Now Hiring Patient Billing Advocates, Medicaid Coordinators & Medicare Coordinators Position Available In Sarasota, Florida

Now Hiring Patient Billing Advocates, Medicaid Coordinators & Medicare Coordinators 4.0 4.0 out of 5 stars 1743 Main Street, Sarasota, FL 34236 Department Patient Financial Services Job Summary “Working and Living in Paradise” Come join us in beautiful Sarasota, Florida as part of our Patient Financial Services team for Sarasota Memorial Healthcare System. Sarasota is the home one of America’s #1 beaches. Located minutes from the beautiful sandy beaches of Florida’s West Coast, our Magnet hospital is continuing to grow and expand! Sarasota Memorial Health Care System is a community-owned regional medical center and leading acute care hospital and named by U.S. News & World Report as one of “America’s Best Hospitals;” ranking above all other Florida institutions in several specialties. These awards combined with our supportive team environment help to ensure your success. At Sarasota Memorial Hospital, you will be a part of a diverse environment where all people are valued and respected. At Sarasota Memorial’s Patient Financial Services Department, you are an individual who’s efforts breathe life into the world of the patient financial experience. With many roles and opportunties for professional growth, our Team empowers you to mold your future. Put your best foot forward and submit your application today. Required Qualifications Patient Billing Advocate Promotes customer satisfaction in receiving and responding to incoming calls. Evaluates customer’s ability to pay, completes mutually satisfactory payment arrangements and performs all appropriate account updates. Responsible for keeping abreast of and complying with all managed care contracts and third party relations. Maintains knowledge and use of all applicable hospital systems. $18.35/hr

• $26.

75/hr Refund Rep Refunds, researches, and reviews credit balance accounts. Pulls files, insurance EOBs and zero statements to research and review accounts that have credit balances, refunding the proper party based on completed research. Answers all patient’s questions concerning a credit balance. Corrects any accounts via the patient account system that need adjustments to update status. Works all incoming mail concerning credit balances. Performs all other duties as assigned. This job requires a High School Diploma, GED or Certificate $18.35/hr

• $26.

75/hr Billing Coordinator Reviews and processes billing both electronic and manual claims as well as keeping updated with the ever-changing insurance demands and reviewing rebill requests. Identifies and problem solves billing inaccuracies while keeping statistics of errors found and updating info in AM/PFM as needed. Ensures all claims are submitted both accurately and timely. Manually prepares all special handling claims as well as bill secondary insurance and print/request necessary attachments such as medical records and itemized. Calculates and posts allowances for Medicaid accounts and maternity package plans as well as adjusts off non-covered charges and others outlined by the individual insurance carriers. Verifies insurance eligibility for Medicaid and their HMO’s while also searching for authorizations and specific provider numbers. Maintains knowledge and use of the SSI billing system as well as other related programs such as AM/PFM, AccessANYware, EQ Health, FEMMIS and Passport. Documents billing information and works closely with other related departments to ensure ‘clean’ claim submission. Responsible for keeping abreast of and complying with all managed care contracts and third party billing regulations. Clears fatal edits on AM/PFM accounts to ensure “clean” claim submission to increase the number of daily claims worked by each biller and increasing revenue reimbursement. Receives and responds to incoming calls and representative requests in a professional and timely fashion promoting customer satisfaction. Works as a team member demonstrating time management skills and communicating new information or changes. High School Diploma, GED or Certificate required

Salary Range:

$19.65/hr

• $29.

45/hr Insurance Collector Works with third party payers to ensure timely receipt, processing, and payment of outstanding accounts receivable by maintaining high productivity and quality standards. Problem solves pended, rejected, and partially denied claims. Responsible for keeping abreast and complying with all managed care contracts and third party relations for your designated payer/s. Tracks and trends escalated payer concerns. Handles all correspondence and communications in a professional and timely manner. Inputs data as required to comply with department specific quality assurance measures and for feedback to other departments and insurance companies. Contributes to departmental operations by performing other job duties as assigned. Performs appropriate account updates and notations for decisive interpretation by end users. Promotes stellar customer service in all dealings. Require a minimum of two (2) years of experience in a healthcare, insurance or customer service environment. Bachelor’s degree can substitute for the required experience. High School Diploma, GED or Certificate required

Salary Range:

$18.70.hr

• $28.

10hr Medicare Coordinator I Performs billing collection functions for Medicare account receivables keeping accounts to a minimum and cash flow to a maximum. Reviews and processes electronic claims along with analyzing and correcting claims via AccessANYware, SSI and DDE software systems to ensure timely reimbursement has been received. Problem solves RTP and denied claims and provides support/maintenance for the electronic Medicare billing system. Responsible for the coordination and updating of the CM and DDE billing updates, billing tables and system edits to ensure maximization of electronic capability. Responsible for running job streams, generating and evaluating electronic Medicare billing reports. Responsible for education and training of staff in electronic claims submissions. Keeps current on changes to Medicare billing regulations and compliance issues. Responds to incoming calls and walk-in patients. Require a minimum of four (4) years of Patient Financial Services experience, two (2) of which are in working with Medicare billing and collections. An Associate’s degree or higher can be considered in lieu of the Medicare billing and collections experience requirement. High School Diploma, GED or Certificate required

Salary Range:

$20.60/hr

• $30.

