Account Representative

Direct Jobs; Tampa (FL); Remote; USD 35,000 - 50,000; Full time

Job summary

A healthcare services provider is seeking a detail-oriented individual for a remote position responsible for processing insurance claims. The ideal candidate will ensure compliance with all regulations and handle billing inquiries. A high school diploma or GED is required. Join a supportive environment focused on care and community.

Benefits

Paid Days Off from Day One

Student Loan Repayment Program

Career Development

Whole Person Wellbeing Resources

Mental Health Resources and Support

Responsibilities

• Process insurance claims and expedite billing and payments.
• Handle daily and special reports, unlisted invoices, and error logs.
• Make outgoing calls to patients and insurance companies.

Skills

Insurance claims processing

Billing and payments expedites

Compliance with regulations

Education

High school diploma or GED

Job description

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

Paid Days Off from Day One

Student Loan Repayment Program

Career Development

Whole Person Wellbeing Resources

Mental Health Resources and Support

Our promise to you:

Joining AdventHealth is about being part of something bigger. Its 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.

Schedule: Full Time

Shift: Days

Location: Remote

The community you'll be caring for: AdventHealth Division

AdventHealth Tampa, a faith-based not-for-profit 626-bed tertiary-level acute care hospital located in the uptown district of Tampa, Florida, specializes in advanced cardiovascular medicine, neuroscience and neurology, digestive health, orthopedics, women's services, pediatrics, oncology, endocrinology, bariatrics, wound healing, sleep medicine and general surgery including minimally invasive and robot-assisted procedures. GME programs on the hospital campus currently include general surgery, obstetrics and gynecology, internal medicine and transitional year.

AdventHealth Tampa is home to the renowned AdventHealth Pepin Heart Institute, a recognized leader in cardiovascular disease prevention, diagnosis, treatment and leading-edge research caring for Tampa Bay's hearts for over 35 years.

The Kiran C. Patel Research Institute, also located at AdventHealth Tampa, leads the way in clinical and academic research in the areas of neuroscience, cardiovascular medicine, advanced surgery and more contributing valuable knowledge that leads to tomorrow's cures for conditions such as heart failure, cancer and other diseases.

The Role You'll Contribute

Responsible for processing insurance claims and expediting billing and payments for insurance claims. This position handles daily and special reports, unlisted invoices and letters, error logs, stalled reports, and aging. This role performs outgoing calls and correspondence to patients and insurance companies to obtain necessary information for accurate billing. In addition, this position responds to incoming calls from insurance companies requesting additional information or checking the status of billings. Additionally, this role ensures compliance with all applicable local, state, and federal regulations and accrediting bodies. Responsibilities for this role include processing claims, handling reports, performing calls, responding to inquiries, and ensuring regulatory compliance.

The Value You'll Bring to the Team

• Works with assigned insurance payers to ensure proper reimbursement on patient accounts and expedite resolution.
• Processes administrative and technical appeals, requests refunds, and handles reinstatements and rejections of insurance claims.
• Ensures proper escalation when accounts receivable are not collected in a timely manner.
• Completes daily account follow-up, maintaining established goals, and notifies Assistant Supervisor of issues preventing achievement of goals.
• Analyzes daily correspondence, including denials and underpayments, to appropriately resolve issues.
• Responds to written correspondence received from payers and patients.
• Stays current on all active, assigned accounts to prevent abandonment and uncollected receivables.

Qualifications

The expertise and experiences you'll need to succeed:

• High school diploma or GED required

We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.