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Top Reasons to work at AdventHealth

+ Benefits from Day One

+ Paid Days Off from Day One

+ Student Loan Repayment Program

+ Career Development

+ Pet Insurance

**Schedule:** Full-Time

**Shift** : Monday - Friday 8:00am - 4:30pm

**Location:** 900 WINDERLEY PL, Maitland, 32751

Our promise to you:

Joining AdventHealth is about being part of something bigger. Its 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.

You Will Be Responsible For:

+ 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.

+ Monitors and assists team members regularly, providing feedback, ensuring both goals and job requirements are met as assigned by Manager. Trains staff performs audits of work performed and communicates progress to appropriate Manager.

+ Performs one on one meetings with staff to promote a dedicated team environment. Provides continuing education to all team members on process and A/R requirements.

Qualifications

EDUCATION AND EXPERIENCE REQUIRED:

Three years of experience in a Revenue Cycle department or a related field, such as, registration, finance, collections, customer service, medical, or contract management with a minimum of One- year working collections on HMO, PPO or Government claims

KNOWLEDGE AND SKILLS REQUIRED:

Responsive to ever-changing matrix of business needs and acts accordingly

Typing skills equal to 30 words per minute

Proficiency in performance of basic math functions

Communicates 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

HCFA1500 formats relative to regulatory standards in claims (paper and/or electronic) processing

Excellent knowledge of ICD, CPT, HCPS coding, and medical terminology

Job Summary:

The Account Representative Lead is responsible for processing insurance, denials management, billing and collection follow up in a timely manner. Monitors and tracks assigned electronic claims and submission reports. Resolves and resubmits rejected claims appropriately as necessary. Processes daily and special reports, unlisted invoices and letters, error logs, stalled reports and aging. 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. Performs testing for system upgrades/changes. Provides quality assurance for like job functions when necessary.

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:** 25035741

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.