Revenue Cycle Specialist

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.

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

• Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance

• Paid Time Off from Day One

• 403-B Retirement Plan

• 4 Weeks 100% Paid Parental Leave

• Career Development

• Whole Person Well-being Resources

• Mental Health Resources and Support

• Pet Benefits

Schedule:

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Job Description:

• Processes accurate billing procedures for all payors electronically, meeting time and daily deadlines efficiently.

• Other duties as assigned.

• Analyzes daily correspondence (denials, underpayments) to appropriately resolve issues and responds to written correspondence from payers and patients.

• Assists Customer Service with patient concerns/questions to ensure prompt and accurate resolution.

• Processes and records agency audit notifications and responds within designated timeframes to ensure compliance with government and contractual requirements.

• Works all assigned insurance payers to ensure proper reimbursement on patient accounts, processes appeals, requests refunds, and handles rejections of insurance claims.

• Communicates effectively and professionally with key management staff and supporting department partners to ensure key metrics are addressed timely.

• Maintains communication between external or contracted agencies, business vendors, and partners, ensuring compliance with contractual terms and performance protocols.

• Ensures expeditious and accurate insurance reimbursement for all Government and Managed Care payors.

• Updates a high volume of daily claims appropriately in the appropriate system.

• Determines, initiates, and follows through on the status of claims in appropriate system, such as placing on hold, deleting, or assigning account errors to responsible departments.

• Documents billing, follow-up, and collections steps taken, as well as the results and next steps needed to resolve assigned payments.

• Monitors and audits the status of errors assigned to other areas or teams for all payors daily, ensuring timely follow-up and expeditious billing.

Knowledge, Skills, and Abilities:

• Computer/data entry skills required.
• Proficiency in performance of basic math functions.
• Communicates professionally and effectively, both verbally and in writing.
• Exposure and understanding of CPT codes required.

Education:

• High School Grad or Equiv Required

Work Experience:

• 1 college can be substituted for experience. Required
• 1 experience in healthcare claims processing or collections. Preferred
• 1 experience in healthcare, finance, accounting, banking, insurance, or related fields. Required
• Physical Requirements: (Please click the link below to view work requirements)Physical Requirements - https://tinyurl.com/23km2677

Pay Range:

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