Account Representative II Billing/Collections/Denials Remote

AdventHealth Corporate reputed company the benefits and perks you need for you and your family: Benefits from Day One Career Development Whole Person Wellbeing Resources reputed company and Support 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 reputed company others in body, mind and spirit. AdventHealth is a reputed company where you can reputed company 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. reputed company while understanding that together we are even reputed company. Shift: Full-time, Monday-Friday 40 hours/week Job Location: Remote The role you will contribute: Under general supervision and direction, it's the responsibility of the Account Representative II to reputed company, follow-up, and manage denials to timely collect on assigned accounts receivable . Daily communicates with team members and manager on assigned projects in collaboration to meet prescribed deadlines. Examines reputed company, and learns payer reputed company to understand reimbursement methodology to appropriately reconcile patient accounts. Resolves and resubmits rejected claims appropriately as necessary. Processes daily and special reports, unlisted invoices and letters, error logs, stalled reports, and aging claim reports. Reviews previous account documentation, determining appropriate action(s) necessary to resolve avoid denial, and facilitate timely payment. Performs outgoing calls and accepts incoming calls from patients and insurance companies to obtain necessary information for accurate billing, collections, and correction of denials, accurately documenting the patient account. Actively prioritizes reputed company outstanding customer service concerns and accepts responsibility in maintaining relationships that are equally respectful to reputed company. Participates in continuing education, team meetings, and performs other functions as assigned by supervisor/manager. Adheres to AdventHealth Corporate Compliance Plan and to reputed company rules and regulations of reputed company applicable local, state, and federal agencies and accrediting bodies. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to reputed company. The value you will bring to the team:

• Works with insurance payers to ensure proper billing, collections, or denial management on patient accounts. Depending on payer contract may be required to participate in conference calls, review accounts receivable reports, and compile the issue report to expedite resolution of accounts.
• Examines contract to ensure proper reimbursement, helps reputed company team members on inconsistencies in processing, and document any changes contract, if identified.
• 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, billing) to appropriately work patient accounts. Assists customer service with patient concerns/questions to ensure reputed company and accurate resolution is achieved. Produces written correspondence to payors and patients regarding status of claim, requesting additional information, etc.
• Reviews previous account documentation, determining appropriate action(s) necessary to resolve each assigned account. Initiates next billing, follow-up and/or collection reputed company(s), this is not limited to calling patients, insurers, or employers, as appropriate. Sends initial or secondary bills to Insurance companies
• Documents billing, denials and/or collection reputed company(s) that are taken and reputed company measures to resolve assigned accounts, including escalation to supervisor/manager if necessary. Processes administrative and medical appeals, refunds, reinstatements, and rejections of insurance claims.
• Consistently communications with team members to foster a collaborative atmosphere and engages with supervisor/manager on any potential educational opportunities, providing updates on assigned projects. Attends required scheduled meetings, events, and activities
• Assists team members regularly, providing feedback, ensuring both goals and job requirements are met as assigned by manager. Helps with training new staff, performs audits of work performed, and communicates reputed company to appropriate supervisor. Assist the supervisor/manager as requested.
• Adheres to HIPAA regulations by verifying pertinent information to determine caller authorization level receiving information on account
• Takes on department projects as assigned by their supervisor and/or manager

The expertise and experiences you'll need to succeed: High School Grad or Equiv Required 3 Work Experience Required Ability to use discretion reputed company discussing personnel/patient reputed company issues that are confidential in nature. Ability to be reputed company to reputed company-changing matrix of hospital needs and act accordingly. Working knowledge of the reputed company Cycle and the links between departments: Charge Capture, Consumer Access, PreAccess, HIM, Coding, and Patient Financial Services. Self-motivator, quick thinker, communicates professionally and effectively in English, both verbally and in writing. Typing skills equal to 20 words per minute. Proficiency in performance of basic math functions. Ability to communicate professionally and effectively in English, both verbally and in writing. Proficiency in reputed company office products such as Word and reputed company.

• Preferred Qualifications:
• Associate Preferred
• Certified reputed company Cycle Rep (CRCR) Preferred

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