Overview: At Cano Health, our culture is a “family of families”, growing stronger together to improve the lives of our patients, communities, and our associates.
A culture that succeeds because of the hearts and minds of our people.
Our values and guiding principles transform our lives with purpose and passion, becoming one focused source of hopeful change.
A leadership culture that cultivates and empowers our people to gain ownership for their contributions and success.
The Cano Movement is proof of what everyday people with a passion for health care can accomplish together.
Join the Cano Movement The movement that doesn’t just offer a job, it offers an opportunity to serve and grow with purpose.
At Cano you will be part of a collaborative team, dedicated to the pursuit of health & wellness excellence.
Cano Health offers competitive salaries, medical, dental & vision insurance, employee mental health program, paid time off, paid holidays, 401(k) with employer match, employee stock purchase program, tuition reimbursement and much more.
The Revenue Specialist is responsible for accounts receivables including the collections, coordination of billing processes and training of billing staff at the facility level.
Properly apply all Medicare, Medicaid and HMO contract regulations when performing billing functions.
Key criteria of this position are coordinating tasks to assure all deadlines both external and internal are met.
Responsibilities:
• Correctly and efficiently review demographic data and patient insurance date into our proprietary billing system.
• Assess claims and accurately identify any problematic issues associated with adjudicated claims.
• Effectively communicate with insurance companies to ascertain claims status and accurate claims dispositions.
• Track and post payments received from insurance companies.
• Review EOBs and enters rejection codes, comments, and rebill claims as necessary.
• Review denials to determine appropriate action based on carrier requirements.
• Providing follow up with payers on denied or unpaid claims.
• Serve as the point of contact for all inquiries from insurance companies, while providing superior customer service
• Interacting with patients regarding billing questions and concerns on their account.
• Continued professional development desired and encouraged.
• Maintain strictest confidentiality; adheres to all HIPAA and other industry rules and regulations.
Qualifications:
• A minimum of one-year experience in posting payment and working with denials
• High school diploma; Associate’s/Bachelor’s degree is a plus
• Knowledge of billing procedures and collection techniques
• Working knowledge of MS Office and databases
• Professional personal presentation Cano Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.