Revenue Cycle Specialist, Bilingual – Spanish

Job not on LinkedIn

🔥 0 minutes ago

🐊 Florida – Remote

🐊 Florida – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

💬 Bilingual

🚫👨‍🎓 No degree required

👻 Ghost score 12%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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CareSpot Urgent Care

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2001

💼 Consulting

🏨 Hospitality

✈️ Travel

Consulting • Hospitality • Travel

CareSpot Urgent Care is a healthcare provider that offers immediate medical services for a variety of non-life-threatening conditions. With locations across Florida, they provide extended hours, including weekends and holidays, and offer same-day treatment for issues such as flu, injuries, and pediatric care. They prioritize convenience with online scheduling, in-house lab services, and digital X-rays, while also offering wellness checks and occupational health solutions for businesses.

📋 Description

• Prepare healthcare claims for submission, including pre-bill claim edits/review and manual updates to insurance and billing data • Submit claims to assigned insurance, workers’ compensation, and occupational medical payers/employers in accordance with department procedures and applicable regulations • Provide coverage and assistance to various teams based on volume and priorities • Process payer and patient credit card payments, including card-on-file payments, using InstaMed and NextGen • Provide documentation to payers to resolve workers’ compensation claim issues or denials when assigned • Research and follow up on outstanding accounts receivable for assigned payers • Coordinate with payers, operational managers, and revenue cycle team members to resolve receivables, rebill claims, and submit appeals • Update insurance, charge, and claims data for accurate billing and rebilling • Review, process, and follow up on payer and revenue-cycle correspondence daily • Distribute correspondence received through fax, mail, lockboxes, and payer portals to appropriate RCM team members • Resolve returned patient statements • Analyze and resolve internal and external customer concerns received through billing inquiries and other communication channels • Provide phone coverage for the Corporate Customer Service Representative when needed • Provide customer service and communication to internal and external customers and team members • Complete accounts receivable requests accurately and timely • Complete updates from daily NextGen reports, including the Employer Not on File report • Perform other duties as assigned

🎯 Requirements

• 2+ years of relevant healthcare billing, claims submission, payment posting, denials management and/or accounts receivable follow-up experience • Experience with outpatient clinic, physician, hospital experience, or a combination of areas • Deep understanding of CMS 1500 medical billing rules and supporting documentation requirements for Medicare, Medicaid, workers’ compensation, or similar payers • Knowledge of ICD-10 diagnosis codes, CPT/HCPCS, modifiers, and medical terminology • Attention to detail and proven analytical skills; ability to identify trends in denials and claims issues • Proficient with Microsoft Office, specifically Excel, Outlook, Word, Teams, OneNote, and SharePoint or similar tools • Experience with healthcare practice management or billing systems • High School diploma required • Associate degree or above preferred • Bilingual in Spanish preferred • Ability to lift and/or move up to 40 pounds

🏖️ Benefits

• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions • Employee may work in office or remotely dependent upon company and/or department policies