Revenue Cycle Specialist - Collector United Surgical Partners International Inc (USPI) Position Overview: Reporting to the Client Operations Manager, the Revenue Cycle Specialist - Collector must have a strong knowledge of medical collections, accounts receivables, insurance billing and verification, denial processing, appeal submission and EOB review. This position is responsible to resolve outstanding surgical claims resulting in maximum reimbursement. Responsibilities: Timely follow-up and resolution on all outstanding A/R including unpaid/underpaid/denied claims for all payers including self-pay to obtain maximum reimbursement. Manage daily work queue to prioritize high dollar claim balances. Review & work incoming insurance and patient correspondence including refund requests. Send appeals when appropriate or provide the requested medical documentation. Ability to review medical documentation to justify medical necessity. Review patient balances to ensure accuracy and follow up with patients to obtain payments. Take incoming patient phone calls to resolve inquiries, billing issues, or outstanding balances. Review insurance payments and determine accuracy of reimbursement based on contracts, fee schedules or summary plan documents. Leverage knowledge of Medicare, state Medicaid, and local coverage determinations (LCD’s) for claim resolution. Negotiate payment amounts for procedures with Third Party Administrators for out of network providers. Recommend an adjustment when applicable or recommend a refund for overpayments to insurance carriers or patients, providing the appropriate documentation. Required Skills Requirements: 2+ years of ASC revenue cycle OR orthopedic collections experience. Ability to read and interpret insurance explanations of benefits and managed care contracts. Must communicate effectively, both verbally and in writing, with internal and external clients. Must be able to multi-task and handle competing priorities while meeting or exceeding deadlines. Knowledge or experience working with a variety of health care insurance payers is preferred. Intermediate computer proficiency in Microsoft Office including Excel and Outlook. Advantx, Vision, HST, Waystar experience preferred. High School Diploma or equivalent.%58047475% %%finance%% Tampa, FL, USPosted an hour ago Trust and Safety Counselor - ON SITE. PSG Global Solutions The On-site Trust and Safety Counselor establishes a trusted relationship with the personnel they support through one-on-one and group sessions, as well as ongoing wellness programming, specifically designed to improve resiliency and mitigate the impact of viewing disturbing images and content. Our Counsellors compassionately help employees with personal, family and work-related concerns, so they feel more supported and able to perform at their best in all aspects of their lives. Port Saint Lucie, FL, USPosted an hour ago Special Agent: Healthcare Services/Medical Background. Federal Bureau of Investigation FBI Special Agents apply their professional expertise and unique skills sets to their work and role every day. Special Agents come from many professional backgrounds including previous roles in medical fields such as nurses and therapists. We need Special Agents who are logical thinkers, those with prior scientific work experience and knowledge to aid in investigations of healthcare (medical, dental and vision) fraud and insurance and government program abuse and evidence collection. Miami, FL, USPosted an hour ago Dental Hygienist (RDH) Aspen Dental At Aspen Dental, we put You 1st with world-class development plus industry-leading pay. Join our team today as a Dental Hygienist! Job Types: Part-time (Fridays) Salary: $38 - $43/ hour plus uncapped incentive plan What YOU receive when you join the Aspen team: Competitive compensation with unlimited bonus potential 4 out of 5 of our hygienists earned an incentive payout, with the average monthly earnings of over $1800 Top 10% of hygienists earned an average compensation of $121k Benefits package that includes health, dental, vision, 401(k) savings plan with match*, paid time off, and more New in 2024, part-time employees are eligible for full benefits including healthcare Scheduling options to fit your life, part-time, full-time, and PRN* Dedicated hygiene support team for coaching and mentorship Career growth opportunities chair side and beyond Access to state-of-the-art technology and equipment including the Trios® 3D intra-oral scanner and our Digital Dental Assistant used for voice-activated perio charting Ongoing in-person and virtual training through TAG U online in a variety of topics; clinical, operations, management, and leadership Free continuing education (CE) A fun and supportive culture that encourages collaboration and innovation You’ll Achieve Success by: Being a key partner in developing patient care plans alongside the doctor, using the American Academy of Periodontology (AAP) guidelines Managing your schedule to allow for comprehensive patient