Reimbursement Specialist II

4 weeks ago


Sarasota, United States Sarasota Memorial Hospital Full time

Job Summary:

Provides administrative support responsible for accurate and timely posting of Surgery, Emergency Room (ECC) charges for either SMHCS or North Port, hospital wide observation charges, or Delivery/High Risk Antepartum/Testing/Triage charges, under the direction and supervision of Revenue Cycle Management. Provides compliant charging practices for all payors by reviewing the medical record for appropriate clinical documentation that supports the accuracy of charges. Independently resolves Surgery, Emergency Room, Observation, or Delivery/ High Risk Antepartum/Testing/Triage charge Correct Coding Initiative (CCI) edits. Performs other reimbursement assignments to resolve billing, coding, or collection issues. Interacts with clinical staff to educate and improve clinical documentation that supports the accuracy of care provided and charges posted. Assists Revenue Cycle staff in providing information to support appeals or audits. Acts as a leader, mentor, and trainer to other Reimbursement Specialists.

Required Qualifications:

- Require a minimum of four (4) years of health care experience involving charging practices and patient flow processes.
- Require coding certification.

Preferred Qualifications:

- Prefer clinical certification from a recognized health care credentialing organization in a specialty area (i.e. RRA, RT, VI, CI, RCIS, RVS, SCFA and CST).
- Prefer demonstrated interpersonal and communication skills.
- Prefer working knowledge of commonly used computer applications.
- Prefer the ability to work with minimal supervision.
- Prefer demonstrated proficiency with medical terminology.
- Prefer demonstrated proficiency with specific charging and coding as it applies to various departments (i.e. Surgery, Emergency Room, Observation, or Delivery/High Risk Antepartum/Testing/Triage).

Mandatory Education:

HS EQ: High School Diploma, GED or Certificate

Preferred Education:
Required License and Certs:
Preferred License and Certs:

  • Sarasota, Florida, United States Sarasota Memorial Health Care System Full time

    Job Summary: Provides administrative support responsible for accurate and timely posting of Surgery, Emergency Room (ECC) charges for either SMHCS or North Port, hospital wide observation charges, or Delivery/High Risk Antepartum/Testing/Triage charges, under the direction and supervision of Revenue Cycle Management. Provides compliant charging practices...


  • Sarasota, United States Scanco Full time

    Job DescriptionJob DescriptionSalary: $60,000/yearJob Summary    The role of the Quality Assurance Specialist II is to execute manual test cases, perform functional confidence and regression testing prior to deployment to identify and report defects, analyze product requirements, identify and author test cases, and perform risk analysis to...


  • Sarasota, United States Hiregy Full time

    Job ID 19736 – Customer Service Representative (P&C)PIA P&C Support Specialist (Tier II)Location: Sarasota, 34232 – This position is onsitePay: $20.00 per hourType:  Contract, ends 7/6/2024 with likely extensionBenefits available during the contract periodJob description: Responds to inbound calls and place outbound calls as required by the...


  • Sarasota, United States Lutheran Services Florida Full time

    #nowhiring Lutheran Services Florida (LSF) envisions a world where children are safe, families are strong and communities are vibrant. LSF is looking for talented Youth Care Specialists who want to make an impact in the lives of youth. Purpose & Impact: This is a direct service delivery position. The Youth Care Specialist supervises youth in residence,...


  • Sarasota, United States Lutheran Services Florida Full time

    #nowhiring Lutheran Services Florida (LSF) envisions a world where children are safe, families are strong and communities are vibrant. LSF is looking for talented Youth Care Specialists who want to make an impact in the lives of youth. Purpose & Impact: This is a direct service delivery position. The Youth Care Specialist supervises youth in residence,...

  • Start-Up Specialist

    4 weeks ago


    Sarasota, Florida, United States Pool Troopers Full time

    As a Start-Up Specialist with Pool Troopers, you will have a rewarding career with opportunities for growth and advancement. In this position, you will be responsible for identifying services sales opportunities for new and prior customers. Start-Up Specialists may occasionally work outdoors and will be trained on pool cleaning and chemical services....


  • Sarasota, United States Quantum Education Professionals Full time

    Job DescriptionJob DescriptionQuantum Education Professionals is looking for a Behavior Specialist, school-based placement in Sarasota, FL. The position is for the 2024-25 school year for in-person learning.We offer competitive pay, great benefits, incredible personal and professional support, and much, much more. The ideal candidate for this position has...


  • Sarasota, United States HMSHost at Sarasota–Bradenton International Airport Full time

    With a career at HMSHost, you really benefit! We offer: Health, dental and vision insurance Generous paid time off (vacation, flex or sick) Holiday pay Meal and Transportation Benefits 401(k) retirement plan with company match Company paid life insurance Tuition reimbursement Employee assistance program Training and exciting career growth...


