A/R Rep II, A/R for Commercial Payers

Orlando Health; Orlando (FL); On-site; USD 42,000 - 52,000; Full time

Benefits offered by this job

All Inclusive Benefits

Job summary

Orlando Health in Orlando, FL is seeking a detail-oriented billing specialist to facilitate timely collection of monies owed to the organization.

You will apply knowledge of ICD-9 and CPT coding, communicate with insurers and patients, and coordinate payer follow-ups to resolve accounts.

The role requires 1 year in medical billing, proficiency in Microsoft Excel and Word, and reliable attendance.

Qualifications

• Thorough knowledge of multi-specialty ICD-9 and CPT coding.
• Experience in medical billing/collections preferred.
• Knowledge of payer contracts and government rates helpful.

Responsibilities

• Facilitate timely collection of monies owed to the organization.
• Contact insurance carriers/patients to resolve accounts.
• Coordinate billing corrections and follow up on unpaid claims.
• Identify trends and inform management for resolution with payers.

Skills

ICD-9 / CPT coding

Education

High School diploma or GED

Tools

Microsoft Excel

Microsoft Word

Job description

Position Summary

At Orlando Health, we are ordinary people with extraordinary individuality, working together to bring help, healing and hope to those we serve. By daily embodying our over 100-year legacy, we reinforce our reputation as a trusted and respected healthcare organization that delivers professional and compassionate care to our patients, families and communities. Through our award-winning hospitals and ERs, specialty institutes, urgent care centers, primary care practices and outpatient facilities, our 27,000+ team members serve communities that span Florida’s east to west coasts and beyond.

Orlando Health - Benefits & Perks

All Inclusive Benefits (start day one)

• Student loan repayment, tuition reimbursement, FREE college education programs, retirement savings, paid paternity leave, fertility benefits, back up elder and childcare, pet insurance, PTO/Holidays, and more for full time and part time employees.

Forbes Recognizes Orlando Health as a Best-In-State Employer

• Forbes has named Orlando Health as one of America's Best-In-State Employers for 2024. Orlando Health is the top healthcare organization in the Metro Orlando area to make the prestigious list. "We are proud to be named once again as a best place to work," said Karen Frenier, VP (HR). "This achievement reflects our positive culture and efforts to ensure that all team members feel respected, supported and valued.

Employee-centric

• Orlando Health has been selected as one of the “Best Places to Work in Healthcare” by Modern Healthcare

Position Summary

Works as a part of the team which is responsible for facilitating the timely collection of monies owed to the organization.

Responsibilities

Essential Functions

• Thorough knowledge of multi-specialty ICD-9 and CPT coding.
• Telephone insurance carrier/patient to seek resolution on account.
• Resolve inappropriate payments with insurance carriers that are not in compliance with payer contracts or governmental agency rates on individual accounts.
• Utilize specialized knowledge of contracts, regulatory or contractual billings guidelines to determine an account’s ability to pay after initial rejection from payer.
• Coordinate duplicate billings, coordination of benefits, medical records or clinical documents as needed to expedite payment of insurance claims.
• Identify trends in payer non-compliance and inform management if not able to resolve with payer.
• Negotiate within specified guidelines with payers.
• Ensure secondary carrier is appropriately billed or self-pay portion is pursued.
• Determines an individual’s ability to pay and seeks additional assistance either through governmental programs or uncompensated care programs.
• Follows up with appropriate staff to locate missing information.
• Ensures accurate and timely billing of all outstanding account balances to the appropriate third party payers and patient guarantors.
• Maintains necessary logs.
• Responsible for answering telephone calls is area when needed.
• Assist Physician & Professional Services A/R Representative III with the planning and organization of departmental activities as needed.
• Participate in departmental meetings as necessary.
• Seek to gain needed knowledge and experience to promote to Physician & Professional Services Accounts Receivable Representative III.
• Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards.
• Maintains compliance with all Orlando Health policies and procedures.

Other Related Functions

Perform other related duties as needed.

Qualifications

Education/Training

High School graduate or GED required. Must complete staff development within 6 months of hire date.

Licensure/Certification

None.

Experience

1 Year in related field (medical billing/collections/managed care) required and

Knowledge of Microsoft Office Excel and Word and ability to type 30 wpm required.