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Medical Billing Rcm Jobs in Florida (NOW HIRING)

Guardian Recovery

RCM Supervisor

Delray Beach, FL · On-site +1

$60K - $75K/yr

The RCM Supervisor is responsible for ensuring the proper identification, collection, and ... Minimum 3 years of management experience within a hospital or medical billing company setting.

Clean Recovery Centers

RCM Director(Tampa)

Tampa, FL · On-site

The RCM Director is responsible for leading and owning the full revenue cycle management function ... Educate facility staff on billing criteria, medical necessity documentation, insurance requirements ...

New

MCC Medical Claims Consultants, LLC

Be Seen First

Provider Relations & Onboarding Analyst

Miami, FL · On-site

$28 - $34/hr

... medical billing and revenue cycle management (RCM) environment. This role serves as a primary point of contact for providers, overseeing onboarding, payer enrollment, and early-stage support while ...

US Eye

RCM Support Specialist Team Lead

Bradenton, FL · On-site

JOB SUMMARY The RCM Support Specialist Team Lead is a working leader responsible for overseeing the ... billing system, patient engagement system, electronic medical records, clearinghouse system ...

US Eye

RCM Support Specialist Team Lead

Bradenton, FL · On-site

JOB SUMMARY The RCM Support Specialist Team Lead is a working leader responsible for overseeing the ... billing system, patient engagement system, electronic medical records, clearinghouse system ...

Tandemdiabetes

Certification in Medical Billing, preferred. * 10+ years of experience in finance and/or operations. * 5+ years in an RCM leadership role within a healthcare system. * DME and pharmacy experience ...

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Medical Billing Rcm information

What is medical billing RCM?

Medical billing RCM, or Revenue Cycle Management, refers to the process healthcare providers use to track patient care episodes from registration and appointment scheduling to the final payment of a balance. It involves managing claims, processing payments, and following up on denied claims to maximize revenue. Medical billing RCM professionals ensure accurate coding, timely claims submission, and efficient handling of patient billing and insurance. Their work is crucial for maintaining the financial health of medical practices and hospitals.

What are some common challenges Medical Billing RCM professionals face when working with insurance claims, and how can they be addressed?

Medical Billing RCM professionals often encounter challenges such as claim denials, delayed reimbursements, and navigating complex payer requirements. Staying updated on payer policies, maintaining accurate documentation, and using advanced billing software can help minimize errors and improve claim acceptance rates. Additionally, effective communication with healthcare providers and insurance companies is essential for resolving discrepancies quickly and ensuring smooth revenue cycle management.

What is the difference between Medical Billing Rcm vs Medical Coding Specialist?

AspectMedical Billing RcmMedical Coding Specialist
CertificationsCPAR, CPC, or similarCPC, CCS, or similar
Work EnvironmentBilling departments, healthcare officesMedical offices, hospitals, coding firms
Primary FocusClaims submission, payment processingPatient record coding, diagnosis, procedures
Employer & Industry UsageHealthcare providers, billing companiesHospitals, clinics, insurance companies

Medical Billing Rcm professionals handle the submission and management of insurance claims to ensure healthcare providers receive payment. Medical Coding Specialists focus on translating medical procedures and diagnoses into standardized codes for billing and record-keeping. While both roles require coding certifications and work within healthcare settings, Billing Rcm emphasizes claims processing, whereas Coding Specialists concentrate on accurate medical record coding.

What are the key skills and qualifications needed to thrive as a Medical Billing RCM (Revenue Cycle Management) specialist, and why are they important?

To thrive as a Medical Billing RCM specialist, you need a solid understanding of medical coding, insurance claims processes, and healthcare reimbursement regulations, often supported by a certificate or associate degree in medical billing or coding. Familiarity with practice management software, electronic health records (EHR) systems, and coding tools like ICD-10, CPT, and HCPCS is typically required. Attention to detail, problem-solving abilities, and strong communication skills help in resolving claim discrepancies and interacting with payers and providers. These competencies ensure accurate billing, timely reimbursement, and overall efficiency in the healthcare revenue cycle.
What are the most commonly searched types of Medical Billing Rcm jobs in Florida? The most popular types of Medical Billing Rcm jobs in Florida are:
What are popular job titles related to Medical Billing Rcm jobs in Florida? For Medical Billing Rcm jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Medical Billing Rcm jobs in Florida look for? The top searched job categories for Medical Billing Rcm jobs in Florida are:
Medical Billing Rcm jobs near you
RCM Supervisor

