Jacksonville, Florida, United States · On-site
Overview Responsible for obtaining appropriate reimbursement for Accounts Receivables for professional services of patients seen in physician offices, out-patient hospital, in-patient hospital, ASC, urgent care, ER, off-…
Skills: Medical Billing, Insurance Verification, Claims Submission, CPT Coding, ICD-10 Coding
Jacksonville, Florida, United States · On-site
Overview Full Time Position 7:00AM - 7:30PM Make a difference in your community with a CAREER in security at UF Health. Join the growing team at the top hospital system in FloridaBecome a valued professional with a missi…
Skills: Security Enforcement, Conflict Resolution, Patrolling, Crisis Management, Customer Service
Jacksonville, Florida, United States · On-site
Overview The Registered Nurse (RN) provides nursing care to patients utilizing the nursing process and standards of practice for a professional nurse. The RN is expected to perform all staff nurse activities and function…
Skills: Nursing Process, Patient Care, Teamwork, Professional Communication, Computer Technologies
Jacksonville, Florida, United States · On-site
Cancer Specialists of North Florida is recruiting for a Staff Accountant for our busy Specialty Practice. This is not a remote position. The Staff Accountant is responsible for the analysis and reconciliation of cash and…
Skills: Cash Reconciliation, Inventory Analysis, Payroll Processing, Revenue Cycle Management, Financial Statement Preparation
Jacksonville, Florida, United States · On-site
Overview Performs various radiographic service (i.e., positions patient prior to performing radiographic exposures, operates and maintains all radiographic equipment). Qualifications Age of Patients Served: All Age Group…
Skills: Radiographic Procedures, Patient Positioning, Radiographic Equipment Operation, BLS, Radiology
Jacksonville, Florida, United States · On-site
Overview Description: Assist in the conduct and coordination of clinical trials by insuring compliance with clinical protocol requirements, institutional and federal guidelines and department procedures under the direct …
Skills: Clinical Trial Coordination, Patient Screening, Informed Consent, Good Clinical Practice, Quality Assurance
Jacksonville, Florida, United States · On-site
Overview The Registered Nurse (RN) provides nursing care to patients utilizing the nursing process and standards of practice for a professional nurse. The RN is expected to perform all staff nurse activities and function…
Skills: Nursing Process, Patient Care, Teamwork, Professional Communication, Computer Technologies
Jacksonville, Florida, United States · On-site
INSURANCE FOLLOW-UP REPRESENTATIVE NON-CLINICAL | BUSINESS OFFICE | FULL-TIME | JACKSONVILLE, FL | BENEFITS PACKAGE Established in 2001, Southeast Orthopedic Specialists is a regional leader in musculoskeletal medicine. …
Skills: Medical Claims Processing, Insurance Denial Management, Claims Appeals, Accounts Receivable Reduction, Explanation Of Benefits (EOB) Analysis
Jacksonville, Florida, United States · On-site
Overview PRN Varied Days. Varied 8am to 5pm The Occupational Therapist Assistant (OTA), under the supervision of a licensed Occupational Therapist observes patient progress, recommends changes in treatment plan of care b…
Skills: Patient Observation, Treatment Planning, Patient Education, Medical Documentation, Splinting
Jacksonville, Florida, United States · On-site
Overview Full Time Position 2:00pm - 10:30pm Make a difference in your community with a CAREER in security at UF Health. Join the growing team at the top hospital system in FloridaBecome a valued professional with a miss…
Skills: Conflict Resolution, Crisis Management, Patrolling, Customer Service, Diplomacy
Jacksonville, Florida, United States · On-site
About Baptist Health Recognized as a top place to work in health care, Baptist Health cares for more patients in Northeast Florida than any other provider, ranking as “most preferred” for more than 30 years. We’re Jackso…
Skills: Food Service Management, Customer Service, Team Training, Operational Oversight, Patient Care
Jacksonville, Florida, United States · On-site
$45/hr–$50/hr
Overview Physical Therapist - Outpatient PRN Location: 8101 Southside Blvd, Jacksonville, FL 32256 Schedule: PRN/As Needed, weekdays (Mon-Fri) Compensation: $45.00 - $50.00/hour We are seeking a PRN Physical Therapist to…
Skills: Patient Evaluation, Rehabilitation Treatment, Clinical Documentation, Outpatient Orthopedics, Patient Communication
Jacksonville, Florida, United States · On-site
