Medical Reimbursement Specialist

Working at Moffitt is both a career and a mission: to contribute to the prevention and cure of cancer. As the only National Cancer Institute-designated Comprehensive Cancer Center based in Florida, Moffitt employs some of the best and brightest minds from around the world. Join a dedicated team of nearly 11,000 who are shaping the future we envision. Moffitt has been recognized as a Best and Brightest Company to Work For in the Nation and is continually named one of the Tampa Bay Times’ Top Workplaces. Summary The Reimbursement Recovery Specialist is responsible for securing the payment of medical claims in a timely and efficient manner in order to secure the financial health of H. Lee Moffitt Cancer Center. This includes analyzing, identifying and resolving barriers, monitoring unpaid claims, analyzing denied, pended or underpaid claims, appealing administrative denials, resolving administrative and clinically appealed claims and, when applicable, reviewing credit balances and payer payments for the Accounts Receivable Team. The analyst reviews all payer refund requests for appropriateness and appeals/contests when applicable. This position protects and defends contract terms, Letters of Agreement and Rate Agreements. Minimum Education High School Diploma/GED Minimum Experience Required Minimum of three (3) years recent medical collections experience in a hospital or large group practice setting. For a large group setting, primary responsibility is that of insurance collections and follow-up and/or Denials Management. Additional Skills/ Specialized Training Required Proficiency with Microsoft Office – Word, Outlook and Excel. Knowledge of Commercial/Managed Care contract payer reimbursement methodology, calculations/language and third party payer reimbursement policies. Ability to manage multiple, competing priorities. Possess effective oral and written communication skills. Be assertive, highly motivated and be able to work independently. Possesses excellent Time Management and Organizational Skills. Proficiency in computer skills (speed and accuracy). Preferred Education And Experience Associate's Degree in Healthcare Administration, Accounting, Business, Finance or other relevant discipline. For the Commercial and Aetna/Blue Cross/United Teams, experience with commercial payors preferred, including eligibility inquiries and Denials Management. Billing and claim submission experience, preferably on a UB04, is a plus. For the Medicare and Medicaid Team, experience with Medicare, Medicare Advantage and Medicaid preferred, including eligibility inquiries via DDE or SPOT and Denials Management. Billing and claim submission experience, preferably on a UB04, is a plus. Salary Range $21.12 - $32.24 Salary ranges posted for this position represent the expected base pay range for the role. Actual compensation may vary based on location and a variety of job-related factors, including experience, skills, education, and internal equity among Team Members in similar positions. We are committed to maintaining fair and equitable pay practices and regularly review compensation to ensure alignment across our workforce. Moffitt Career Site Equal Employment Opportunity Moffitt Cancer Center is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, or protected veteran or disabled status. We seek candidates whose skills, and personal and professional experience, have prepared them to contribute to our commitment to diversity and excellence. Reasonable Accommodation Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment. Moffitt endeavors to make moffitt.org/careers accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact one of the Human Resources receptionists by phone at View phone number on click.appcast.io or by email at View email address on click.appcast.io. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. Read more information about yourEEO rights under the law. Transparency in Coverage Rule #J-18808-Ljbffr