90/hr Medicaid Coordinator This position has responsibility for coordinating all Medicaid claims processing and pending Medicaid account handling. Responsible for planning, developing, evaluating and monitoring account transition from self pay to appropriate agency for financial assistance. This position serves as a bridge between financial and ICM and assists in and with communication of referral placement. This position serves as an advisor in all areas of Medicaid and pending Medicaid and has charge of timely referrals when Medicaid is denied. Responsible for keeping abreast of and complying with all Medicaid regulations. Responsible for review of Medicaid Accounts Receivable to ensure timely reimbursement of outstanding accounts receivables and analyzing Medicaid remittances to insure maximum reimbursement has been received. Responsible for resubmission of claims for additional reimbursement and/or appealing said claims with timely follow up. Responsible for maintenance of Medicaid contract manuals, communication of contracts to all departments involved and keeping abreast of all Medicaid related issues. Responds to incoming calls. Responsible for ensuring that all Medicaid claims requiring authorization are submitted for clinical review prior to billing. Fluent in the use of Passport, EQ Health, AccessANYware, Med-decision and FEMMIS.

• Require two (2) years of experience in healthcare, insurance or customer service setting.

A Bachelor’s degree can be considered in lieu of the required experience. High School Diploma, GED or Certificate required

Salary Range:

$18.70/hr

• $28.

10/hr Manager of Collections This leader has operational accountability and oversight, and manages the daily activities of Collections Service, as well as , directing and controlling all aspects of hospital collections, recoveries and customer service. In this role, the leader sets the tone and models positive leadership behavior, while ensuring team work tasks, projects, and responsibilities are completed successfully in support of departmental and organizational goals. Onsite position at the downtown Sarasota office.

• Require a Bachelor’s degree in related field. Master’s degree is preferred.
• Require three (3) years of prior management experience.

Salary Range:

$39.90/hr

• $59.

80.hr Reputation. Community. Impact. Growth. Every day, our patients at Sarasota Memorial Health Care System receive a first-class experience in care from a team on a mission to deliver the highest level of care in America. In the process of rising to that challenge, one by one, our people are finding their purpose and feeling their impact. Now it is your turn to see yourself here.

Recognition:

• 5•Star Quality Rating•SMH•Sarasota is the only hospital in Florida to earn the federal Centers for Medicare & Medicaid Services’ highest rating every year since its inception.

• 50 Best Hospitals
• SMH ranked among U.S. News & World Report’s 50 Best Hospitals in two specialties, Rehabilitation and Obstetrics/Gynecology in 2023-2024, and among the nation’s top 10% high peformers in 18 other medical specialties, procedures and conditions.
• World’s Best Hospitals
• SMH•Sarasota has made Newsweek’s prestigous list six years in a row, since the global rankings began in 2019.

• “A” for Patient Safety
• SMH•Sarasota has earned straight A’s since it began participating in the Leapfrog Group’s hospital safety survey in 2016.

• Magnet Hospital
• SMH has been recognized as a Magnet hospital for the past 20 years by the American Nurses Credentialing Center, a continuous achievement for nursing excellence shared by less than 1% of hospitals nationwide.
• America’s Best Employer/Workplace
• SMH topped Forbe’s list of America’s Best Employers, ranking among the top 20% of large employers across all industries in 2024, and #1 healthcare employer in Florida in 2023.

The health system also earned a 5-star rating in Newsweek’s 2024 list of “America’s Greatest Workplaces for Women.” The benefits of being the best: Our commitment to becoming the best community hospital and health care system means providing the best possible benefits to our people.

Some highlights:

Total Rewards Package Paid Time Off (start earning PTO on day one of employment) Tuition Reimbursement Discounted Medical, Prescription, Dental, Vision Benefit Plans for Full & Part-Time Employees Flexible Spending Accounts (Health Care and Dependent Care)

• Pre-Tax Dollars Life Insurance Competitie rates Bonuses offered

Disability Insurance Retirement Savings Plan:

403b Sarasota Campus for now

• Discounted Child Care & Before and After School Program and Summer Camp!

Bereavement Leave Free Parking On Campus Dining w/ a 10% discount Credit Union w/ teller machines on campus Direct Deposit Free Wellness Screening Free confidential counseling services Employee Discount Programs Recognition Programs Referral Programs Tremendous growth opportunities for hard workers!