Revenue Cycle Specialist - Ancillary

Revenue Cycle Specialist - Ancillary(2 of
2)

Join to apply for the Revenue Cycle Specialist - Ancillary(2 of
2) role at Florida Orthopaedic Institute
.

Under direct supervision of the Revenue Cycle Ancillary Supervisor, this position is responsible for assuring timely collection of accounts receivable, monitoring account activity and providing adequate follow‑up to ensure maximum reimbursement is received for Ancillary billing. The ideal candidate would have a strong understanding of medical claims billing.

• Research and resolve claims denials using the appropriate resources.
• Check that pre‑bill claims are passing internal edits in a timely fashion.
• Monitor that all denied claims are corrected or appealed.
• Collaborate with other teams within the business office.
• Provide appropriate feedback to management.

• Perform collection activities, such as status calls to ensure timely reimbursement, appeals and account review.
• Ensure appropriate information is submitted to insurance companies to expedite payment.
• Take follow‑up actions on accounts to ensure claims are paid on the first follow‑up call or appeal.
• Follow up on assigned cases from within the organization.
• Review pre‑bill claim holds to verify that the claim goes out clean the first time.
• Compose appeals to insurance carriers for denied claims.
• Handle incoming calls for information request from insurance companies within 24 hours.
• Assist Financial Counselors when patients have questions regarding claims.
• Correct accounts that are billed to incorrect insurance companies.
• Ensure authorizations are attached to claims.
• Comply with quantity and quality expectations as provided by management.
• Communicate with the lead, supervisor, and team to advise of trends and issues discovered.
• Assure compliance with all company plans, policies, and procedures set forth by the Florida Orthopaedic Institute.
• Perform all other duties as assigned.

At FOI our goal is to provide our patients with world‑class orthopedic care. Our mission encompasses not only the care the physician provides, but all medical and administrative aspects of patient encounters with Florida Orthopaedic Institute. Every staff member plays a vital role in this mission, and we are committed to encouraging a culture of inclusion reflective of the communities we serve.

• Full‑time opportunities with room for career growth and advancement.
• Excellent job security and stability, promoting an optimal work‑life balance.
• Be part of this dynamic and growing revenue cycle team.

We are committed to maintaining a safe, healthy, and productive work environment. All candidates will be required to undergo pre‑employment drug screening and/or be subject to random drug testing in accordance with applicable laws and company policy.

• Seniority level
  :
  Entry level
• Employment type
  :
  Full‑time
• Job function
  :
  Accounting/Auditing and Finance
• Industries
  :
  Hospitals and Health Care