Revenue Cycle Specialist, Medicaid

UF Health Shands Hospital
Gainesville, FL Full Time
POSTED ON 5/1/2024

Job Opening Summary

Ensures the financial integrity of the UF Health Physicians billing and accounts receivables by performing established financial processes that enable and expedite the billing and collection of professional services. This includes billing claims according to federal/managed care rules, regulations and compliance guidelines; patient account research and resolution; insurance verification and benefits determination; identification of reimbursement issues; resolution of credits and issuance of refunds; identification of payment variance invoices; and follow-up and resolution of denied claims.

Job Opening Qualifications

Minimum Education and Experience Requirements:

  • High school graduate or equivalent.
  • Six months of health care/billing and collections/financial experience required or minimum one year of experience in business setting dealing with finance, accounting, insurance or collection system.
    • Associate's degree may substitute for required work experience.
  • Working knowledge of CPT, ICD-10 coding and federal/managed care rules and regulations preferred.
  • Epic system knowledge preferred.
  • Excellent communication, organizational and problem-solving skills required. Incumbent must be comfortable collecting money and discussing financial matters with patients/payors in a professional manner.
  • The ability to multitask, prioritize responsibilities, problem solve and achieve successful outcomes in a team environment are necessary attributes of the successful incumbent.


Shift hours: 8 a.m. - 5 p.m., Monday-Friday

Salary.com Estimation for Revenue Cycle Specialist, Medicaid in Gainesville, FL
$57,050 to $75,750
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