Florida Orthopaedic Institute · 6 days ago
Revenue Cycle Specialist - Ancillary Collections - REMOTE - (Must Reside in FL)
United States
Full-time
Remote
Entry, Mid Level
2+ years expFlorida Orthopaedic Institute is seeking a Revenue Cycle Specialist for Ancillary Collections. This role is responsible for ensuring timely collection of accounts receivable and maximizing reimbursement for ancillary billing while collaborating with internal teams to resolve billing issues.
Health CareMedical
Responsibilities
Perform collection activities, including status calls, appeals, and account reviews to ensure timely reimbursement
Research and resolve claims denials using appropriate internal and external resources
Monitor denied claims to ensure corrections or appeals are completed accurately and timely
Review pre-bill claim holds and internal edits to ensure claims are submitted cleanly and timely
Ensure appropriate and complete information is submitted to insurance companies to expedite payment
Take proactive follow-up actions to secure payment on the first follow-up call or appeal when possible
Follow up on assigned cases and work queues within the organization
Compose and submit appeals to insurance carriers for denied claims
Handle incoming requests for information from insurance companies within 24 hours
Assist Financial Counselors with patient inquiries related to claims
Correct accounts billed to incorrect insurance carriers
Ensure required authorizations are attached to claims prior to submission
Meet quantity and quality performance expectations as established by management
Communicate trends, issues, and findings to the lead, supervisor, and team
Collaborate with other teams within the business office to resolve billing and reimbursement issues
Provide appropriate feedback to management regarding process improvements and challenges
Ensure compliance with all company plans, policies, and procedures set forth by Orthopaedic Solutions Management
Perform all other duties as assigned
Qualification
Required
High School Diploma or GED required
Preferred
Minimum of 2–4 years of medical billing, collections, or denial management experience preferred
Experience with ancillary billing strongly preferred
Strong knowledge of medical claims billing and reimbursement processes
Ability to read and interpret Explanation of Benefits (EOBs)
Excellent written and verbal communication skills
Strong attention to detail and organizational skills
Ability to manage multiple priorities in a fast-paced environment
Proficient in basic computer applications and billing systems
Ability to work independently and collaboratively as part of a team
Company
Florida Orthopaedic Institute
Florida Orthopaedic Institute is a medical practice that provides orthopedic care services.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Janene Culumber
CFO
Harry Kimball, CPA
Chief Accounting Officer (CAO)
Recent News
2025-08-04
Business Journals
2024-05-31
The Business Journals
2024-04-09
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