Revenue Cycle Specialist 1 - Legal Billing (H)

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The University of Miami/UHealth Central Business Office has an exciting opportunity for a full-time Revenue Cycle Specialist 1 - Legal Billing to remotely.  The Revenue Cycle Specialist 1 - Legal Billing provides foundational support in the Compromised Settlements Unit, assists with subpoenas and statutory attorney requests, manages patient accounts, billing, and Epic Workqueues (WQs), and performs routine tasks under the guidance of a Legal Assistant II to ensure timely, accurate, and compliant outcomes.

CORE JOB FUNCTIONS                                                                                                             

• Assists law firms, third-party records retrieval companies, patient advocates, and internal departments with Personal Injury (PI), Workers’ Compensation (WC), bankruptcy, probate, and billing dispute cases to ensure adherence to HIPAA, FDCPA, FCCPA, Florida hospital billing statutes, and prompt pay laws.

• Processes subpoenas and statutory attorney requests under supervision to ensure HIPAA compliance, generate accurate itemized bills, and compile documentation for submission.

• Supports patient advocate requests under guidance by providing timely and accurate account information while following applicable regulatory requirements.

• Applies billing indicators and billing holds in accordance with policy and regulatory guidelines, gaining exposure to complex adjustments handled by higher-level staff.

• Assists in billing appropriate payers including PIP, WC, commercial insurance, Medicaid, and Medicare, in coordination with Billing and Collections to ensure compliance with applicable laws.

• Applies account adjustments according to organizational policies and Explanation of Benefits (EOBs) while building exposure to complex account issues.

• Communicates and follows-up with law firms, patient advocates, and internal departments via phone and email to resolve routine account and claim issues within policy.

• Assists in settlement negotiations under guidance to gain exposure to negotiation processes and organizational policies.

• Manages Epic WQs for assigned accounts by assisting with workflow procedures and documentation under supervision.

• Identifies simple discrepancies in accounts and takes independent action within policy or escalates to higher level staff when necessary.

• Adheres to University and unit-level policies and procedures and safeguards University assets.

This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

CORE QUALIFICATIONS                                                                                                            

• High School Diploma or equivalent

• Minimum 1 year of relevant experience required

• Refer to department description for applicable certification requirements

• Learning Agility: Ability to learn new procedures, technologies, and protocols, and adapt to changing priorities and work demands.

• Teamwork: Ability to work collaboratively with others and contribute to a team environment.

• Technical Proficiency: Skilled in using office software, technology, and relevant computer applications. - Communication: Strong and clear written and verbal communication skills for interacting with colleagues and stakeholders.

Any relevant education, certifications and/or work experience may be considered.

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The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.

UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.

The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law.

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