AdventHealth

AdventHealth.

  • Maitland, FL


  • 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 makes every effort to recover and bring back the body, mind and spirit. Our more than 80,000 experienced and thoughtful caretakers in health centers, doctor practices, outpatient centers, immediate care centers, proficient nursing centers, house health companies and hospice centers are dedicated to supplying personalized, 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

Account Representative I Billing Collections and Denials

Top Reasons to operate at AdventHealth

Conveniently situated near i-4 and Apopka expressway 414 Benefits from Day One

  • Paid Days Off from Day One
  • Student Loan Repayment Program
  • Career Development
  • Pet Insurance

Schedule: Full-Time

Shift: Day’s

Location: Maitland, FL

Our guarantee to you:

Joining AdventHealth has to do with belonging to something larger. It’s about coming from a neighborhood that thinks in the wholeness of everyone, and serves to boost others in body, mind and spirit. AdventHealth is a location where you can grow expertly, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the distinct experiences you give our purpose-minded group. All while comprehending that together we are even much better.

You Will Be Responsible For:

  • Works with Insurance payers to make sure correct billing occurs on all designated client accounts. Depending upon payer agreement might be needed to take part in teleconference, balance dues reports, assembles the problem report in order to speed up resolution of accounts.
  • Works follow up report daily, preserving recognized objective( s), and informs Supervisor, of concerns avoiding accomplishment of such objective( s). Acts on everyday correspondence (rejections, underpayments) to properly work Patient accounts.
  • Assists Customer Service with Patient concerns/questions to make sure timely and precise resolution is attained. Produces composed correspondence to payers and clients concerning status of claim, asking for extra details, and so on
  • Initiates next billing, designate proper follow-up and/or collection action( s), this is not restricted to calling clients, insurance providers or companies, as suitable. Sends out preliminary or secondary costs to Insurance payers.
  • Documents billing, follow-up and/or appoint collection action( s) that are taken and all steps to deal with appointed accounts, consisting of escalation to Supervisor/Manager if needed.
  • Processes administrative and Medical appeals, refunds, reinstatements and rejections of insurance coverage declares with the oversight of the Supervisor and/or Manager

Qualifications

EDUCATION AND EXPERIENCE REQUIRED:

  • One-year of experience in Revenue Cycle Department or associated locations such as registration, financing, collections, customer support, medical, or agreement management

KNOWLEDGE AND SKILLS REQUIRED:

  • Able to deal with innovative billing treatments.
  • Able to focus on and multitask based upon volume of work within particular due dates
  • Knowledge of the Revenue Cycle and the links in between departments: Charge Capture, Patient Access, HIM, Coding, and Patient Financial Services.
  • Working understanding including protection, payment, compliance, and standard billing guidelines for Government and Managed Care payers.
  • Uses discretion when talking about personnel/patient associated problems that are private in nature.
  • Ability to offer and follow composed and spoken instructions.
  • Working understanding of desktop computer applications and competent in word, stand out and power point applications. Self-motivator, fast thinker, interacts expertly and efficiently in English, both verbally and in composing.
  • Ability to deal with all departments and all levels of management.

Job Summary:

Protects the monetary standing of AdventHealth Central Florida Division South by carrying out functions connected to the billing, coding, collection, payment, and customer care for all payer and client accounts. Under basic guidance, is accountable for processing insurance coverage and billing insurance coverage in a prompt way. Evaluations appointed electronic claims and submission reports. Fixes and resubmits declined claims properly as needed. Functions carefully with HIM, Coding, Revenue Integrity, Patient Access, and Patient Financial Services departments to fix exceptional claim mistakes by acquiring essential info for precise billing. Procedures everyday mistake logs, stalled reports, aging claims, and any ah-hoc reports. Addresses declare problems from insurer asking for extra info and/or monitoring status of billings.

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

AdventHealth.

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