Title: Revenue Cycle Specialist | BAR - Commercial/Managed Care Location: Gainesville United States Job Description: Put your revenue cycle expertise to work ensuring accurate reimbursement, resolving complex billing issues, and supporting the financial health of one of Florida's leading academic health systems. Work Style: Remote Location: Gainesville, FL FTE: Full-Time (1.0 FTE) Schedule: Monday - Friday The Revenue Cycle Specialist - Commercial/Managed Care supports the financial integrity of UF Health Physicians Billing and Accounts Receivable operations by performing billing, follow-up, and reimbursement activities for professional services. This role is responsible for processing claims in accordance with federal, commercial, and managed care guidelines; researching and resolving account issues; verifying insurance coverage and benefits; addressing reimbursement discrepancies; managing credit balances and refunds; and investigating and resolving denied claims. The specialist works closely with payers, providers, and internal stakeholders to ensure timely and accurate reimbursement while maintaining compliance with regulatory and organizational requirements. Responsibilities Knowledge, Skills, and Abilities - Strong communication, organizational, and problem-solving skills. - Ability to discuss financial matters and collect payments from patients and payers in a professional and customer-focused manner. - Ability to multitask, prioritize responsibilities, and manage competing deadlines. - Strong analytical skills with the ability to research and resolve account discrepancies and reimbursement issues. - Ability to work independently and collaboratively within a team environment. Qualifications Minimum Education and Experience Requirements Education - High school diploma or equivalent required. - Associate's degree may substitute for the required work experience. Experience - Minimum of six (6) months of healthcare billing, collections, revenue cycle, or financial experience required; OR - Minimum of one (1) year of experience in a business environment involving finance, accounting, insurance, collections, or accounts receivable functions. Preferred Qualifications - Working knowledge of CPT and ICD-10 coding. - Knowledge of federal, commercial, and managed care billing rules, regulations, and compliance requirements. - Epic system experience preferred.

• Conduct both virtual and on-site investigations by visiting policyholders’ residences to assess property damage, determine liability, evaluate the extent of loss, and negotiate fair settlements • Use claims handling software, a company car, and a laptop to determine claims-related damage and write estimates in a paperless environment • Evaluate and report on potential subrogation opportunities • Reports incidents involving theft, fraud, or arson to appropriate state and industry agencies • Perform duties independently, with work directly impacting management outcomes • Acts as a company representative in public interactions, maintaining a professional demeanor consistent with management standards • Engages regularly with a variety of stakeholders, including policyholders, claimants, agents, witnesses, contractors, law enforcement, fraud and arson investigators, attorneys, medical professionals, and other relevant parties • Use strong customer service skills to negotiate with policyholders to settle the claim • Performs additional duties as assigned • Promotes safety at all times and complies with safety/ergonomic standards as outlined in relevant company published manuals • Employees assigned to the Catastrophe team will be required to travel away from their residence for a specified period of time, usually consisting of 2-3 days • Although this is not a CAT-specific role, hires will be expected to commit to 1–3 CAT deployments per year

• Conduct field based investigations by visiting policyholders’ homes to investigate property damage. • Use claims handling software, a company car and laptop to determine claims related damage and write estimates. • Represents the Company from a public relations standpoint and must conduct oneself as a member of Management. • Use strong customer service skills to negotiate with policyholders to settle the claim.

• Conduct both virtual and on-site investigations by visiting policyholders’ residences to assess property damage, determine liability, evaluate the extent of loss, and negotiate fair settlements. • Use claims handling software, a company car, and a laptop to determine claims-related damage and write estimates in a paperless environment. • Evaluate and report on potential subrogation opportunities. • Reports incidents involving theft, fraud, or arson to appropriate state and industry agencies. • Perform duties independently, with work directly impacting management outcomes. • Acts as a company representative in public interactions, maintaining a professional demeanor consistent with management standards. • Engages regularly with a variety of stakeholders, including policyholders, claimants, agents, witnesses, contractors, law enforcement, fraud and arson investigators, attorneys, medical professionals, and other relevant parties. • Use strong customer service skills to negotiate with policyholders to settle the claim. • Performs additional duties as assigned.