Hospital Account Representative Ii

All the benefits and perks you need for you and your family:

• Benefits from Day One
• Paid Days Off from Day One
• Student Loan Repayment Program
• Career Development
• Whole Person Wellbeing Resources
• Mental Health Resources and Support
• Pet Insurance*
• Debt-free Education* (Certifications and Degrees without out-of-pocket tuition expense)

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Schedule: Full-Time

Shift : Day's

Location: Maitland/ Hybrid

GENERAL SUMMARY:

Under general supervision, is responsible for billing insurance and insurance collections and denial management in a timely manner. Remains in consistent daily communication with Team members, including new process education, disciplinary actions, Reimbursement Lead and Reimbursement Manager regarding all aspects of assigned projects. Reviews assigned electronic claims and submission reports. Examines contracts for proper reimbursement. Resolves and resubmits rejected claims appropriately as necessary. Processes daily and special reports, unlisted invoices and letters, error logs, stalled reports and aging. Reviews previous account documentation, determining appropriate action(s) necessary to resolve each assigned account. Performs outgoing calls to Patients and Insurance companies to obtain necessary information for accurate billing, collections and correction of denials. Answers incoming calls from Insurance companies requesting additional information and/or checking status of claims.

PRINCIPAL DUTIES AND JOB RESPONSIBILITIES:

• Works with Insurance payers to ensure proper billing takes place on all assigned patient accounts. Depending on payer contract may be required to participate in conference calls, accounts receivable reports, compiles the issue report in order to expedite resolution of accounts.
• Works follow up report daily, maintaining established goal(s), and notifies Supervisor, of issues preventing achievement of such goal(s). Follows up on daily correspondence (denials, underpayments) to appropriately work Patient accounts.
• Assists Customer Service with Patient concerns/questions to ensure prompt and accurate resolution is achieved. Produces written correspondence to payers and patients regarding status of claim, requesting additional information, etc.
• Initiates next billing, assign appropriate follow-up and/or collection step(s), this is not limited to calling patients, insurers or employers, as appropriate. Sends initial or secondary bills to Insurance payers.
• Documents billing, follow-up and/or assign collection step(s) that are taken and all measures to resolve assigned accounts, including escalation to Supervisor/Manager if necessary.
• Processes administrative and Medical appeals, refunds, reinstatements and rejections of insurance claims with the oversight of the Supervisor and/or Manager.

Qualifications

EDUCATION AND EXPERIENCE REQUIRED:

• Two years of experience in a Revenue Cycle department or related areas such as registration, finance, collections, customer service, medical, or contract management

KNOWLEDGE AND SKILLS REQUIRED:

• Ability to use discretion when discussing personnel/patient related issues that are confidential in nature.
• Ability to be responsive to ever-changing matrix of hospital needs and act accordingly.
• Typing skills equal to 20 words per minute.
• Proficiency in performance of basic math functions.
• Ability to communicate professionally and effectively in English, both verbally and in writing.
• Proficiency in Microsoft office products such as Word and Excel.
• Strong analytical and research skills.

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.

Category: Accounting/Finance

Organization: AdventHealth Orlando

Schedule: Full-time

Shift: 1 - Day

Req ID: 24005862

We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.