Accounts Receivable Coordinator

2 weeks ago


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

The Central Billing Office of North Florida Surgeons is actively looking for a dedicated Accounts Receivable Specialist to manage third-party Trizetto for claims oversight and ensure precise fee schedule reimbursements.

Key Responsibilities:

  • Analyze carrier performance in accordance with the established fee schedule.
  • Manage and resolve denials 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 thorough, 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, handling interactions with healthcare insurance companies through follow-ups and correspondence during appeals or denial resolutions.
  • Correct billing discrepancies, edits, overlaps, etc., and submit accurate claims.
  • Evaluate payment variances and remittances for prompt resolution regarding patient and/or insurance refunds.
  • Identify payer-related issues or trends and promptly inform management, providing specific examples for review.
  • Perform additional duties as assigned.

Qualifications:

  • High school diploma is required; coursework in coding and billing is advantageous.
  • Additional training in Athena and Trizetto is beneficial.
  • Proficiency in computer applications is essential.

This is a full-time position with a standard schedule from Monday to Friday.



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