PFS Claims Processor

2 months ago


Leesburg Florida, United States UF Health Full time
Job Summary

We are seeking a highly skilled Claims Processor to join our team at UF Health Leesburg Hospital. As a Claims Processor, you will play a critical role in ensuring the financial integrity of our organization by processing and expediting billing and collection processes.

Key Responsibilities
  • Review claims for accuracy and ensure compliance with payer-specific guidelines
  • Makes payer calls and/or utilizes payer portals/resources systems to pursue payment of third-party claims
  • Make appropriate determinations for contractual adjustments, verify system balances, calculate and post adjustments
  • Ensure financial integrity of Central Florida Health by processing and expediting billing and collection processes
Requirements
  • High School Diploma/GED
  • Must be able to read, write, speak and understand English
  • Requires six months billing/collection experience in hospital and/or physician's office or a minimum of one year experience in business setting dealing with finance, accounting, insurance portal systems
  • Experience in Blue Cross, Medicare, Medicaid and/or other Third-Party payer billing or collections preferred
  • Must have above average math skills and be proficient on a calculator
  • Must be able to demonstrate the ability to communicate well with others and work independently under pressure and consistently achieve desired results
  • Must be able to deal effectively with the public and be able to use good judgment in the pursuit of resolving accounts
  • Medical terminology preferred
  • Prefer experience with computerized insurance billing system and Microsoft programs
About UF Health

Since the doors opened more than 60 years ago, UF Health Leesburg Hospital has continued to build upon its reputation as a leading medical center and the most comprehensive provider of health care services in the region. The hospital offers advanced cardiovascular care, including one of the largest open-heart programs in Florida.