Claims Processor - PFS - Government Team

UF Health - Shands
Job Description
Job ID: 77846
Full/Part Time: Full-Time
Regular/Temporary: Regular
Department: PFS - Government Team
Shift/Days: 8 a.m. - 5 p.m., Monday-Friday
Posted FTE: 1.00 = 40 Hours
 
Job Opening Summary
Researches and reviews bills for completeness and to ensure payer-specfic guidelines are met for correct billing to third-party payers. Makes collection calls and checks various payer systems to pursue payment of third-party claims. Makes appropriate determination for contractual adjustments, verifies system balances and 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 of billing/collection experience in hospital and/or physician's office or a minimum of one year of experience in business setting dealing with finance, accounting, insurance or collection 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 ability to communicate well with others, 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.
  • Knowledge of medical terminology preferred.
  • Prefer experience with computerized insurance billing system and Microsoft Excel.

*** Minimum Pay Rate - Hourly: $14.70
*** Midpoint Pay Rate - Hourly: $18.15

Internal Applicants - Apply Here 

We invite you to join our team! Our work and passion for excellence are intended to have an impact beyond the communities in which we serve. You may apply for a maximum of 10 positions at any given time. For general application process topics please review our Frequently Asked Questions. For technical assistance please contact Human Resources at 352-265-0441.


UF Health Shands Hospital is committed to diversity as a competitive advantage in attracting top talent from across the nation and around the world. We believe in sharing knowledge, learning from one another, valuing different opinions, and celebrating the things that make each one of us unique in our own right. UF Health Shands Hospital is an equal opportunity employer and drug-free workplace. Equal Opportunity Employer M/F/D/V

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