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 caring caretakers in health centers, doctor practices, outpatient centers, immediate care centers, competent nursing centers, house health firms 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

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 pledge to you:

Joining AdventHealth has to do with becoming part of 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 flourish expertly, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the special 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 guarantee correct billing happens on all designated client accounts. Depending upon payer agreement might be needed to take part in teleconference, balance dues reports, assembles the concern report in order to speed up resolution of accounts.
  • Works follow up report daily, keeping recognized objective( s), and alerts 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 relating to status of claim, asking for extra info, and so on
  • Initiates next billing, designate suitable follow-up and/or collection action( s), this is not restricted to calling clients, insurance companies or companies, as suitable. Sends out preliminary or secondary expenses to Insurance payers.
  • Documents billing, follow-up and/or designate collection action( s) that are taken and all procedures to fix designated accounts, consisting of escalation to Supervisor/Manager if essential.
  • 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 fundamental billing guidelines for Government and Managed Care payers.
  • Uses discretion when talking about personnel/patient associated concerns that are private in nature.
  • Ability to offer and follow composed and spoken instructions.
  • Working understanding of computer applications and competent in word, stand out and power point applications. Self-motivator, fast thinker, interacts expertly and successfully 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 associated with the billing, coding, collection, payment, and client service for all payer and client accounts. Under basic guidance, is accountable for processing insurance coverage and billing insurance coverage in a prompt way. Evaluations designated electronic claims and submission reports. Fixes and resubmits turned down claims properly as required. Functions carefully with HIM, Coding, Revenue Integrity, Patient Access, and Patient Financial Services departments to deal with impressive claim mistakes by getting required details for precise billing. Procedures everyday mistake logs, stalled reports, aging claims, and any ah-hoc reports. Addresses declare concerns from insurance provider asking for extra info and/or monitoring status of billings.

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

AdventHealth.

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