RCM Billing and Collections Specialist

3 days ago


Deerfield Beach, Florida, United States FHE Health Full time
{"title": "RCM Billing and Collections Specialist", "description": "About the Role

FHE Health is a leading healthcare institution dedicated to delivering high-quality, personalized treatment for individuals struggling with Behavioral Health Disorders. Our team is passionate about serving the South Florida community and the nation with our innovative healthcare services.

We are seeking an experienced RCM Billing and Collections Specialist to join our team. As a key member of our revenue cycle team, you will be responsible for ensuring accurate and timely claims processing, resolving discrepancies, and maintaining excellent relationships with insurance payers.

Key Responsibilities
  • Prepare, key, and review claims prior to reconciliation
  • Process claim corrections identified from the reconciliation
  • Experience with coding, CPT/HCPC, Revenue, and Diagnosis codes
  • Prepare, review, and transmit claims using billing software, including electronic and paper claim processing
  • Review claim rejections and correct errors, and rebill claims
  • Follow up on unpaid claims within the standard collection cycle timeframe
  • Check each insurance payment for accuracy and compliance with contract and usual and customary charges
  • Call insurance companies regarding any discrepancy in payments and underpayments
  • Call insurance companies for payment on open/unpaid claims
  • Identify and bill secondary or tertiary insurances
  • Review accounts with balances to identify next steps, including balances needing to be set as "collections" for balance due patient
  • Research and appeal denied claims
  • Answer patient or insurance telephone inquiries pertaining to assigned accounts
  • Transfer patient collection calls to the designated department
Requirements
  • High School or GED Diploma
  • Current CPR Certification or must be obtained
  • Crisis Prevention Intervention (CPI) Training or must be obtained
  • Minimum of 2+ years of experience in healthcare billing, collections for addiction/behavioral health treatment center
  • Knowledge of insurance guidelines
  • Competent use of computer systems, software, and 10 key calculators
  • Familiarity with CPT, ICD-10 Coding, and ASAM criteria
  • Effective communication abilities for phone contacts with insurance payers to resolve issues
  • Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds
  • Ability to work well in a team environment. Being able to triage priorities, delegate tasks if needed, and handle conflict in a reasonable fashion
  • Problem-solving skills to research and resolve discrepancies, denials, appeals, collections. A calm manner and patience working with either patients or insurers during this process
  • CPC, CSS, CAA, COC,CBP, CMC, CBCS certification preferred, not required
What We Offer
  • Medical
  • Dental
  • Vision
  • Supplemental Life
  • Disability
  • 401k
  • Personal PTO
  • Vacation Time
  • Employee Assistance Program
", "lang_code": "en-US"}

  • Deerfield Beach, Florida, United States The Learning Experience - World Headquarters Full time

    Job Title: Billing SpecialistCompany: The Learning Experience - World HeadquartersJob Overview:The Billing Specialist at The Learning Experience is responsible for overseeing all aspects of billing and collections for childcare facilities. This position requires close collaboration with management teams to guarantee precise and prompt invoicing. Key duties...


  • Vero Beach, Florida, United States KENSTAN LOCK AND HARDWARE Full time

    Job OverviewKENSTAN LOCK AND HARDWARE is in search of a dedicated Billing and Collections Specialist. The ideal candidate will possess exceptional organizational skills and a keen eye for detail, along with a solid grasp of fundamental accounting principles. Proficiency in both written and verbal communication is essential, as well as advanced computer...


  • 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...


  • Deerfield Beach, Florida, United States Waste Cost Solutions, Inc Full time

    Job OverviewWe are currently in search of a dedicated Billing and Collections Coordinator to enhance our financial team. This role involves managing invoicing, collection processes, and performing bank reconciliations.Key Responsibilities:High-Volume Invoicing: Ensure timely and accurate invoicing.Collections Management: Oversee the collection of outstanding...

  • Billing Coordinator

    2 weeks ago


    Deerfield Beach, Florida, United States The Learning Experience - World Headquarters Full time

    Job Title: Billing SpecialistCompany: The Learning Experience - World HeadquartersJob Overview:The Billing Specialist at The Learning Experience is responsible for overseeing all invoicing and collection operations for childcare facilities. This position requires close collaboration with management teams to guarantee precise and prompt billing. Key duties...


