Accounts Receivable Coordinator

2 months ago


Jacksonville, Florida, United States North Florida Surgeons Full time
Position Overview

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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