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Account Representative Lead
$54k-72k (estimate)
Full Time | Hospital 0 Months Ago
Save

AdventHealth Orlando is Hiring an Account Representative Lead Near Maitland, FL

Description
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: Day's

Location: Maitland, FL/ Hybrid

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

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.

Job Summary

JOB TYPE

Full Time

INDUSTRY

Hospital

SALARY

$54k-72k (estimate)

POST DATE

05/12/2023

EXPIRATION DATE

05/08/2024

WEBSITE

www.floridahospital.com

HEADQUARTERS

Orlando, Florida

SIZE

15,000 - 50,000

CEO

Denis Nagle

REVENUE

$200M - $500M

INDUSTRY

Hospital

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About AdventHealth Orlando

Founded in 1908, AdventHealth Orlando is a faith-based non-profit, tertiary, research and academic medical center that offers Orthopedic Care, Bariatric and Weight Care, Ear, Nose and Throat Care, Imaging Services, and more. The company is located in Orlando, Florida.

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