Accounts Receivable Coordinator
2 months ago
The Central Billing Office of North Florida Surgeons is actively looking for a dedicated Accounts Receivable Coordinator to manage third-party Trizetto for claims processing and ensure precise fee schedule reimbursements.
Key Responsibilities:
- Analyze carrier performance in accordance with the established fee schedule.
- Manage denial cases effectively.
- Exhibit strong verbal and written communication abilities.
- Demonstrate effective problem-solving skills and the capacity to make independent decisions.
- Collaborate efficiently within a team setting.
- Conduct consistent, assertive, and timely follow-ups on accounts as directed by management.
- Comprehend and interpret payer contracts, Remittance Advices (RA), and Explanation of Benefits (EOB) statements proficiently.
- Possess experience with Medicare, Medicaid, and/or third-party payers in navigating healthcare insurance companies through phone follow-ups and written correspondence during appeals or denial resolutions.
- Rectify billing discrepancies, edits, overlaps, etc., and submit accurate claims.
- Examine payment variances and remittances for prompt resolution regarding patient and/or insurance refunds.
- Identify payer-related issues or trends and inform management promptly, providing concrete examples for review.
- Perform additional duties as assigned.
Qualifications:
- A minimum of a high school diploma; coursework in coding and billing is advantageous.
- Additional training in Athena and Trizetto is beneficial.
- Proficiency in computer applications is required.
This is a full-time position with a schedule from Monday to Friday.
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