Revenue Cycle Specialist

1 month ago


Daytona Beach, Florida, United States AdventHealth Full time

Description -External

All the benefits and perks you need for you and your family:

Benefits from Day One

Paid Days Off from Day One

Student Loan Repayment Program

Career Development

Whole Person Wellbeing Resources

Mental Health Resources and Support

Pet Insurance*

Our promise to you:

Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Schedule: Full Time

Shift : Day Shift

The community you'll be caring for : AdventHealth Daytona Beach – 301 Memorial Medical Parkway, Daytona Beach, FL 32117

The role you'll contribute:

The Revenue Cycle Specialist will be responsible for follow up on Third Party Claim Reimbursements for the identification, billing and collection of payments. Under the direction of the Manager will be responsible for handling all functions relative to these areas. Responsible for providing support and service to all AHS Facilities in the Florida Hospital Central Florida Division – North Region.

The value you'll bring to the team:

· Ensures expeditious and accurate insurance reimbursement for all Government and Managed Care payors. Updates a high volume of daily claims appropriately in SSI system. Appropriately determines, initiates, and follows through on the status of claims in SSI, such as place on hold, delete, or assigns account error to responsible, supporting department. Documents billing, follow-up and/or collections step(s) that are taken as well as the result and next step needed to resolve the assigned payment

· Monitors and audits status of errors assigned to other areas or PFS teams for all payors daily, ensuring timely follow up and expeditious billing. Communicates with key management staff and supporting department partners effectively and professionally, to ensure key metrics are being addressed timely. Assist in identifying key trends as applicable or opportunities for improvement.

· Maintains communication between external or contracted agencies, business vendors and partners, FH department (i.e. Revenue Management, Laboratory, Contract Management, Case Management, Payors, etc....) ensuring compliance between external relationships, knowledge of contractual terms, and performance protocols. Informs leadership of any foreseeable issues with partners. Assists Customer Service with Patient concerns/questions to ensure prompt and accurate resolution is achieved.

· Processes and records agency audit notifications and responds in designated timeframe to ensure compliance with government and/or contractual requirements for timely response.

· Works all assigned insurance payers to ensure proper reimbursement on patient accounts to expedite resolution. Processes medical, administrative, technical appeals, request refunds when applicable, and rejections of insurance claims. Ensures proper escalation is met when account receivable is not collected in a timely manner.

Qualifications - External

The expertise and experiences you'll need to succeed:

KNOWLEDGE AND SKILLS REQUIRED :

· Computer/data entry skills required. Proficiency in performance of basic math functions. Communicates professionally and effectively, both verbally and in writing

  • Minimum qualifications :

· High School diploma or GED required.

· One-year experience in healthcare, finance, accounting, banking, insurance, or related fields.

· One year of college can be substituted for experience.

Qualifications This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.

  • Daytona Beach, Florida, United States Unavailable Full time

    OverviewUnavailable is in search of a Revenue Cycle Specialist II to join our dynamic team.SummaryThis role involves collaborating with operational functions and analyzing data related to Revenue Cycle systems, with a specific focus on patient financial responsibilities. The position entails executing tasks associated with the hospital's Revenue Cycle while...


  • Deerfield Beach, Florida, United States FHE Health Full time

    Job OverviewFHE Health is a distinguished healthcare provider dedicated to delivering high-quality, integrated treatment for individuals facing Behavioral Health Disorders. Our institution is committed to serving the community with compassion and expertise, focusing on a range of conditions including addiction, depression, anxiety, and trauma-related...


  • Deerfield Beach, Florida, United States Walgreens Full time

    **Job Summary:**As a Revenue Cycle Management Specialist at Walgreens, you will play a critical role in ensuring the smooth operation of our healthcare services. Your primary responsibility will be to process transactions and manage billing processes with a high degree of accuracy.**Key Responsibilities:**Process billing transactions and enter them into our...


  • Deerfield Beach, Florida, United States The University of Miami Full time

    About the Role:The University of Miami is seeking a highly skilled and detail-oriented Patient Access Specialist to play a critical role in ensuring the smooth and efficient flow of patient services.Key Responsibilities:Coordinate and manage a wide range of complex duties that support front-end revenue cycle and clinic functions for hospital and clinic...


  • West Palm Beach, Florida, United States PLANNED PARENTHOOD ACTION FUND INC Full time

    Job SummaryThe Assistant Manager of Revenue Cycle will assist the Manager of Revenue Cycle in providing leadership, staff training, oversight, evaluation, and direction for the revenue cycle operations at Planned Parenthood of South, East and North Florida (PPSENFL). This role will be responsible for ensuring sustainable growth of the client base, market...


  • Pompano Beach, Florida, United States Chirocare Of Florida Holdings Llc Full time

    Job OverviewAbout Our Organization:Chirocare Of Florida Holdings Llc is in search of a meticulous and team-oriented Healthcare Revenue Management Specialist to enhance our orthopedic, pain management, and chiropractic services. The successful candidate will combine administrative skills, technical knowledge, and excellent interpersonal abilities to support...


