Payment Recovery Specialist jobs in Clearwater, FL
Payment Recovery Specialist is responsible for analysis of denied reimbursement claims. Ensures appropriate insurance coverage for compliance standards and revenue generation. Being a Payment Recovery Specialist monitors, evaluates, and reviews all cost reporting in support of claims. Coordinates with departments and insurance companies to correct errors as necessary. Additionally, Payment Recovery Specialist requires a bachelor's degree in area of specialty. Typically reports to a supervisor or manager. To be a Payment Recovery Specialist typically requires 4 to 7 years of related experience. Contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. (Copyright 2024 Salary.com)
Recently Added Payment Recovery Specialist jobs
Billing and Payment Posting Specialist
- ENT Associates, Inc.
-
Clearwater, FL
FULL_TIME
-
Position Summary: The Billing and Payment Posting Specialist is responsible for understanding insurance EOB’s, processing insurance and patient refunds, and posting of insurance and patient payments. This role works closely with departmental management and coordinates with Physicians.Reports to: The Billing and Payment Posting Specialist reports directly to the CBO DirectorFlexibility: While this job description is meant to provide an overview and specific responsibilities of the Billing and Payment Posting Specialist, ENTA Management reserves the right to make changes, adjustments, and revisions, as needed, to this document and will coordinate such modifications with ENTA’s Practice Administrator and Physicians. While the normal work week is 40 hours, you may be subject to overtime (not to exceed 50 hours per week).Summary of General Duties:
- Maintaining and clearing of exceptions in the Encoda Payment Manager dashboard daily.
- Daily review of outstanding checks, calling payers to identify delays and/or processing a replacement check.
- Reviewing and completing the weekly statement reports to ensure any monies are moved to avoid unnecessary statement delivery to patients.
- Research and answers billing and documentation questions or problems, submitted by staff, billing staff, and others to ensure compliance with specific payer regulations.
- Posting of all payments and rejections (manual & electronic) in Prime Suite.
- Processing and Handling of all patient and insurance refunds.
- Maintain and movement of payments from credit to line-item charges, ensuring patient credit balance accuracy.
- Completes daily and month-end closing.
- Updates patient demographics for insurance related issues in order to accurately process claims.
- Investigating and updating any returned patient statements via mail.
Working Environment:- Physical demands:
- Average percent of time during regular shift devote to:
- Walking, Squatting, Sitting, Bending, Reaching: 75%
- Standing: 25%
- Average lifting requirements:
- Lifting Requirements: 20-40 lbs.
- Frequency of Lifting: 0-25% of the time
- Additional physical demands:
- Ability to grasp with both hands; pinch with thumb or forefinger; turn with hand/arm; reach for (above shoulder height).
- Ability to type 60 wpm.
- Ability to operate multi-line telephone system, computer keyboard and ten-key adding machine.
- Average percent of time during regular shift devote to:
- Visual, Hearing, and Mental demands: Vision adequate to perform essential functions such as read telephone displays/computer terminals for long periods of time, correctable to 20/20. Hearing is adequate to perform essential functions such as answering the telephone. Mental capacity adequate to perform essential functions such as quickly and accurately entering patient demographics and scanning documents while checking in multiple patients. Tact to deal with unfriendly individuals regarding various situations, and adequately handle stress.
- Working Conditions: Normal business office environment. Requires individual to be in uniform daily. Required to exhibit a positive attitude and a professional appearance and show great detail and accuracy. Required to exhibit quality performance of the essential job functions to help the office run effectively and efficiently.
Position Requirements:- High School education or GED equivalent.
- Minimum of 2 years’ experience in physician office performing patient billing and collections required.
- Patient collections
- Patient and insurance payment posting
- Understanding of EOB payment and denial reason codes.
- Understanding of insurance verifications and patient responsibilities.
- Previous experience in accounting or bookkeeping preferred.
- Previous computer skills on Physician Practice Management System and/or windows application with mouse.
- Ability to communicate effectively with patients, physicians, and staff in a courteous manner.
- Ability to analyze cost/reimbursement of accounts.
- Medical Terminology including CPT-4 procedure coding. ICD-9 diagnostic coding, and HCPCS coding preferred.
