Lakeland Regional Health is a leading medical center located in Central Florida. With a legacy spanning over a century, we have been dedicated to serving our community with excellence in healthcare. As the only Level 2 Trauma center for Polk, Highlands, and Hardee counties, and the second busiest Emergency Department in the US, we are committed to providing high-quality care to our diverse patient population. Our facility is licensed for 892 beds and handles over 200,000 emergency room visits annually, along with 49,000 inpatient admissions, 21,000 surgical cases, 4,000 births, and 101,000 outpatient visits.

Lakeland Regional Health is currently seeking motivated individuals to join our team in various entry-level positions. Whether you're starting your career in healthcare or seeking new opportunities to make a difference, we have roles available across our primary and specialty clinics, urgent care centers, and upcoming standalone Emergency Department. With over 7,000 employees, Lakeland Regional Health offers a supportive work environment where you can thrive and grow professionally.

Active - Benefit Eligible and Accrues Time Off

Responsible for accurate follow up, working denials, and submitting appeals as well as other office task in the Patient Accounting System. Actively participates in team development, achieving dashboards, and in accomplishing department goals and objectives. Responsible for adhering to all Federal regulations and maintaining current knowledge of all Insurance guidelines. This position is a working member of a team with daily expectations to achieve operational targets and customer satisfaction. This position may have responsibility for certain job functions in one of the following areas; billing, follow-up, collection, denials, cash applications, customer service, self-pay, Share of Cost and Underpayments.

• Fosters an inclusive and engaged environment through teamwork and collaboration.
• Ensures patients and families have the best possible experiences across the continuum of care.
• Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created.

• Behaves in a mindful manner focused on self, patient, visitor, and team safety.
• Demonstrates accountability and commitment to quality work.
• Participates actively in process improvement and adoption of standard work.

• Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities.
• Knows and adheres to organizational and department policies and procedures.

People At The Heart Of All We Do

• Fosters an inclusive and engaged environment through teamwork and collaboration.
• Ensures patients and families have the best possible experiences across the continuum of care.
• Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created.
• Safety And Performance Improvement
  • Behaves in a mindful manner focused on self, patient, visitor, and team safety.
  • Demonstrates accountability and commitment to quality work.
  • Participates actively in process improvement and adoption of standard work.
  • Stewardship
  • Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities.
  • Knows and adheres to organizational and department policies and procedures.
  • Standard Work Duties: Patient Account Representative III
  • Ability to communicate clearly with others via telephone, and in person.
  • May be in frequent contact with patients, attorneys, employers, physicians, and others necessary to obtain information for resolution of a patient account.
  • Responsible for adequately working correspondence timely and efficiently.
  • Responsible for accurately resolving accounts through the Patient Accounting System to obtain optimal financial outcomes and the ability to report trends and Payer issues to management.
  • Composes and types routine correspondence, emails, letters, faxes, etc.
  • Must be able to adapt to frequent changes in the work environment, delays, or unexpected events.
  • Verifies and performs mathematical computations; maintains files.
  • Must be capable of performing detail oriented tasks.
  • Must meet department Productivity Guidelines.
  • Performs other duties as assigned.

Essential:

• Four years general Patient Accounting experience including understanding of Managed Care contracts and claims analysis. Understanding of Medicaid, Medicaid Manage Care, Medicare, Medicare Advantage plans, Commercial, Liability, and Workers' Compensation payors and their guidelines. Knowledge of healthcare rules and regulations. Working knowledge of Word, Excel or other Microsoft applications. Good analytical skills for problem solving, typing of 40 WPM and data entry.
• Knowledge of Accounting Principles; analytical mathematical skills, professional customer service communication skills.
• Demonstrates accuracy and thoroughness; Meets productivity standards; Completes work in timely manner.
• Consistently shows ability to recognize and deal with priorities. Adapts to changes in the work environment; Able to deal with frequent change, delays, or unexpected events.
Demonstrates good judgment and reasoning when investigating and solving problems. Good critical thinking skills.

Essential:

• High School or Equivalent

• Associate Degree

Nonessential:

• Business or Healthcare Administration

Other information:
Certifications Preferred: AAHAM or HFMA certification
Experience Essential: Two years general patient accounting experience. Experience working with and general understanding of Medicaid, Medicaid Manage Care, Medicare, Medicare Advantage plans, Commercial, Liability, and Workers' Compensation payors.
Experience Preferred: Four years general patient accounting experience. Experience working with and extensive understanding of Medicaid, Medicaid Manage Care, Medicare, Medicare Advantage plans, Commercial, Liability, and Workers' Compensation payors.