  • Deerfield Beach, Florida, United States The Learning Experience - World Headquarters Full time

    Job OverviewBenefits:401(k) PlanDental CoverageEmployee DiscountsHealth InsurancePaid Time OffParental LeaveTuition ReimbursementVision CoverageWellness ProgramsPosition Summary:The Billing Specialist is responsible for overseeing the billing and collection processes for childcare centers managed by TLE Corporate. This position requires effective...

  • Billing Specialist

    3 weeks ago


    Deerfield Beach, Florida, United States Andersen Material Handling Full time

    Job OverviewPosition Summary:The Billing Specialist is responsible for reviewing corporate job files and managing billing processes. This role involves processing accounts payable invoices and maintaining comprehensive job documentation. The ideal candidate will demonstrate meticulous attention to detail and possess strong time management skills.Key...


  • Deerfield Beach, Florida, United States The Learning Experience - World Headquarters Full time

    Job OverviewBenefits:401(k) PlanDental CoverageEmployee DiscountsHealth InsurancePaid Time OffParental LeaveTuition ReimbursementVision CoverageWellness ProgramsPosition Summary:The Billing Specialist is responsible for overseeing the billing and collection processes for childcare centers operated by TLE Corporate. This position necessitates close...


  • Deerfield Beach, Florida, United States The Learning Experience - World Headquarters Full time

    Job Title: Billing SpecialistCompany: The Learning Experience - World HeadquartersJob Overview:The Billing Specialist at The Learning Experience is responsible for overseeing all billing and collection operations within childcare facilities. This position requires close collaboration with management teams to guarantee precise and prompt invoicing. Key duties...


  • Fort Walton Beach, Florida, United States HCA Florida Heart and Lung Full time

    About the RoleBecome a vital member of our team as a Billing Accuracy Specialist at HCA Florida Heart and Lung. This position provides a unique chance to engage with a prominent healthcare organization and collaborate with a committed group of professionals.Benefits OverviewExtensive medical insurance with minimal copaymentComprehensive dental, vision, life,...


  • 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...


  • West Palm Beach, Florida, United States Wayne T. Hrivnak & Associates Full time

    Job SummaryWayne T. Hrivnak & Associates, a reputable law firm, is seeking a highly skilled Billing Specialist/Coordinator to join its team in West Palm Beach. The ideal candidate will possess excellent communication skills, attention to detail, and the ability to work effectively in a fast-paced environment.Key ResponsibilitiesRate Arrangements and...


  • 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 City of Deerfield Beach, FL Full time

    Salary: $22.66 Hourly Location: Central City Campus - City of Deerfield Beach, FL Job Type: Full-Time Department: Sustainable Management Division: Solid Waste Management Summary Objective The primary aim of this role is to support litter collection and field operations, assisting the sanitation supervisor, managing vehicle operations, and executing skilled...


  • Fernandina Beach, Florida, United States Sequium Full time

    Job OverviewSequium Asset Solutions is seeking a skilled Collection Specialist to join our team. As a Collection Specialist, you will be responsible for contacting consumers and negotiating repayment of outstanding debt obligations.Key Responsibilities:Contact consumers via phone to discuss outstanding debt obligationsNegotiate repayment plans with...


  • Fernandina Beach, Florida, United States Sequium Full time

    Job OverviewSequium Asset Solutions is seeking a skilled Collection Specialist to join our team. As a Collection Specialist, you will be responsible for contacting consumers and negotiating repayment of outstanding debt obligations.Key Responsibilities:Contact consumers via phone to discuss outstanding debt obligationsNegotiate repayment plans with...


  • 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 Walgreens Full time

    Job Summary:We are seeking a highly skilled Revenue Cycle Management Specialist to join our team at Walgreens. As a key member of our healthcare team, you will be responsible for performing transactional processes and transactions of basic complexity.Key Responsibilities:Process and Enter Transactions: You will be responsible for processing billing...


  • Sunny Isles Beach, Florida, United States Envision Staffing Solutions Full time

    Job OverviewPosition Summary: The Billing and Invoicing Specialist plays a crucial role in managing the billing processes for multiple locations. This position requires a detail-oriented individual who can efficiently handle invoicing and ensure accurate financial documentation.Key Responsibilities:Prepare and process daily documentation for customer...

  • Billing Specialist I

    3 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...