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Pensacola

    revenue cycle coordinator - Pensacola, United States - Baptist Health Care

    Baptist Health Care
    Baptist Health Care Pensacola, United States

    6 days ago

    Default job background
    Description

    Overview:

    The Revenue Cycle Coordinator will be responsible for maintaining all essential functions related to the revenue cycle and medical records compliance including, but not limited to account management, insurance verification, and billing/collections. Team members will cross-train within the business office to allow for smooth, fluid systems within the revenue cycle.

    Qualifications:
    • High School Diploma or General Education Degree
    • One (1) year of relevant healthcare revenue cycle experience is required. ACS setting is preferred.
    • Knowledge of Medical terminology; CPT coding and NCCI, ICD 10 CM and HCPCS; Medicare Rules & Regulations related to covered services, billing, ABN and Medical Necessity Requirements (LCD); Medical Records Compliance Request for Reimbursement (Pre & Post Procedure); Coordination of Benefits; Third Payer Medical Policies; Pre-Certification Rules & Authorization Requirements; Fair Debt Collection Act; Workers Compensation Rules (Florida & Out of State) and PIP Rules. Understanding Payer Contract Language and Applying Optimum Customer Service. Knowledge of Coordination of Benefits. Billing and Payment Rules.
    • Denial Management. Logical Math and Computer Skills.
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