**Revenue Cycle Specialist** **REMOTE!** **All the benefits and perks you need for you and your family:** + Benefits from Day One + Paid Days Off from Day One + Career Development + Whole Person Wellbeing Resources **Our promise to you:** Joining AdventHealth is about being part of something bigger. Its about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that **together** we are even better. **Schedule:** Full-time **Shift** :Day **Location:** AdventHealth Daytona Beach REMOTE **The community you'll be caring for:** 301 MEMORIAL MEDICAL PKWY, Daytona Beach, 32117 **The role you'll contribute:** The Revenue Cycle Specialist will be responsible for follow up on Third Party Claim Reimbursements for the identification, billing and collection of payments. Under the direction of the Manager will be responsible for handling all functions relative to these areas. Responsible for providing support and service to all AHS Facilities in the AdventHealth East Division. **The value you'll bring to the team:** + Responsible for performing and processing accurate billing procedures for all payors, electronically through SSI (a medical claims management system that assists Florida Hospital Patient Financial services (FH PFS) insurance reimbursement team with claims editing and validation). Works independently, meeting time and daily deadlines in an accurate and efficient manner, communicating any issues to leadership. + Ensures expeditious and accurate insurance reimbursement for all Government and Managed Care payors. Updates a high volume of daily claims appropriately in SSI system. Appropriately determines, initiates, and follows through on the status of claims in SSI, such as place on hold, delete, or assigns account error to responsible, supporting department. Documents billing, follow-up and/or collections step(s) that are taken as well as the result and next step needed to resolve the assigned payment + Monitors and audits status of errors assigned to other areas or PFS teams for all payors daily, ensuring timely follow up and expeditious billing. Communicates with key management staff and supporting department partners effectively and professionally, to ensure key metrics are being addressed timely. Assist in identifying key trends as applicable or opportunities for improvement. + Maintains communication between external or contracted agencies, business vendors and partners, FH department (i.e. Revenue Management, Laboratory, Contract Management, Case Management, Payors, etc. ) ensuring compliance between external relationships, knowledge of contractual terms, and performance protocols. Informs leadership of any foreseeable issues with partners. Assists Customer Service with Patient concerns/questions to ensure prompt and accurate resolution is achieved. + Processes and records agency audit notifications and responds in designated timeframe to ensure compliance with government and/or contractual requirements for timely response. **The expertise and experiences you'll need to succeed:** **Minimum qualifications** : + High School Grad or Equiv Required + 1 experience in healthcare, finance, accounting, banking, insurance, or related fields. Required + 1 college can be substituted for experience. Required This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location. **Category:** Patient Financial Services **Organization:** AdventHealth Daytona Beach **Schedule:** Full-time **Shift:** 1 - Day **Req ID:** 25036236 We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.