- The ability to attend work on a regular basis
- The ability to adhere to safety rules and other reasonable regulations pertaining to the job
- The ability to refrain from negativity or excessive irritability
- The ability to work in cooperation with other workers
- 25 Days Ago
Recovery Peer Specialist
- Operation Par Inc.
-
Largo, FL
FULL_TIME
- 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 disorders. PAR has been providi...
- 17 Days Ago
Veteran Recovery Specialist
- BOLEY CENTER
-
Clearwater, FL
FULL_TIME
- ABOUT THE ORGANIZATION: Established in 1970, Boley Centers, Inc., is a private, non-profit organization serving individuals with mental disabilities, individuals and families who are homeless, Veteran...
- 19 Days Ago
Recovery Support Specialist I
- BayCare
-
Port Richey, FL
FULL_TIME
- At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatie...
- 12 Days Ago
Risk Analyst
- Certegy Payment Solutions, LLC
-
Clearwater, FL
FULL_TIME
- Summary Description At Certegy, we’re helping to change the payments landscape by providing faster, and more efficient ways to securely connect retailers and consumers. Our technology provides both tr...
- 22 Days Ago
Payment Poster
- Advanced Urology Institute LLC
-
Clearwater, FL
FULL_TIME
- DescriptionThe Payment Posting Specialist is responsible for accurate and timely posting of insurance and patient payments, reconciliation of bank deposits, and appropriate use of applicable adjustmen...
- 16 Days Ago
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0 Payment Recovery Specialist jobs found in Clearwater, FL area
Asset Protection - Agent - International Plaza
- Nordstrom, Inc.
-
Tampa, FL
- Job Description Asset Protection Agent The ideal Asset Protection Agent prevents the loss of company property while main...
- 4/26/2024 12:00:00 AM
Reverse Mortgage Originator Development Program
- Mutual of Omaha Mortgage
-
Tampa, FL
- Job Description Job Description This is a great opportunity to launch your career into the reverse mortgage industry wit...
- 4/25/2024 12:00:00 AM
Collections Specialist / Recovery Agent
- The Axiom Group / Full Circle Financial Services
-
Tampa, FL
- Job Description Job Description Full Circle Financial Services, LLC, part of The Axiom Group, has an excellent opportuni...
- 4/25/2024 12:00:00 AM
Collections Representative
- MCI Careers
-
Tampa, FL
- LOCATION: Tampa, FL JOB TYPE: Full-Time & Part-Time PAY TYPES: Hourly + Bonus SALARY: $13.10 - $17.10 / hour BENEFITS & ...
- 4/24/2024 12:00:00 AM
Recovery Specialist, Customer Service
- Sherloq Solutions
-
Tampa, FL
- Are you looking to work for a high-energy, fast-paced company that fosters a team environment? Do you want to work where...
- 4/22/2024 12:00:00 AM
Grants Manager - FEMA Public Assistance
- AtkinsRealis
-
Tampa, FL
- Why join us? It's an exciting time at AtkinsRalis! We are rapidly growing in the US. Our company purpose is to build a b...
- 4/22/2024 12:00:00 AM
Store Operations Specialist
- At Home Stores LLC
-
Clearwater, FL
- Job Description @page { size: 8.27in 11.69in; margin: 0.79in } p { line-height: 115%; margin-bottom: 0.1in; background: ...
- 4/22/2024 12:00:00 AM
Physical Therapist
- FYZICAL Therapy & Balance Center of Clearwater
-
Clearwater, FL
- Job Description Job Description Accelerate your career within a fast-paced, innovative environment when you join the FYZ...
- 4/22/2024 12:00:00 AM
About Clearwater, Florida
Clearwater is a city located in Pinellas County, Florida, United States, northwest of Tampa and St. Petersburg. To the west of Clearwater lies the Gulf of Mexico and to the southeast lies Tampa Bay. As of the 2010 census, the city had a population of 107,685. Clearwater is the county seat of Pinellas County and is the smallest of the three principal cities in the Tampa-St. Petersburg-Clearwater metropolitan area, most commonly referred to as the Tampa Bay Area.
Cleveland Street is one of the city's historic avenues, and the city includes Spectrum Field and Coachman Park. The city is separated ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Payment Recovery Specialist jobs
$45,606 to $60,005
Clearwater, Florida area prices
were up 1.1% from a year ago
were up 1.1% from a year ago