports to accomplish the set goal for the position.
• Responsible for learning, understanding and following payer guidelines.
• Notifying management of payer policy changes.
• Ensuring appropriate information is submitted to insurance companies in order to expedite payment.
• Completes appropriate adjustments and refund requests based on contract, modifiers or appeal denials.
• Handle incoming calls for information request from insurance companies and patients.
• Works to understand the operative notes that dictate procedures billed.
• Reallocate misapplied payments and adjustments.
• Work special assignments when needed.
• Utilizes the coding resources (CPT, ICD-10, CDR, AAOS books) to understand procedures that are denied.
• Documents accounts correctly.
• Assure compliance with all company plans, policies and procedures set forth by the Florida Orthopaedic Institute
• All other duties as assigned.

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible schedule
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Supplemental pay types:

• Bonus pay

Ability to commute/relocate:

• Clearwater, FL 33756: Reliably commute or planning to relocate before starting work (Required)

Experience:

• ICD-10: 2 years (Required)

Work Location: One location

www.colinoncars.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, www.colinoncars.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, www.colinoncars.com is the ideal place to find your next job.