  • Sarasota, United States HMSHost Full time

    With a career at HMSHost, you really benefit! We offer: Health, dental and vision insurance Generous paid time off (vacation, flex or sick) Holiday pay Meal and Transportation Benefits 401(k) retirement plan with company match Company paid life insurance Tuition reimbursement Employee assistance program Training and exciting career growth...

  • Case Manager II

    2 weeks ago


    Sarasota, United States HealthSouth Full time

    Case Manager Career Opportunity Recognized for your abilities as a Case Manager Are you ready for a Case Management role that brings your career closer to home and heart? Join Encompass Health, where being a Case Manager goes beyond just a job; it positions you as a vital link between exceptional care and the transformative impact on each patient's journey....


  • Sarasota, United States Sarasota Caregivers Full time

    **Available Shifts for Your Next Care Client in Bradenton, FL!** - 6 - 8 - 10 Hour Day Shifts between [8am - 8pm] - 12 Hour Day Shifts between [8am - 8pm] - 12 Hour Night Shifts between [8pm - 8am]- You have at least 1 year Caregiving Experience or CNA, HHA? - You have a valid D.L. & Personal Vehicle with Insurance? - You can pass a Level II Background Check...


  • Sarasota, Florida, United States Sarasota Memorial Health Care System Full time

    Job Summary: Performs collection functions for First Physician Group. Reviews charges and verifies appropriate usage of modifiers, CPT-4, ICD-9 and ICD-10 code ensure appropriate reimbursement. Analyzes and corrects claims to ensure accurate and timely claims submission. Sets up account for Client Services and collects past due balances. Responsible for...


  • Sarasota, United States Sarasota Caregivers Full time

    **Available Shifts for Your Next Care Client in Sarasota!** - [8am - 8pm] Mon - Fri, Sat - Sun - What Schedule Do You Want? Click APPLY on indeed!_**Before You Apply! Do You Qualify?** - You have at least 1 year Caregiving Experience or CNA, HHA? - You have a valid D.L. & Personal Vehicle with Insurance? - You can pass a Level II Background Check & Drug...


  • Sarasota, United States Sarasota Caregivers Full time

    **Caregiver, HHA, CNA - Immediately Hiring in Sarasota** Are You Experienced + Calm & Collected? Client can be aggressive. Dementia Care & Incontinence Care and Hospice Care!**Ask Yourself **These Questions BEFORE You Apply - You have at least 1 year Caregiving Experience or CNA, HHA? - You have at least 1 year Hospice Care Experience? - You have at least 1...


  • Sarasota, United States DSE and WS Media Full time

    Primary responsibilities: - Respond to customer support and service call requests. - Open and escalate tickets with vendor support groups, and follow to completion. - Maintain required paperwork: checklists, audit workbooks and ticketing systems. - Document change management process and production changes as necessary. - Propose solutions in a team setting,...

  • Registered Nurse

    12 hours ago


    Sarasota, United States Florida Cancer Specialists, P.L Full time

    Registered NurseDate Posted: 2024-02-06 Country: United States of America Location: Sarasota Downtown Office WHY JOIN FCS At Florida Cancer Specialists & Research Institute, we believe our people are our strength and we invest in them. In addition to having a positive impact on the people and communities we serve, associates benefit from significant...


  • Sarasota, United States DSE and WS Media Full time

    Job DescriptionJob DescriptionPrimary responsibilities:· Respond to customer support and service call requests.· Open and escalate tickets with vendor support groups, and follow to completion.· Maintain required paperwork: checklists, audit workbooks and ticketing systems.· Document change management process and production changes as necessary.· Propose...


  • Sarasota, United States Operation Par Inc. Full time

    Job DescriptionJob DescriptionCompany vehicle and tools provided. This position requires traveling as needed to different work sites from Bradenton, Sarasota, Port Charlotte and Fort Myers.ABOUT THE ORGANIZATION:Operation PAR, Inc. is a non-profit organization offering the full continuum of services for individuals with substance use and/or mental health...

  • Pharmacy Technician

    14 hours ago


    Sarasota, United States Florida Cancer Specialists Full time

    Date Posted: 2024-03-13 Country: United States of America Location: Sarasota Downtown Office WHY JOIN FCS At Florida Cancer Specialists & Research Institute, we believe our people are our strength and we invest in them. In addition to having a positive impact on the people and communities we serve, associates benefit from significant professional...


  • Sarasota, United States Florida Cancer Specialists Full time

    Date Posted: 2024-05-06 Country: United States of America Location: Sarasota Downtown Office WHY JOIN FCS At Florida Cancer Specialists & Research Institute, we believe our people are our strength and we invest in them. In addition to having a positive impact on the people and communities we serve, associates benefit from significant professional...