• PFS Ins Follow Up Lead

    AdventHealth (Daytona Beach, FL)


    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* (For eligible positions)

    + Career Development

    + Whole Person Wellbeing Resources

    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

    **Location:** AdventHealth Daytona Beach

    **The community** **you’ll** **be caring for:** 301 MEMORIAL MEDICAL PKWY, Daytona Beach, 32117

    The role** **you** **’ll** **contribute** **:

    The Lead Ins. Follow Up/ Collector Representative actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all. Under general supervision of the PFS Follow-Up Supervisor, is responsible for following up Managed Care and Commercial insurance products. Resolves and resubmits rejected claims appropriately as necessary. Processes daily and special reports, error logs, stalled reports and aging. May perform outgoing calls to Patients and Insurance companies to obtain necessary information for accurate billing. May answer incoming calls from Insurance companies requesting additional information and/or checking status of billings. Responsible for providing support and service to all AHS Facilities in the East Florida Regional Market.

    The value** **you’ll** **bring to the team:

    + Works with Insurance payers to ensure proper resolution of 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.

    + Monitors and assists team members regularly, providing feedback, ensuring both goals and job requirements are met as assigned by Supervisor. Trains new staff, performs audits of work performed, and communicates progress to appropriate Supervisor. Provides continuing education of all team members on process and A/R requirements.

    + Assisting the Supervisor with managing the day to day operations. Examines contract to ensure proper reimbursement, educates team of inconsistencies in processing, including disciplinary discussions if necessary, and any changes to contract identified.

    + Remains in consistent daily communication with Team members, including new process education, disciplinary actions regarding all aspects of assigned projects.

    + Responsible for ensuring the claims rejection reports are reviewed.

    The** **expertise** **and** **e** **xperiences** **you’ll** **need to succeed** **:

    **Minimum qualifications** :

    + High School Grad or Equivalent

    + 2 experience in insurance billing or follow-up: Medicare billing or follow-up and/or Managed Care billing/follow-up

     

    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.