Overview

Put your revenue cycle expertise to work ensuring accurate reimbursement, resolving complex billing issues, and supporting the financial health of one of Florida's leading academic health systems. 💻 Work Style: Remote or Onsite 📍 Location: Gainesville, FL 🕒 FTE: Full-Time (1.0 FTE) ⏰ Schedule: Monday – Friday, 7:00 AM – 4:00 PM The Revenue Cycle Specialist – Commercial/Managed Care supports the financial integrity of UF Health Physicians Billing and Accounts Receivable operations by performing billing, follow-up, and reimbursement activities for professional services. This role is responsible for processing claims in accordance with federal, commercial, and managed care guidelines; researching and resolving account issues; verifying insurance coverage and benefits; addressing reimbursement discrepancies; managing credit balances and refunds; and investigating and resolving denied claims. The specialist works closely with payers, providers, and internal stakeholders to ensure timely and accurate reimbursement while maintaining compliance with regulatory and organizational requirements.

Responsibilities

Knowledge, Skills, and Abilities

• Strong communication, organizational, and problem-solving skills.
• Ability to discuss financial matters and collect payments from patients and payers in a professional and customer-focused manner.
• Ability to multitask, prioritize responsibilities, and manage competing deadlines.
• Strong analytical skills with the ability to research and resolve account discrepancies and reimbursement issues.
• Ability to work independently and collaboratively within a team environment.

Qualifications

Minimum Education and Experience Requirements Education

• High school diploma or equivalent required.
• Associate's degree may substitute for the required work experience.

Experience

• Minimum of six (6) months of healthcare billing, collections, revenue cycle, or financial experience required; OR
• Minimum of one (1) year of experience in a business environment involving finance, accounting, insurance, collections, or accounts receivable functions.

Preferred Qualifications

• Working knowledge of CPT and ICD-10 coding.
• Knowledge of federal, commercial, and managed care billing rules, regulations, and compliance requirements.
• Epic system experience preferred.