Account Manager MedicareMaitland, FL

Account Representative Manager Billing / Collections / Denials - AdventHealth

At AdventHealth Orlando, what started as a converted farmhouse in rural Central Florida has become Central Florida's major tertiary health care facility. Patients come from the Southeast, the Caribbean and even as far as South America for our proven expertise and compassionate health care.

With a variety of Orlando hospital jobs, we invite you to start or elevate your career with a new job at AdventHealth Orlando. We constantly seek out Orlando nurses, medical assistants, nurse assistants, patient care and health administration professionals who share our passion for whole-person health care. Learn more about our open positions and apply to become an invaluable part of our team.

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.

Top Reasons To Work At AdventHealth

Work Hours / Shift : Full Time Monday - Friday 8 : 00 - 5 : 00pm

You Will Be Responsible For :

• Managing the cohesive relationship between insurance and hospital. Works with Insurance payers to ensure proper follow up on billing / denials / variances takes place on all assigned patient accounts. Compiles the Accounts Receivable issue report to expedite resolution of accounts.
• Being well versed in the NUBC guidelines. Maintaining an understanding of Federal, State, local and industry standards, guidelines, rules and regulations to ensure compliance.
• Managing department team members by providing application assistance and work flow knowledge and training. Showing respect and consideration for co-workers needs, concerns and beliefs. Assisting the Supervisor with managing the day to day operations.
• Working reports daily, maintaining established goal(s), and notifying Director, of issues preventing achievement of such goal(s). Managing the follow up on daily correspondence to appropriately resolve patient accounts with one touch resolution.
• Assisting Customer Service with Patient concerns / questions to ensure prompt and accurate resolution is achieved. Producing written correspondence to payers and patients regarding status of claim, requesting additional information, etc. Participating in insurance claim event to reduce outstanding AR if necessary.

Qualifications

What You Will Need :

Job Summary :

Protects the financial standing of AdventHealth, Central Florida Division South, by performing functions related to the collections, payment and customer service for all payer and patient accounts. Manager monitors and directs the process of follow up with insurance in a timely accurate manner. Provides leadership with daily updates on volumes, dollars, and related systemic issues. Reviews daily assigned electronic claims and submission reports. Maintains a strong working relationship with HIM, Coding, Revenue Integrity, Patient Access, and Patient Financial Services Leadership to address process and outstanding claim errors. Processes daily error logs, stalled reports, aging claims, and any ah-hoc reports.

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