AdventHealth

AdventHealth.

  • Fletcher, NC


  • Long-term.

  • Full-time.

About United States

At AdventHealth, Extending the Healing Ministry of Christ is our objective. It calls us to be His hands and feet in assisting individuals feel entire. Our story is among hope – one that aims to recover and bring back the body, mind and spirit. Our more than 80,000 proficient and caring caretakers in medical facilities, doctor practices, outpatient centers, immediate care centers, competent nursing centers, house health companies and hospice centers are dedicated to supplying customized, wholistic care. Our Christian objective, shared vision, typical worths and concentrate on whole-person health is our dedication to making neighborhoods healthier with a unified system.

Job Description

Description

Patient Account Billing Representative – AdventHealth Hendersonville – Regional

Location Address: 54 BROWNSBERGER CIRCLE, Fletcher, 28732

Top Reasons to Work at AdventHealth Hendersonville

Beautiful Scenic Mountains

Co-workers that seem like household

Faith based company

Employee Referral Program

Educational Reimbursement Plans

Immediate Benefits

Work Hours/Shift:

Full Time Days

You Will Be Responsible For:

Overlaps CPA

PRINCIPAL DUTIES AND JOB RESPONSIBILITIES:

  • Runs & evaluations 72 hour reports in CPA, 2 to 3 times weekly
  • Sends work products to proper departments, utilizing task help for correct phrasing.
  • Works CPA lines within amount of time designated:
  • Daily: work product to be validated, outpatient overlap;-LRB-
  • Bi-weekly: claim holding basic pending upgrade, attention required;-LRB-
  • Weekly: upgrade required on claim, all others.
  • Report any issues outside the typical work circulation to manager.
  • Processes e-mails in a prompt way and finishes essential actions.
  • Interacts with PFS personnel, healthcare facility workers, and business agents in a handy way, showing proficiency and professionalism.
  • Accepts and carries out other tasks as designated.
  • Reviews SSI errored paper claims, confirming and printing for sending by mail to payers.
  • Ensures compliance with billing policies, making no modifications to body of claim in SSI unless authorized in the task help.
  • Mails declares to payers, with records as suitable, keeping in mind in timeline or CNE all actions taken.

Collector

PRINCIPAL DUTIES AND JOB RESPONSIBILITIES:

  • Reviews Work Items everyday and performs action required for claim resolution. Files all activity plainly consisting of info vital for future follow-up.
  • Relies on online resources for claim status and updates. Screens sites for Payer policy modifications and shares details with management and staff member.
  • Resolves rejected claims that do not need an appeal. Claims requiring appeal are described rejection group.
  • Processes correspondence and e-mail in a prompt way; reacts to ask for extra info immediately.
  • Maintains days in A/R, aging of accounts and collections for representative task within business specified objectives.
  • Communicate efficiently with doctor workplaces.
  • Prepare analysis of ATB higher than 60 days with in-depth understanding of issues producing payment hold-up, as required, and reports this to Assistant Director.
  • Process correspondence and e-mails in a prompt way and finishes essential actions.
  • Maintain days in A/R, aging of accounts and collections within business specified objectives.
  • Make suitable choices for resolution of overdue claims.
  • Accept other tasks as designated.

Secondary Biller

PRINCIPAL DUTIES AND JOB RESPONSIBILITIES:

  • Reviews SSI errored secondary/tertiary claims day-to-day based upon center & alpha split, remedying and verifying claims in preparation for day-to-day submission.
  • Sends work products to suitable departments, utilizing task help for correct phrasing.
  • Works CPA lines within amount of time designated:
  • Daily: work product to be validated, technical rejection, secondary overdue, work product to be solved;-LRB-
  • Bi-weekly: EOB difference, claim holding basic pending upgrade, declaration evaluation needed;-LRB-
  • Weekly: at threat, upgrade required on claim, all others.
  • Reports continuous issues to management or SSI to get rid of recurring mistakes. Makes every effort to continuously enhance recognition rate.
  • Report any issues outside the regular work circulation to SSI customer support or regional IS group, as suitable.
  • Calls insurance provider if payment is postponed, establishing what is required to get claim paid and following up to ensure they have required details to pay claim.
  • Consistently utilizes online resources for claim follow-up and payor policy modifications.
  • Processes correspondence and e-mails in a prompt way and finishes essential actions.
  • Identifies claim rejections where appeals are not required and changes properly.
  • Maintains aging of accounts within corporately specified objectives.
  • Makes proper choices for resolution of overdue claims.
  • Ensures compliance with billing policies, making no modifications to body of claim in SSI unless authorized in the task help.
  • Interacts with billing personnel, medical facility workers, and business agents in a handy way, showing know-how and professionalism.
  • Accepts and carries out other tasks as designated.

Qualifications

What you will require:

EDUCATION AND EXPERIENCE REQUIRED:

  • High school graduate or comparable needed.

EDUCATION AND EXPERIENCE PREFERRED:

  • Experience with medical terms, insurance coverage repayment, ICD-10 and CPT coding chosen.

KNOWLEDGE AND SKILLS REQUIRED:

  • Proficient in ten-key entry needed.
  • Able to interact efficiently in English, both verbally and in composing.

Job Summary:

Reviews all 72 hour and OP to OP overlaps for possible integrating according to policy. Functions in other locations as appointed

This center is a level playing field company and abide by federal, state and regional anti-discrimination laws, guidelines and regulations.

AdventHealth.

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