RCM Supervisor

Guardian Recovery

Delray Beach, FL • On-site, Remote

$60K - $75K/yr

Full-time

Posted 23 days ago

Job description

POSITION PURPOSE:
The purpose of the RCM (Revenue Cycle Management) Supervisor position is to oversee and manage the revenue cycle functions within a healthcare organization. The RCM Supervisor is responsible for ensuring the proper identification, collection, and management of revenues from patient services. They play a crucial role in unifying the business and clinical aspects of healthcare by coupling administrative data with the treatment a patient receives
EDUCATION:
Minimum of High School Diploma or Equivalent required. Minimum of three years progressive related experience; or equivalent combination of education and experience. Bachelor's degree in business or related field a plus.
EXPERIENCE:
Minimum 3 years of management experience within a hospital or medical billing company setting. Proven knowledge of Rev, CPT and ICD-10 CM coding (medical, mental health and substance abuse preferred). Integral knowledge of the A/R process. Proven managerial success in analyzing A/R reports. Proven successful management skills.
LICENSURE/CERTIFICATION:
Current CPR
AGE SPECIFIC INDIVIDUALS SERVED/ RESPONSIBILITY:
Adult
KNOWLEDGE AND TRAINING REQUIRED AT TIME OF HIRE:
Knowledge of the Principles and Practices of the discipline.
Knowledge of Joint Commission Standards. Demonstrates Proficiency in Communication & Written skills.
Knowledge of State & Federal Statutes Regarding Client Confidentiality laws.
Knowledge of Drug-Free Workplace Policies. Knowledge of Workplace Violence
Strong computer skills with knowledge of various EHR systems
Comprehensive knowledge of revenue cycle business office practices
Proficiency in Revenue Cycle Management Systems, Learning Management Systems, Microsoft Office, database and spreadsheet analysis, and presentation programs
Understanding of federal, state, and private payer regulations as well as applicable organizational policies and procedures
SPECIFIC AREAS OF RESPONSIBILITY TO POSITION:
  1. Maintain knowledge of the operational details of all positions in the Revenue Cycle Management process, which includes but is not limited to insurance claim submission, clearinghouse and payor claim rejections, payment posting, insurance claim denial management, Verification of Benefits, OON payer, underpayment repricing.
  2. Initiate modifications of all procedural paperwork related to accounts receivable-encounter forms, billing, verifications, etc.
  3. Meet with Billing and Collections staff monthly to analyze A/R reports, days in receivable, and collection statistics.
  4. Perform weekly billing audits to ensure timely and accurate processing of charge and payment posting.
  5. Conduct detailed audit of Explanation of Benefits forms from commercial and managed care payors at least biweekly; prepares or presents results to Executive Management.
  6. Meet with Collections staff to discuss difficult claims and provide solutions.
  7. Meet with Billing and Collections staff monthly to discuss key issues, overall accounts receivable performance, and opportunities for improvement.
  8. Train and oversee performance of Billing, Collections and Verification staff; assist with recruitment, discipline, and termination.
  9. Monitor overall workload in the department and distribute work, accordingly, ensure all posts are filled in case of vacation and sick days.
  10. Maintain fee schedule as well as CPT, ICD-10 CM, adjustment, payment, and payor files in the computer system.
  11. Maintain and distribute payment contracted schedules as received from contracted carriers, input/update schedule into computer system.
  12. Request payment schedules from contract carriers as needed.
  13. Prepare fee/payment comparative report quarterly.
  14. Maintain carrier contract files and the Compliance Binder.
  15. Complete all credential applications and reapplications as requested.
  16. Seek and recommend ways to use technology to improve operational efficiency.
  17. Maintain patient confidentiality by following the HIPAA Compliance Plan established by the practice.
  18. Attend all meetings as requested and perform any additional duties as requested by Executive Management
  19. Protect the privacy of all patient information in accordance with the company's privacy policies, procedures and practices, as required by federal and state law, and in accordance with general principle of professionalism as a healthcare provider. Failure to comply with the company's policies and procedures on patient privacy may result in disciplinary action.
  20. Potential access to protected health information (PHI) and other patent information only to the extent that is necessary to complete your job duties. The incumbent may only share such information with those who have a need-to-know specific patient information you have in your possession to complete their job responsibilities related to treatment, payment or other operations.
  21. Report, without the threat of retaliation, any concerns regarding the company's policies and procedures on patient privacy and any observed practices in violation of the policy to their supervisor.
  22. Perform other duties assigned.

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