Claims Processor I System Cash & Refunds

UF Health Shands Hospital - Gainesville

Job ID: 110809
Full/Part Time: Full-Time
Regular/Temporary: Regular
Department: System Cash & Refunds
Shift/Days: 8 a.m. - 5 p.m., Monday-Friday
Posted FTE: 1.00 = 40 Hours

Job Opening Summary

Researches and reviews claims for accuracy and to ensure payer-specific guidelines are met for correct billing to third-party payers. Makes payer calls and/or utilizes payer portals/resources systems to pursue payment of third-party claims. Make appropriate determination for contractual adjustments, verifies system balances and calculates and post adjustments. Ensures financial integrity of Shands HealthCare by processing and expediting billing and collection processes.
 

Job Opening Qualifications

Minimum Education and Experience Requirements:

  • Minimum high school graduate or equivalent. Prefer some college-level business, finance or accounting courses.
  • Requires six months of billing/collection experience in a hospital and/or physician's office or a minimum of one year of experience in business setting dealing with finance, accounting, insurance portal systems.
  • Experience in Blue Cross, Medicare, Medicaid and/or other third-party payer billing or collections preferred.
    • College education may be substituted for experience.
  • Must have above-average math skills and be proficient on a calculator.
  • Must be able to demonstrate the ability to communicate well with others and work independently under pressure and consistently achieve desired results.
  • Must be able to deal effectively with the public and be able to use good judgment in the pursuit of resolving accounts.
  • Knowledge of medical terminology preferred.
  • Prefer experience with computerized insurance billing system and Microsoft programs.


Minimum Pay Rate - Hourly: $18.05
Midpoint Pay Rate - Hourly: $21.33

 

Internal Applicants - Apply Here

We invite you to join our team! Our work and passion for excellence are intended to have an impact beyond the communities in which we serve. You may apply for a maximum of 10 positions at any given time. For general application process topics please review our Frequently Asked Questions. For technical assistance please contact Human Resources at 352-265-0441.


UF Health Shands Hospital is committed to diversity as a competitive advantage in attracting top talent from across the nation and around the world. We believe in sharing knowledge, learning from one another, valuing different opinions, and celebrating the things that make each one of us unique in our own right. UF Health Shands Hospital is an equal opportunity employer and drug-free workplace. Equal Opportunity Employer M/F/D/V


UF Health Shands Hospital - Gainesville
Gainesville, FL 32608



Why Work With UF Health

Benefits
Benefits to fit your life.

As you would expect from an organization this size, our core benefits include medical insurance and prescription drug plans, short-term and long-term disability, life insurance, generous paid time off, 10 paid holidays per year and an employee assistance plan. Voluntary benefits include tuition reimbursement, dependent care and health care reimbursement accounts, dental insurance, vision plan and more. Retirement benefits include a 403(b) plan.

About UF Health
About UF Health

UF Health Shands is recognized as Florida’s premier hospital system. We're an integral part of the University of Florida, which ranks as the nation’s Number 1 public university by the Wall Street Journal.

Our steadfast commitment to delivering top-tier clinical care leads to outstanding outcomes, consistently garnering our hospital national acclaim, including:

  • Nine of our specialties rank among the best in the nation by U.S. News & World Report.
  • Our hospital has received four consecutive Magnet® designations for high-quality nursing.
  • UF Health Shands Hospital is recognized as a Designated Cancer Center by the National Cancer Institute (NCI) for scientific leadership in laboratory and clinical research.
  • We received an “A” on the Leapfrog Hospital Safety Grade.

It's our privilege to provide exceptional, patient-centered health care that bolsters our communities and strengthens our role as the perennial health care leader in Florida.

About The Area
Welcome to the Sunshine State.

There’s a reason the Sunshine State is the tourism capital of the world and the third-most populous state in the country. As a Florida resident, you’re never far from the world’s best beaches, theme parks and attractions (and their Florida resident discounts), and cultural arts. Factor in our favorable tax rate and entrepreneurial spirit, and it’s easy to see why so many individuals, families and businesses choose to make Florida their home.

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