  • Delray Beach, Florida, United States Staffosaurus Full time

    About the JobJob Summary: We are seeking a highly organized and detail-oriented Patient Financial Advocate to join our team at Staffosaurus. As a Patient Financial Advocate, you will be responsible for reviewing insurance policy coverage, preparing patients and families for financial responsibilities, and collecting outstanding accounts receivable...


  • Daytona Beach, Florida, United States VyStar Credit Union Full time

    About the Role:The Relationship Specialist I is a key member of the VyStar Credit Union team, responsible for delivering exceptional member experiences through every interaction. This includes:Providing Unparalleled Member Service: Engage with members in-person and over the phone to understand their needs and preferences.Identifying Member Cues: Recognize...


  • Miami Beach, Florida, United States Grand Beach Suites Hotel Full time

    Job OverviewPosition: Revenue AnalystDepartment: Sales & MarketingRole SummaryThe Revenue Analyst is accountable for driving revenue performance for Grand Beach Suites Hotel. This role focuses on generating revenue-producing opportunities to achieve the financial objectives of our establishment. Responsibilities include managing distribution channels and...


  • Pompano Beach, Florida, United States Chirocare Of Florida Holdings Llc Full time

    Job OverviewAbout Our Organization:Chirocare Of Florida Holdings Llc is dedicated to providing exceptional orthopedic, pain management, and chiropractic services. We are currently looking for a meticulous and team-oriented Healthcare Billing Specialist to enhance our operations. The ideal candidate will combine clerical skills, technical knowledge, and...


  • Daytona Beach, Florida, United States The National Association for Stock Car Auto Racing (NASCAR) Full time

    About the RoleThe National Association for Stock Car Auto Racing (NASCAR) is seeking a highly motivated and driven individual to join our team as a Personal Ticket Sales Consultant. As a key member of our sales team, you will be responsible for generating ticket revenue through new business campaigns and renewal cycles.Key ResponsibilitiesDevelop and execute...


  • Daytona Beach, Florida, United States B. Braun Medical Inc Full time

    About B. Braun Medical Inc.B. Braun Medical Inc. is a leading provider of innovative medical products and services to the healthcare industry. With a strong commitment to patient safety and clinician satisfaction, the company develops, manufactures, and markets a wide range of products, including infusion therapy, pain management, nutrition, pharmacy...


  • Daytona Beach, Florida, United States HealthFund Solutions Full time

    Job SummaryWe are seeking a highly skilled and compassionate Medicaid Eligibility Specialist to join our team at HealthFund Solutions. As a key member of our healthcare team, you will play a critical role in ensuring that patients receive the coverage and care they need to get back on their feet.Key ResponsibilitiesConduct daily screenings to determine...


  • Daytona Beach, Florida, United States NASCAR Full time

    About NASCARNASCAR is a community of passionate individuals who care about our sport and are united in seeing it grow. We are a company unlike any other, where employees thrive and prosper in a close-knit, high-energy environment. Our success is driven by our employees, and we offer highly competitive salaries, a solid benefits package focused on wellness,...

  • Billing Specialist I

    2 weeks ago


    Boynton Beach, Florida, United States NYU Langone Full time

    Position Overview:We are seeking a dedicated Billing Specialist I to contribute to our revenue cycle operations. In this role, you will be responsible for submitting claims under general supervision, following up on outstanding balances, rectifying discrepancies, entering claim data, and submitting authorization requests to insurance providers. You will also...


  • Vero Beach, Florida, United States Medix Full time

    **Job Summary:**We are seeking an experienced Insurance Manager Collections Specialist to join our team at Medix. The successful candidate will be responsible for leading our collections efforts and ensuring the highest level of customer satisfaction.**Key Responsibilities:****Meet Revenue Budget:**Responsible for meeting monthly revenue budget for two...


  • Daytona Beach, Florida, United States Halifax Health Full time

    Job SummaryHalifax Health is seeking a highly skilled Financial Coordinator to join our Finance Department. As a key member of our team, you will be responsible for maintaining, improving, and utilizing our budget system to develop and monitor the annual operating budget of the health system.Key ResponsibilitiesLead the preparation and coordination of the...


  • Daytona Beach, Florida, United States Shaner Hotel Group Full time

    Job OverviewAs a vital member of our team, you will ensure the highest standards of cleanliness and guest satisfaction in our accommodations. Key ResponsibilitiesMaintain a flexible work schedule, including weekends and holidays.Address guest concerns promptly to guarantee satisfaction.Uphold cleanliness and quality standards throughout daily tasks.Adhere to...

  • Patient Advocate

    22 hours ago


    Daytona Beach, Florida, United States AYR Wellness Full time

    About the RoleWe are seeking a highly skilled and compassionate Patient Advocate to join our team at AYR Wellness. As a Patient Advocate, you will be responsible for providing exceptional customer service and creating a personalized experience for our patients.Key ResponsibilitiesCustomer Service: Provide knowledgeable and empathetic support to patients,...


  • Daytona Beach, Florida, United States HealthFund Solutions LLC Full time

    Job OverviewAt HealthFund Solutions LLC, we stand as a champion for uninsured individuals and collaborate closely with healthcare facilities. With extensive experience in the healthcare sector, we recognize the increasing necessity to assist a growing segment of the population who are without health insurance. Through various sponsorship initiatives,...