28 applicants

Company

AdventHealth · 12 hours ago

Account Representative II Billing Collections Denials Remote

US-FL-Altamonte Springs

Full-time

Remote

Mid Level

3+ years exp

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Responsibilities

Bill, follow-up, and manage denials to timely collect on assigned accounts receivable

Daily communicates with team members and manager on assigned projects in collaboration to meet prescribed deadlines

Examines contracts, and learns payer contracts to understand reimbursement methodology to appropriately reconcile patient accounts

Resolves and resubmits rejected claims appropriately as necessary

Processes daily and special reports, unlisted invoices and letters, error logs, stalled reports, and aging claim reports

Reviews previous account documentation, determining appropriate action(s) necessary to resolve avoid denial, and facilitate timely payment

Performs outgoing calls and accepts incoming calls from patients and insurance companies to obtain necessary information for accurate billing, collections, and correction of denials, accurately documenting the patient account

Actively prioritizes all outstanding customer service concerns and accepts responsibility in maintaining relationships that are equally respectful to all

Participates in continuing education, team meetings, and performs other functions as assigned by supervisor/manager

Adheres to AdventHealth Corporate Compliance Plan and to all rules and regulations of all applicable local, state, and federal agencies and accrediting bodies

Works with insurance payers to ensure proper billing, collections, or denial management on patient accounts

Examines contract to ensure proper reimbursement, helps educate team members on inconsistencies in processing, and document any changes contract, if identified

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, billing) to appropriately work patient accounts

Assists customer service with patient concerns/questions to ensure prompt and accurate resolution is achieved

Produces written correspondence to payors and patients regarding status of claim, requesting additional information, etc.

Reviews previous account documentation, determining appropriate action(s) necessary to resolve each assigned account

Initiates next billing, 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 companies

Documents billing, denials and/or collection step(s) that are taken and all measures to resolve assigned accounts, including escalation to supervisor/manager if necessary

Processes administrative and medical appeals, refunds, reinstatements, and rejections of insurance claims

Consistently communications with team members to foster a collaborative atmosphere and engages with supervisor/manager on any potential educational opportunities, providing updates on assigned projects

Attends required scheduled meetings, events, and activities

Assists team members regularly, providing feedback, ensuring both goals and job requirements are met as assigned by manager

Helps with training new staff, performs audits of work performed, and communicates progress to appropriate supervisor

Assist the supervisor/manager as requested

Adheres to HIPAA regulations by verifying pertinent information to determine caller authorization level receiving information on account

Takes on department projects as assigned by their supervisor and/or manager

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Patient Financial ServicesInsurance CollectionsContract ManagementMedical CodingEpicCerner Patient AccountingSSI Claims ScrubberCertified Revenue Cycle RepresentativeFinancePatient RegistrationAdministrative AppealsBilling

Required

Three-years of experience in Patient Financial Services or related areas such as patient registration, finance, insurance collections, customer service, coding, medical, or contract management

High school diploma or GED