Job Title: Revenue Cycle Specialist
Location: Near Tampa, FL
LHH Recruitment Solutions has partnered with a leading healthcare organization dedicated to providing high-quality care to patients in the Tampa FL area. Our client is committed to excellence in patient care and are seeking a Revenue Cycle Specialist to join our dynamic team.
Job Description: The Revenue Cycle Specialist plays a critical role in ensuring the financial health of our organization by managing the entire Revenue Cycle process. This individual will be responsible for performing various tasks related to billing, coding, collections, and reimbursement. The ideal candidate will have a strong understanding of healthcare billing practices, regulations, and reimbursement methodologies.
Key Responsibilities:
- Perform medical coding and billing tasks accurately and efficiently, ensuring compliance with coding guidelines and regulations (e.g., CPT, ICD-10, HCPCS).
- Review patient accounts to verify insurance coverage, eligibility, and benefits.
- Submit claims to insurance companies and government payers in a timely manner.
- Follow up on unpaid claims, denials, and appeals to ensure maximum reimbursement.
- Resolve billing discrepancies and inquiries from patients, insurance companies, and internal stakeholders.
- Collaborate with healthcare providers, clinicians, and administrative staff to obtain necessary documentation and information for billing purposes.
- Maintain accurate and up-to-date billing records and documentation.
- Identify opportunities for process improvement and efficiency in the Revenue Cycle workflow.
- Stay informed about changes in healthcare regulations, coding guidelines, and payer policies.
- Provide training and support to other staff members on Revenue Cycle processes and best practices.
Qualifications:
- Minimum of 1-3 years of experience in healthcare billing and Revenue Cycle management.
- Strong knowledge of medical coding systems (CPT, ICD-10, HCPCS) and billing software.
- Proficiency in using electronic health records (EHR) and practice management systems.
- Excellent communication skills, both verbal and written.
- Ability to work independently and collaboratively in a fast-paced environment.
- Detail-oriented with strong analytical and problem-solving skills.
- Familiarity with healthcare regulations (e.g., HIPAA, Medicare, Medicaid).
- Knowledge of insurance verification and authorization processes.
- Experience with accounts receivable management and collections strategies.
Pay Details: $19.00 to $20.00 per hour
Search managed by: Caitlin Keenan
Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.
Equal Opportunity Employer/Veterans/Disabled
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The Company will consider qualified applicants with arrest and conviction records subject to federal contractor requirements and/or security clearance requirements.