Overview Company Overview: Allied Universal®, North America’s leading security and facility services company, offers rewarding careers that provide you a sense of purpose. While working in a dynamic, welcoming, and colla…
Skills: Foot Patrol, Vehicle Patrol, CCTV Monitoring, Access Control, Emergency Response
Jacksonville, Florida, United States · On-site
$16/hr–$25/hr
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate…
Skills: Prescription Fulfillment, Patient Care, Inventory Management, Immunization Support, Customer Service
Jacksonville, Florida, United States · On-site
Overview Company Overview: Allied Universal®, North America’s leading security and facility services company, offers rewarding careers that provide you a sense of purpose. While working in a dynamic, welcoming, and colla…
Skills: Foot Patrol, Vehicle Patrol, Access Control, CCTV Monitoring, Alarm Systems Monitoring
Jacksonville, Florida, United States · On-site
Baptist Health is the largest healthcare system serving central Alabama, providing comprehensive hospital-based and outpatient services to nearly 60 percent of the residents in Montgomery, Autauga and Elmore counties. To…
Skills: Patient Care, Medication Administration, Customer Relations, Team Leadership, Organization
Jacksonville, Florida, United States · On-site
About Wolfson Children’s Hospital Wolfson Children’s Hospital is the only children’s hospital in the region, and is ranked by U.S. News & World Report among the best children’s hospitals in the U.S. We’re a part of Bapti…
Skills: Patient Care, Patient Transport, Clinical Support, Clerical Duties, Sanitation
Jacksonville, Florida, United States · On-site
Overview We invite you to join us in making a significant impact on the early detection of hearing loss in newborns by becoming a Newborn Hearing Screen Site Supervisor. As a Site Supervisor, you will play a vital role i…
Skills: Newborn Hearing Screening, Staff Supervision, Scheduling, Performance Evaluation, Clinical Protocol Adherence
Jacksonville, Florida, United States · On-site
Baptist Health is the largest healthcare system serving central Alabama, providing comprehensive hospital-based and outpatient services to nearly 60 percent of the residents in Montgomery, Autauga and Elmore counties. To…
Skills: Patient Assessment, Care Planning, Nursing Process, Clinical Collaboration, Infection Control
Jacksonville, Florida, United States · On-site
Job DetailsJob Location: Family Support Services Riverplace - Jacksonville, FL 32207Position Type: Full TimeEducation Level: 4 Year Degree/BA or BSJob Category: Nonprofit - Social ServicesPlacement Staffing Specialist Jo…
Skills: Case Management, Placement Stability, Child Welfare, Foster Care, Multidisciplinary Staffing
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Responsible for managing accounts receivable and obtaining reimbursement for professional services across various healthcare settings. This includes verifying insurance, submitting claims, resolving denials, and ensuring compliance with coding guidelines.
Requires at least 5 years of healthcare experience in medical billing and a high school diploma or GED. A Certified Professional Coder (CPC) certification is required, and a bachelor's degree in Healthcare, Finance, IT, or Education is preferred.
Responsible for obtaining appropriate reimbursement for Accounts Receivables for professional services of patients seen in physician offices, out-patient hospital, in-patient hospital, ASC, urgent care, ER, off-site hospitals and Telehealth locations while maintaining timely claims submissions. Registers patients and completes necessary documentation including insurance verification and benefits determination. Research charges to submit to appropriate carrier according to Federal/Managed Care rules, regulations and compliance guidelines. Review codes using CPT, ICD10, HCPCS and CCI guidelines to ensure compliance with institutional compliance policies for coding and claim submission. Enter and bill professional charges into automated billing system program. Utilize resources and tools in the resolution of invoices following company policy for assigned payor/s. Resolving outstanding balances with internal and external communication with customers.
Triage invoices and determine appropriate action and complete the process required to obtain reimbursement for all types of professional services by physicians and non- physician providers maintaining timely claims submissions and timely Appeals processes as defined by individual payors.
