At FOI our goal is to provide our patients with world-class orthopedic care.

Our mission of providing the best care encompasses not only the care the physician provides, but all medical and administrative aspects of the patients encounter with Florida Orthopaedic Institute (FOI) as well. Every staff member plays a vital role in this mission. We take pride in receiving the Patriot Award from the Department of Defense for the support that we give to National Guard and Reserve members who are employed by FOI. We are committed to encouraging a culture of inclusion reflective of the communities we serve, and we provide equal opportunity to all. Florida Orthopaedic Institute conforms to the spirit as well as to the letter of all applicable laws and regulations.

What we offer:

• Full time opportunities available, with room for career growth and advancement.
• Excellent job security and stability, to promote an optimal work life balance.
• Be part of this dynamic and growing high level Revenue Cycle team!

In this role you will:

Be responsible for timely and accurate follow up and resolution of all unpaid patient balances. Responds to a high volume of patient calls generated from self-pay statements, analyzes self-pay balances to determine patient responsibility, obtains and enters accurate insurance information, establishes payment plans, processes patient payments, researches non-collectible accounts for the collection agency. Initiates self-pay collection calls to patients ongoing basis. Acts as a billing representative to collect and resolve patient issues related to financial information on patient accounts, mainly for financial issues that could be one of the determining factors for the patient being seen that day.

Key Responsibilities:

• Follows HIPAA guidelines in handling patient information.
• Answer incoming calls from patients, physicians offices and insurances
• Resolves patient-billing problems and rescues accounts receivable delinquency, applying good customer service in a timely manner.
• Reviewing open accounts for collection efforts and monitor assigned accounts and all applicable collection reports.
• Provide timely follow-up on payment arrangements.
• Making outbound collection calls in a professional manner while keeping and improving customer relations.
• Set up payment arrangements if needed/applicable
• When reviewing accounts, makes sure all available resources of payment have been researched and exhausted. Identifies if there are issues and that information is communicated to the appropriate billing staff via patient case that may need to be reviewed such as corrections to claims, appeals, etc.
• Answers calls from the billing loop.
• Handles concerns or questions from patients to resolve claims and payments issues.
• Be friendly with unhappy patients and satisfy their requirements or their queries. Report concerns to Quality department as necessary.
• Meet all metrics and KPIs
• All other duties assigned, reports, projects, ETC
• Assure compliance with all company plans, policies and procedures set forth by the Florida Orthopaedic Institute
• All other duties as assigned

About You:

• High School Diploma or GED equivalent
• Knowledge of CPT/ICD 10
• Must demonstrate an understanding of explanation of benefits & reimbursement payment practices including deductibles, co-insurance, and contractual discounts.
• 5 plus years prior medical billing experience or equivalent
• Must have knowledge of insurance guidelines and requirements
• Must be able to work with minimal supervision and still meet goals, metrics, and deadlines
• Should be able to handle multiple tasks under strict deadlines
• Must be customer-service focused, organized, and have extreme attention to detail
• Must have effective and excellent interpersonal skills, verbal, and written communication skills.
• Must pay attention to detail with an eye for accuracy.
• Ability to interact with patients in a pleasant, calm, and polite manner and a pleasing personality with excellent interpersonal skill.
• Meet the expectations of our internal and external customers in providing excellent service
• Enjoy working as part of a team
• Well-presented, polite, and tactful