Full-Time Tampa Accounts Receivables (AR) - Healthcare

Claims Management

• Track claims to ensure timely processing and reimbursement.
• Identify and address claim rejections and denials promptly.

Accounts Receivable Monitoring

• Reconcile payments and outstanding balances for buy-and-bill medications.
• Maintain detailed records of payer communications and payment status.
• Follow up on unpaid or underpaid claims.

Insurance Verification

• Compliance and Documentation:
• Ensure claims comply with payer policies, coding standards, and regulations.
• Maintain organized and accurate documentation for audit purposes.

Process Improvement

• Identify opportunities to optimize the buy-and-bill billing process.
• Implement solutions to enhance efficiency and reduce denials.

Knowledge, Skills and Abilities

• Advanced knowledge of medical terminology, ICD 10, CPT, HCPCS coding and HIPAA requirements.
• Ability to communicate effectively, both orally and in writing.
• Demonstrated proficiency in the use of computer and commonly used software, including electronic medical records (EMR).
• Extensive knowledge and experience with commercial, government and state billing and reimbursement procedures.
• Proficiency in insurance verification, prior authorization, and AR follow-up.
• Attention to detail, organizational skills, customer service orientation, and analytical thinking.

Qualifications

• Minimum Education:
• A High School Diploma or equivalent.
• A College degree preferred.
• Minimum Experience:
• 2 years medical billing, pharmacy billing, or revenue cycle management, particularly in buy-and-bill processes.