Remote ???? Location: Gainesville, FL ???? FTE: Full-Time (1.0 FTE) ⏰ Schedule: Monday - Friday, 8:00 AM - 5:00 PM The Revenue Cycle Liaison plays a critical role in protecting and optimizing ...
Remote ???? Location: Gainesville, FL ???? FTE: Full-Time (1.0 FTE) ⏰ Schedule: Monday - Friday, 8:00 AM - 5:00 PM The Revenue Cycle Liaison plays a critical role in protecting and optimizing ...
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Remote Bcbs information
See Florida salary details
$3.95 - $5.24
0% of jobs
$5.24 - $6.53
0% of jobs
$6.53 - $7.82
0% of jobs
$7.82 - $9.11
0% of jobs
$9.11 - $10.40
0% of jobs
$11.57 is the 25th percentile. Wages below this are outliers.
$10.40 - $11.69
28% of jobs
$11.69 - $12.98
0% of jobs
$12.98 - $14.27
0% of jobs
The median wage is $14.79 / hr.
$14.27 - $15.56
56% of jobs
$15.56 - $16.85
0% of jobs
$16.85 - $18.14
16% of jobs
$3
$14
$18
How much do remote bcbs jobs pay per hour?
What are the typical daily responsibilities for someone in a Remote BCBS role?
In a Remote BCBS position, your day-to-day tasks usually include reviewing and processing insurance claims, responding to provider and member inquiries, and ensuring compliance with BCBS policies and healthcare regulations. You may also be responsible for resolving discrepancies, authorizing benefits, and documenting all actions in company systems. Most of your work is conducted independently, but you’ll frequently collaborate virtually with team members, supervisors, and other departments. This combination of individual focus and teamwork supports timely, accurate claims resolution and great member service.
What are the key skills and qualifications needed to thrive in the Remote Bcbs position, and why are they important?
To thrive as a Remote BCBS (Blue Cross Blue Shield) representative or claims analyst, you typically need a background in healthcare administration, insurance or medical billing, and a thorough understanding of BCBS policies and procedures. Familiarity with claims processing software, HIPAA regulations, and customer service platforms like Salesforce or Facets is commonly required, and certification in medical coding (e.g., CPC or CCS) can be a plus. Strong attention to detail, clear communication skills, and the ability to work independently are crucial soft skills for remote success. These competencies ensure accurate claims processing, regulatory compliance, and efficient issue resolution while working remotely.
What is a Remote BCBS job?
A Remote BCBS job typically involves working for Blue Cross Blue Shield (BCBS) or a related healthcare organization in a remote capacity. These roles can include customer service, claims processing, medical coding, nursing, or IT support. Employees perform their duties from home while assisting members, providers, or internal teams. Strong communication skills, healthcare knowledge, and computer proficiency are often required.
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Job description
Be the ???? key link between coding, compliance, and reimbursement—ensuring every claim is accurately coded, fully supported, and reimbursed appropriately while protecting the financial integrity of UF Health.
???? Work Style: Remote
???? Location: Gainesville, FL
???? FTE: Full-Time (1.0 FTE)
⏰ Schedule: Monday – Friday, 8:00 AM – 5:00 PM
The Revenue Cycle Liaison plays a critical role in protecting and optimizing revenue by ensuring the integrity of physician coding and professional billing practices across UF Health and assigned departments. This position serves as a key resource for coding compliance, denial resolution, and reimbursement optimization through the review and analysis of ICD-10 and CPT coding, payer requirements, and institutional billing guidelines.
Responsibilities include conducting detailed analyses of complex denials, identifying reimbursement trends, researching claim issues, interpreting managed care contracts, and reviewing reimbursement variances. The Revenue Cycle Liaison develops comprehensive appeals supported by coding expertise, medical documentation, clinical literature, and payer-specific guidelines to maximize appropriate reimbursement. Through collaboration with coding, billing, compliance, and operational teams, this role drives continuous process improvement, promotes regulatory compliance, and supports the overall financial health of the organization.
Responsibilities
Key Responsibilities
- Review and analyze physician coding and billing practices to ensure compliance with ICD-10, CPT, payer, and organizational guidelines.
- Investigate and resolve complex claim denials, underpayments, and reimbursement variances.
- Conduct detailed data analysis to identify denial trends, coding opportunities, and revenue cycle improvement initiatives.
- Interpret managed care contracts and payer policies to support accurate reimbursement and appeals strategies.
- Develop and submit comprehensive appeals, including coding rationale, clinical documentation, supporting literature, and payer-specific references.
- Collaborate with providers, coding teams, billing staff, compliance, and operational leaders to address reimbursement and coding concerns.
- Monitor and report on denial trends, reimbursement performance, and revenue cycle metrics.
- Recommend process improvements to enhance coding accuracy, reduce denials, and improve financial outcomes.
- Provide education and guidance regarding coding, documentation, billing requirements, and payer regulations.
- Support compliance efforts by ensuring claim submission practices align with regulatory and institutional standards.
- Research payer policies, reimbursement methodologies, and regulatory updates to maintain subject matter expertise.
- Serve as a liaison between clinical, coding, billing, and payer stakeholders to facilitate issue resolution and revenue recovery.
Qualifications
- High school diploma or equivalent required.
- Associate degree in Healthcare Administration, Business, Health Information Management, or a related field preferred.
- An Associate degree may substitute for the required work experience.
- Two (2) years of experience in hospital and/or physician billing required.
- Experience with healthcare revenue cycle processes, billing regulations, and reimbursement practices preferred.
- Experience working with claim denials, appeals, reimbursement analysis, and payer guidelines preferred.
- Experience using the Epic electronic health record (EHR) system preferred.
- Knowledge of ICD-10, CPT, and healthcare billing and reimbursement practices preferred.
- Ability to code both diagnoses and procedures preferred.
- Ability to interpret payer policies, managed care contracts, and reimbursement methodologies.
- Comfortable communicating with physicians, providers, and payers regarding diagnosis and procedure relationships, billing requirements, reimbursement variances, and coding concerns.
- Ability to confidently and professionally advocate for coding and billing reviews, corrections, and process improvements.
- Strong analytical, research, problem-solving, and organizational skills.
- Proficiency with Microsoft Excel and healthcare-related software applications, such as EncoderPro or similar coding and reimbursement tools.
- CPC, CCS, CCA, RHIT, RHIA, or other related coding certification preferred.
- None required.
About UF Health
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Gainesville, FL, US
Year founded
1958