Claims Processor - PFS - Non-Government Team - Gainesville
Company: UF Health Shands at the University of Florida (Gai
Posted on: January 18, 2023
Job Opening Summary Researches and reviews claims for accuracy
and to ensure payer specific guidelines are met for correct billing
to third party payers. Makes payer calls, and/or utilizes payer
portals/resources systems to pursue payment of Third Party claims.
Make appropriate determination for contractual adjustments,
verifies system balances, calculates and post adjustments. Ensures
financial integrity of Shands HealthCare by processing and
expediting billing and collection processes.Job Opening
Qualifications Minimum Education and Experience
Requirements:Minimum high school graduate or equivalent. Prefer
some college level business, finance or accounting courses.
Requires six months billing / collection experience in hospital
and/or physicians office or a minimum of one year experience in
business setting dealing with finance, accounting, insurance portal
systems. Experience in Blue Cross, Medicare, Medicaid and/or other
Third Party payer billing or collections preferred. College
education may be substituted for experience. Must have above
average math skills and be proficient on a calculator. Must be able
to demonstrate the ability to communicate well with others and work
independently under pressure and consistently achieve desired
results. Must be able to deal effectively with the public and be
able to use good judgment in the pursuit of resolving accounts.
Medical terminology preferred. Prefer experience with computerized
insurance billing system and Microsoft programs. Motor Vehicle
Operator Designation:None provided
Keywords: UF Health Shands at the University of Florida (Gai, Gainesville , Claims Processor - PFS - Non-Government Team - Gainesville, Government & Protective Services , Gainesville, Florida
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