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Billing, Collections and Denials Account Representative II RemoteAltamonte Springs, FL

Billing, Collections and Denials Account Representative II RemoteAltamonte Springs, FL

AdventHealthAltamonte Springs, FL, US
3 hours ago
Job type
  • Full-time
  • Remote
Job description

Corporate Billing Specialist

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.

All the benefits and perks you need for you and your family :

  • Benefits from Day One
  • Career Development
  • Whole Person Wellbeing Resources
  • Mental Health Resources and Support

Shift : Full-time; 8a-4 : 30pm

Job Location : Remote

The role you will contribute :

Responsible for billing, follow-up, and managing denials to timely collect on assigned accounts receivable. This position communicates daily with team members and managers to meet prescribed deadlines. This role examines contracts and learns payer contracts to understand reimbursement methodology and appropriately reconcile patient accounts. This position resolves and resubmits rejected claims, processes daily and special reports, and reviews previous account documentation to determine necessary actions. Additionally, this role performs outgoing and incoming calls with patients and insurance companies to obtain information for accurate billing and collections.

The value you will bring to the team :

  • Works with insurance payers to ensure proper billing, collections, or denial management on patient accounts.
  • Examines contracts to ensure proper reimbursement, educates team members on inconsistencies, and documents any changes.
  • Works follow-up reports daily, maintaining established goals, and notifies the supervisor of issues preventing goal achievement.
  • Follows up on daily correspondence related to denials, underpayments, and billing to appropriately manage patient accounts.
  • Assists customer service with patient concerns and questions to ensure prompt and accurate resolution.
  • Produces written correspondence to payors and patients regarding claim status and requests for additional information.
  • Reviews previous account documentation to determine necessary actions to resolve assigned accounts.
  • Initiates next billing, follow-up, and collection steps, including contacting patients, insurers, or employers as appropriate.
  • Documents billing, denials, and collection steps taken, escalating to the supervisor or manager if necessary.
  • Processes administrative and medical appeals, refunds, reinstatements, and rejections of insurance claims.
  • Communicates consistently with team members to foster a collaborative atmosphere and engages with the supervisor or manager on educational opportunities.
  • Assists with training new staff, performs audits of work, and communicates progress to the appropriate supervisor.
  • Other duties as assigned.

    • The expertise and experiences you'll need to succeed :

  • High School Grad or Equiv Required
  • 3 Work Experience Required
  • Ability to use discretion when discussing personnel / patient related issues that are confidential in nature.
  • Ability to be responsive to ever-changing matrix of hospital needs and act accordingly.
  • Working knowledge of the Revenue Cycle and the links between departments : Charge Capture, Consumer Access, PreAccess, HIM, Coding, and Patient Financial Services.
  • Self-motivator, quick thinker, communicates professionally and effectively in English, both verbally and in writing.
  • Typing skills equal to 20 words per minute.
  • Proficiency in performance of basic math functions.
  • Ability to communicate 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.
  • Able to conduct assigned work in either a fully remote or hybrid work environment.
  • Cerner Patient Accounting
  • SSI Claims Scrubber
  • Epic

    • Preferred Qualifications :

  • Associate Preferred
  • Certified Revenue Cycle Rep (CRCR) Preferred

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

    Category : Patient Financial Services

    Organization : AdventHealth Corporate

    Schedule : Full-time

    Shift : 1 - Day

    Req ID : 25039078

    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.

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    Billing Representative • Altamonte Springs, FL, US