care and education. Expanding your knowledge and skills through structured continuing professional development Working collaboratively with other members of the dental team to provide exceptional patient care Qualifications: Associate degree or higher in dental hygiene from an accredited institution Active dental hygiene license in the state of practice Strong communication and interpersonal skills, with the ability to build rapport with patients of all ages and backgrounds At Aspen Dental, we put You first, offering the security and job stability that comes with working with a world-class dental support organization (DSO) while still centering all we do on YOU and your patients. We're not just about serving our patients - we also believe in giving back to the community. Our mission is to make dental care accessible to all while providing exceptional care to our patients. And we don't just talk the talk - we've donated over $26 million in free dental care to US veterans, underserved communities, and overseas. Aspen Dental-branded practices are independently owned and operated by licensed dentists. The practices receive non-clinical business support services from Aspen Dental Management, Inc., a dental support organization. *May vary by independently owned and operated Aspen Dental locations. ADMI Corp., d/b/a TAG-The Aspen Group, its affiliates, related companies and independently owned supported clinical practices are proud to be Equal Opportunity Employers and welcome everyone to apply. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, or protected veteran status and will not be discriminated against on the basis of disability. Yulee, FL, USPosted an hour ago Travel Radiology - CT Techologist $2360/wk. Nomad Health To apply for a travel radiology technologist or x-ray technician job with Nomad Health, you must have an active ARRT certification, evidence of at least one year of CT Scan experience as a rad tech, and evidence of at least one year of experience within your speciality/modality within the last three years. You must have also graduated from an accredited school within your discipline, and score at least 80% on all Nomad competency assessments. We have a number of jobs to support different types of ARRT-issued certifications, including nuclear med techs, radiation therapists, and more. Atlantis, FL, USPosted 2 hours ago Travel Registered Nurse RN Telemetry. OneStaffMedical We. Are. OneStaff. Medical. An independently - owned, nationally - recognized and amazingly awesome staffing firm ready to work for you! A work ethic forged in the Midwest, we are here to stand by your side and help you find your dream assignment anywhere in this great country. We want the same like - minded, awesome candidates to travel with us. Be bold. Enjoy work again. Let us help. VERO BEACH, FL, US, 32960Posted 3 hours ago New Grad RN. HCA Florida Fawcett Hospital The HCA Healthcare StaRN Residency Program is a year-long program designed to give you hands-on experience to help establish valuable clinical and critical thinking skills. As a Resident I Graduate Nurse you will be surrounded by a supportive community of nurse educators, experienced nurses, and fellow residents that promote learning, clinical application, and socialization, shepherding you through the transition from student nurse to registered nurse. Port Charlotte, FL, US, 33952Posted 3 hours ago New Grad RN. HCA Florida Citrus Hospital The HCA Healthcare StaRN Residency Program is a year-long program designed to give you hands-on experience to help establish valuable clinical and critical thinking skills. As a Resident I Graduate Nurse you will be surrounded by a supportive community of nurse educators, experienced nurses, and fellow residents that promote learning, clinical application, and socialization, shepherding you through the transition from student nurse to registered nurse. Inverness, FL, US, 34452Posted 3 hours ago New Grad RN. HCA Florida Sarasota Doctors Hospital The HCA Healthcare New Nurse Residency Program is a year-long program designed to give you hands-on experience to help establish valuable clinical and critical thinking skills. As a Resident I Graduate Nurse you will be surrounded by a supportive community of nurse educators, experienced nurses, and fellow residents that promote learning, clinical application, and socialization, shepherding you through the transition from student nurse to registered nurse. Sarasota, FL, US, 34233Posted 3 hours ago New Grad RN. HCA Florida Blake Hospital The HCA Healthcare StaRN Residency Program is a year-long program designed to give you hands-on experience to help establish valuable clinical and critical thinking skills. As a Resident I Graduate Nurse you will be surrounded by a supportive community of nurse educators, experienced nurses, and fellow residents that promote learning, clinical application, and socialization, shepherding you through the transition from student nurse to registered nurse. Bradenton, FL, US, 34209Posted 3 hours ago