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Revenue Cycle Specialist | BAR - Commercial/Managed Care
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<strong>Overview</strong><br><br><p data-start="10" data-end="210"><span style="color: #236fa1;"><strong data-start="10" data-end="210">P<span style="font-size: 10pt;">ut 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.</span></strong></span></p><p data-start="10" data-end="210"> </p><p style="margin-right: 0in; margin-left: 0in; font-size: 12pt; font-family: 'Times New Roman', serif;"><span style="font-family: 'Segoe UI Emoji', sans-serif; color: #236fa1;">💻</span><span style="color: #236fa1;"> </span><strong><span style="color: #236fa1;">Work Style:</span></strong><span style="color: #236fa1;"> Remote or Onsite</span><br><span style="font-family: 'Segoe UI Emoji', sans-serif; color: #236fa1;">📍</span><span style="color: #236fa1;"> </span><strong><span style="color: #236fa1;">Location:</span></strong><span style="color: #236fa1;"> Gainesville, FL </span><br><span style="font-family: 'Segoe UI Emoji', sans-serif; color: #236fa1;">🕒</span><span style="color: #236fa1;"> </span><strong><span style="color: #236fa1;">FTE:</span></strong><span style="color: #236fa1;"> Full-Time (1.0 FTE)</span><br><span style="font-family: 'Segoe UI Emoji', sans-serif; color: #236fa1;">⏰</span><span style="color: #236fa1;"> </span><strong><span style="color: #236fa1;">Schedule:</span></strong><span style="color: #236fa1;"> Monday – Friday, 7:00 AM – 4:00 PM</span></p><p data-start="10" data-end="210"> </p><h3 data-section-id="op20pf" data-start="212" data-end="232"><span style="font-size: 10pt; color: #236fa1;">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.</span></h3> <br><strong>Responsibilities</strong><br><br><p data-start="695" data-end="799"><span style="color: #236fa1; font-size: 10pt;"><strong data-start="695" data-end="731">Knowledge, Skills, and Abilities</strong></span></p><p data-start="695" data-end="799"><br><span style="color: #236fa1; font-size: 10pt;">• Strong communication, organizational, and problem-solving skills.</span></p><p data-start="801" data-end="932"><span style="color: #236fa1; font-size: 10pt;">• Ability to discuss financial matters and collect payments from patients and payers in a professional and customer-focused manner.</span></p><p data-start="934" data-end="1018"><span style="color: #236fa1; font-size: 10pt;">• Ability to multitask, prioritize responsibilities, and manage competing deadlines.</span></p><p data-start="1020" data-end="1135"><span style="color: #236fa1; font-size: 10pt;">• Strong analytical skills with the ability to research and resolve account discrepancies and reimbursement issues.</span></p><p data-start="1137" data-end="1215"><span style="color: #236fa1; font-size: 10pt;">• Ability to work independently and collaboratively within a team environment.</span></p> <br><strong>Qualifications</strong><br><br><h3 data-section-id="1x0g337" data-start="0" data-end="49"><span style="color: #236fa1; font-size: 10pt;">Minimum Education and Experience Requirements</span></h3><p data-start="51" data-end="110"><span style="color: #236fa1; font-size: 10pt;"><strong data-start="51" data-end="64">Education</strong></span><br><span style="color: #236fa1; font-size: 10pt;">• High school diploma or equivalent required.</span></p><p data-start="112" data-end="181"><span style="color: #236fa1; font-size: 10pt;">• Associate's degree may substitute for the required work experience.</span></p><p data-start="183" data-end="313"><span style="color: #236fa1; font-size: 10pt;"><strong data-start="183" data-end="197">Experience</strong></span><br><span style="color: #236fa1; font-size: 10pt;">• Minimum of six (6) months of healthcare billing, collections, revenue cycle, or financial experience required; OR</span></p><p data-start="315" data-end="469"><span style="color: #236fa1; font-size: 10pt;">• Minimum of one (1) year of experience in a business environment involving finance, accounting, insurance, collections, or accounts receivable functions.</span></p><p data-start="471" data-end="545"><span style="color: #236fa1; font-size: 10pt;"><strong data-start="471" data-end="499">Preferred Qualifications</strong></span><br><span style="color: #236fa1; font-size: 10pt;">• Working knowledge of CPT and ICD-10 coding.</span></p><p data-start="547" data-end="656"><span style="color: #236fa1; font-size: 10pt;">• Knowledge of federal, commercial, and managed care billing rules, regulations, and compliance requirements.</span></p><p data-start="658" data-end="693"><span style="color: #236fa1; font-size: 10pt;">• Epic system experience preferred.</span></p>