Resubmit insurance claims when necessary to the appropriate carrier based on each payor's specific process with the knowledge of timelines.
Research, respond and take necessary action to resolve inquiries from PSRs (Patient Service Reps), Cash Department, Charge Review and Refund Department requests. Follow-up via professional emails to ensure timely resolution of issues.
Must be comfortable and knowledgeable speaking with payors regarding procedure and diagnosis relationships, billing rules, payment variances and have the ability to assertively and professionally set the expectation for review or change.
Review, research and facilitate the correction of insurance denials, charge posting and payment posting errors. Follow all Managed Care guidelines using the UFJPI Payor Claims Matrix and Managed Care Matrix for each contracted plan Identify and enter affected invoices on the MES (Monthly Escalation Spreadsheet) using Excel, ESM or separate spreadsheets that may be needed Inform Team Leader on the status of work and unresolved issues.
Alert Team Leader of backlogs or issues requiring immediate attention Identify trended denials and report to supervisor, export
Must be knowledgeable of specialized billing, i.e. contracts and grants Perform special projects assigned by the Team Leader or Manager Verify completeness of registration information.
Add and/or update as needed. Verify and/or assign insurance plan and code appropriately.
Verify and enter patient demographic information utilizing automated billing system.
Verify insurance coverage utilizing various online software tools. Ability to work overtime as needed based on the needs of the business Complete correspondence inquiries from payors, patients and/or clinics to provide the needed information for claims resolution. This can include medical record requests, determining if other health insurance coverage exists, auth requirements, questionnaires, research of the documentation and accounts, communicate with the clinics for additional information needed, collaborate with providers and other departments to obtain necessary information.
Respond and send emails to all levels of management in the Revenue Cycle Departments, Cash Posting Department, Refunds Department, Managed Care, Referral Department, Clinics and the CDQ Department to resolve coding and billing issues.
Maintain timely communication to ensure all necessary action has been taken. Documents notes in the automated billing system regarding patient inquiries, conversations with insurance companies, clinics, etc. for all actions.
Receive and make outbound calls, written or electronic communications, navigate multiple web portals and websites to insurance companies for status and resolution of outstanding claims. Status appeals, reconsiderations and denials.
Make outbound calls to patients to obtain correct insurance information and demographics Review and interpret electronic remits and EOB's to work insurance denials to determine appropriate action needed.
Interpret front end rejections. Determine appropriate insurance adjustments and obtain adjustment approvals as outlined in the company policy.
Verify and/or assign key data elements for charge entry such as, location codes, provider #'s, authorization #'s, referring physician, CPT, ICD-10, etc.
5 years Health care experience in Medical Billing or related experience - required Proven ability to develop course work presentations. required Ability to apply adult learning methodology in training classes/presentations - required
Experience with medical systems - preferred.
Knowledge of CPT and ICD Coding and Medical terminology of most current versions - required
High School Diploma or GED equivalent - required Bachelors Healthcare, Finance, IT or Education - preferred
Certification/Licensure: Certified Professional Coder (CPC) required Additional Details: CPC Certification completed within 18 months of employment.
Travel Required: Up to 10% Additional Duties: Additional duties as assigned may vary.
World-class academic health center in Florida.
University of Florida Health is a world-class academic health center in Florida, encompassing hospitals, physician practices, colleges, centers, institutes, programs and services across northeast and north-central Florida. UF Health represents the shared vision and commitment to patient care excellence of more than 22,000 employees of the University of Florida Health Science Center and UF Health Shands health care system.
Offices: 1600 SW Archer Rd, Gainesville, FL 32608, US · 1515 SW Archer Road, Gainesville, FL 32608, US · 1600 SW Archer Road, Gainesville, FL 32608, US · 655 West 8th Street, Jacksonville, FL 32209, US
There are currently 2,448 open healthcare positions in Jacksonville, FL listed on Clera. New openings are added daily as companies post roles.
Companies currently hiring include Mayo Clinic, UF Health, Ascension, Baptist Health System, Baptist Health - Central Alabama, among others. Browse the listings above to see every active employer.
Yes — 141 of the 2448 open healthcare positions offer remote or hybrid work (54 remote, 87 hybrid).
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.
