Acct Rep Lead-Bill/Coll/DenMaitland, FL

Account Representative Lead

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:

• 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

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.

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.