About Company
UF Health is a highly respected academic health center in Florida, committed to providing the highest quality patient care, conducting innovative research, and educating the next generation of healthcare professionals. As a leading institution, UF Health integrates clinical care, research, and education to advance medical knowledge and improve health outcomes for our community and beyond. We are a compassionate team of dedicated individuals who believe in a patient-first approach, striving to create a supportive and inclusive environment where every employee can thrive and contribute to our mission. Our vast network of hospitals, clinics, and specialty centers offers diverse opportunities for professional growth and development, all while serving the vibrant Gainesville community. Joining UF Health means becoming part of an organization that values integrity, collaboration, and excellence, impacting lives every single day.
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Job Description
We are seeking a detail-oriented and experienced Medical Biller to join our dynamic financial services team at UF Health in Gainesville, Florida. In this crucial role, you will be instrumental in ensuring the accuracy and efficiency of our billing processes, directly contributing to the financial health of our organization and the accessibility of quality healthcare for our patients. The Medical Biller will be responsible for preparing, submitting, and following up on claims to various insurance companies and government payers. This position requires a thorough understanding of medical coding, billing regulations, and reimbursement methodologies to maximize revenue and minimize denied claims. You will navigate complex billing scenarios, interpret explanation of benefits (EOBs), and resolve discrepancies with meticulous attention to detail. Success in this role demands strong analytical skills, exceptional organizational abilities, and a proactive approach to problem-solving. You will work collaboratively with clinical staff, patient access, and other administrative departments to ensure seamless billing cycles and superior patient satisfaction. If you are passionate about healthcare, possess excellent communication skills, and thrive in a fast-paced environment where your expertise directly supports patient care, we encourage you to apply. This is an opportunity to make a tangible difference within a leading academic health center.
Key Responsibilities
- Prepare and submit clean medical claims to various insurance carriers (commercial, Medicare, Medicaid) using appropriate CPT, ICD-10, and HCPCS codes.
- Review and verify patient demographic information, insurance eligibility, and benefits prior to claim submission.
- Analyze and interpret Explanation of Benefits (EOBs) to identify denials, underpayments, and discrepancies.
- Follow up on unpaid claims, investigate reasons for denial, and initiate appeals as necessary.
- Communicate effectively with insurance companies, patients, and internal departments to resolve billing inquiries and issues.
- Maintain accurate and up-to-date billing records, patient accounts, and electronic health records (EHR).
- Adhere strictly to HIPAA regulations, medical billing compliance guidelines, and organizational policies.
- Process patient payments, set up payment plans, and manage patient accounts receivable.
- Identify and report trends in denials and underpayments to management, suggesting process improvements.
- Stay informed about changes in medical coding, billing regulations, and payer policies.
Required Skills
- Minimum 2 years of experience in medical billing or a related financial role within a healthcare setting.
- Proficiency in medical billing software and electronic health record (EHR) systems.
- Solid understanding of medical terminology, CPT, ICD-10, and HCPCS coding.
- Demonstrated ability to interpret and apply payer policies and guidelines.
- Strong analytical and problem-solving skills with meticulous attention to detail.
- Excellent written and verbal communication skills.
- Ability to work independently and collaboratively in a fast-paced environment.
- Knowledge of HIPAA regulations and patient privacy standards.
Preferred Qualifications
- Associate's degree in Healthcare Administration, Business, or a related field.
- Professional certification in medical billing (e.g., CPC, CCS-P, CPB from AAPC or AHIMA).
- Experience with Epic EMR system.
- Previous experience billing for a large academic medical center or hospital system.
- Familiarity with Florida-specific insurance carriers and billing practices.
Perks & Benefits
- Comprehensive health, dental, and vision insurance plans.
- Generous paid time off (PTO) and holidays.
- Defined contribution retirement plans (e.g., 403b, 457b) with employer contributions.
- Tuition reimbursement and professional development opportunities.
- Employee wellness programs and on-site fitness facilities.
- Life and disability insurance.
- Employee assistance program (EAP).
- Discount programs for local businesses and services.
How to Apply
Interested candidates are encouraged to apply directly through our official careers portal. Please click on the application link below to submit your resume and cover letter, and search for the ‘Medical Biller’ position in Gainesville, Florida. We look forward to reviewing your application and exploring how your skills and experience can contribute to the UF Health team.
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