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Sarasota Memorial Health Care System · Support Services Building · Sarasota, FL

Appeals & Recovery Team Lead

TypeFull time
Experience7+ yrs
EducationAssociate's
PostedOct 12
✓You’ll need
Certifications
CPB: Certified Professional Biller preferred
CPC: Certified Professional Coder preferred
Education
✓Require an Associate's degree in related field
Bachelor's degree preferred.
Qualifications
✓Require a minimum of seven (7) years of managed care, reimbursement, or billing experience.
✓Required License and Certs
✓As part of Sarasota Memorial Health Care System’s commitment to keeping people safe, all individuals providing care to vulnerable populations are required to undergo background screening through The Florida Care Provider
Prefer previous managerial experience. preferred
Prefer ability to type 30+ words per minute. preferred
Prefer demonstrated knowledge of computer applications and business systems to include analytical software and Microsoft Excel. preferred
Prefer demonstrated knowledge of ICD-10, CPT, HCPCS, DRG and Revenue codes. preferred
Prefer familiarity with Managed Care contracts, terms, protocols, procedures and operations. preferred
Prefer familiarity with state and federal rules regulations and guidance as related to managed care. preferred
CRCS: Cert Revenue Cycle Specialist preferred
Preferred License and Certs
Onsite position. preferred
Sarasota Memorial Health Care System
Public · Sarasota, FL · 3 hospitals
388open roles
All 388 Sarasota Memorial jobs
Want the next healthcare job in Florida by email?
Weekly, free, unsubscribe with one click.
✓You’ll need
Certifications
CPB: Certified Professional Biller preferred
CPC: Certified Professional Coder preferred
Education
✓Require an Associate's degree in related field
Bachelor's degree preferred.
Qualifications
✓Require a minimum of seven (7) years of managed care, reimbursement, or billing experience.
✓Required License and Certs
✓As part of Sarasota Memorial Health Care System’s commitment to keeping people safe, all individuals providing care to vulnerable populations are required to undergo background screening through The Florida Care Provider
Prefer previous managerial experience. preferred
Prefer ability to type 30+ words per minute. preferred
Prefer demonstrated knowledge of computer applications and business systems to include analytical software and Microsoft Excel. preferred
Prefer demonstrated knowledge of ICD-10, CPT, HCPCS, DRG and Revenue codes. preferred
Prefer familiarity with Managed Care contracts, terms, protocols, procedures and operations. preferred
Prefer familiarity with state and federal rules regulations and guidance as related to managed care. preferred
CRCS: Cert Revenue Cycle Specialist preferred
Preferred License and Certs
Onsite position. preferred
Sarasota Memorial Health Care System
Public · Sarasota, FL · 3 hospitals
388open roles
All 388 Sarasota Memorial jobs
Want the next healthcare job in Florida by email?
Weekly, free, unsubscribe with one click.

Full employer posting

In addition to being responsible for performing the standard duties & responsibilities of the Team Lead, Appeals-Recovery, this position functions in a lead support role assisting leadership in the areas of technical operations, personnel management, quality control and financial management, and assists with overseeing Managed Care, Commercial, Medicare HMO, and Medicaid HMO accounts within PFS, identified as denied or not processed according to the contract terms.

Required Qualifications - Require a minimum of seven (7) years of managed care, reimbursement, or billing experience. - Require an Associate's degree in related field; Bachelor's degree preferred.

  • Prefer previous managerial experience.
  • Prefer ability to type 30+ words per minute.
  • Prefer demonstrated knowledge of computer applications and business systems to include analytical software and Microsoft Excel.
  • Prefer demonstrated knowledge of ICD-10, CPT, HCPCS, DRG and Revenue codes.
  • Prefer familiarity with Managed Care contracts, terms, protocols, procedures and operations.
  • Prefer familiarity with state and federal rules regulations and guidance as related to managed care.

Required License and Certs CRCS: Cert Revenue Cycle Specialist Preferred License and Certs CPB: Certified Professional Biller CPC: Certified Professional Coder Onsite position. Employment Screening Requirements As part of Sarasota Memorial Health Care System’s commitment to keeping people safe, all individuals providing care to vulnerable populations are required to undergo background screening through The Florida Care Provider Background Screening Clearinghouse. https://info.flclearinghouse.com/

About the role

In addition to being responsible for performing the standard duties & responsibilities of the Team Lead, Appeals-Recovery, this position functions in a lead support role assisting leadership in the areas of technical operations, personnel management, quality control and financial management, and assists with overseeing Managed Care, Commercial, Medicare HMO, and Medicaid HMO accounts within PFS, identified as denied or not processed according to the contract terms.