Workers Compensation Claims Accounting CoordinatorAltamonte Springs, FL

Workers Compensation Claims Accounting Coordinator

Hospitals, medical centers and facilities need more than physicians, nurses and specialists delivering care to our patients. A truly successful health care organization needs a thoughtful, dedicated, steady and experienced team working behind the scenes to make sure communities around the country receive the health care they need.

If you've also been interested in working in the health care field but aren't a health care provider, a corporate career at AdventHealth may just be the perfect fit. We're a faith-based health care organization headquartered in Altamonte Springs, Florida. As a national leader in quality, safety and patient satisfaction, our 92,000 team members maintain a long tradition of whole-person health by caring for the physical, emotional and spiritual needs of every patient.

Start your journey with a health care career at AdventHealth Corporate.

Every day, our fellow team members show up to work, unified by one shared mission : Extending the Healing Ministry of Jesus Christ. As a faith-based health care organization, our story is one of hope as we strive to heal and restore the body, mind and spirit. Though our facilities are spread across the country, this unwavering belief binds us together. Across every office, exam and patient room, we're committed to providing individualized, holistic care. This is our Christian mission, and it inspires us to help make communities healthier and happier.

The role you will contribute :

The WC / Claims Accounting Coordinator is responsible for supporting the claims and accounting functions of the workers' compensation and risk claims departments by reviewing and processing approved medical payments, invoices, and other claim related bills using Origami, RMX, Perceptive Content, and MedImpact software and customized scripting tools. This role will maintain electronic documentation for all payments, voids, collections, vendors and refunds and ensure all medical payments are processed and paid within jurisdictional timeframes.

The value you will bring to the team :

• Collects necessary data, including patient details, medical services provided, pharmacy prescriptions, and related expenses.
• Verifies accuracy of collected data to ensure it matches the services rendered and prescriptions filled.
• Uses standardized medical and pharmacy codes (e.g., ICD, CPT, NDC) to categorize services and prescriptions for billing purposes.
• Submits claims to insurance providers or payers electronically using secure data transfer protocols (e.g., EDI).
• Adjudicates claims to determine coverage, eligibility, and payment amount based on the patient's insurance plan.
• Processes payments electronically, transferring funds to the medical provider or pharmacy's account once approved.
• Reconciles transactions by matching received payments with submitted claims to ensure all transactions are accounted for and resolves any discrepancies.
• Generates reports for financial tracking, auditing, and compliance purposes.
• Ensures compliance with regulations and standards, such as HIPAA, to ensure data privacy and security throughout the payment processing activities.
• Performs other duties as assigned.

The expertise and experiences you'll need to succeed :

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

Category : Accounting / Finance

Organization : AdventHealth Corporate

Schedule : Full-time

Shift : 1 - Day

Req ID : 25041807

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.