Account Representative

Texas Health Huguley FWS; Tampa (FL); Remote; USD 40,000 - 55,000; Full time

Job summary

A healthcare organization is seeking an Account Representative to process insurance claims and expedite billing and payments. This full-time position offers remote work and requires a high school diploma or GED. Responsibilities include managing claims, handling reports, and ensuring compliance with regulations. Benefits include paid days off and a student loan repayment program.

Benefits

Paid Days Off from Day One

Student Loan Repayment Program

Career Development

Whole Person Wellbeing Resources

Mental Health Resources and Support

Qualifications

• Must have a high school diploma or GED.
• Experience with billing and claims processing is preferred.

Responsibilities

• Process insurance claims and expedite billing and payments.
• Handle daily and special reports.
• Communicate with patients and insurance companies.
• Ensure compliance with applicable regulations.

Skills

Insurance claims processing

Billing and payments

Compliance with regulations

Education

High school diploma or GED

Job description

Job Description - Account Representative

Job Summary:

Account Representative responsible for processing insurance claims and expediting billing and payments for insurance claims.

Benefits:

• Paid Days Off from Day One
• Student Loan Repayment Program
• Career Development
• Whole Person Wellbeing Resources
• Mental Health Resources and Support

Our Promise:

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.

Job Details:

Schedule: Full Time

Shift: Days

Location: Remote

The Community:

AdventHealth Tampa, a faith-based not-for-profit 626-bed tertiary-level acute care hospital located in the uptown district of Tampa, Florida.

Responsibilities:

• Process insurance claims and expedite billing and payments for insurance claims
• Handle daily and special reports, unlisted invoices and letters, error logs, stalled reports, and aging
• Perform outgoing calls and correspondence to patients and insurance companies to obtain necessary information for accurate billing
• Respond to incoming calls from insurance companies requesting additional information or checking the status of billings
• Ensure compliance with all applicable local, state, and federal regulations and accrediting bodies

Value You’ll Bring:

• Work with assigned insurance payers to ensure proper reimbursement on patient accounts and expedite resolution
• Process administrative and technical appeals, requests refunds, and handle reinstatements and rejections of insurance claims
• Ensure proper escalation when accounts receivable are not collected in a timely manner
• Complete daily account follow-up, maintaining established goals, and notify Assistant Supervisor of issues preventing achievement of goals
• Analyze daily correspondence, including denials and underpayments, to appropriately resolve issues
• Respond to written correspondence received from payers and patients
• Stay current on all active, assigned accounts to prevent abandonment and uncollected receivables

Qualifications:

• High school diploma or GED required

Equal Employment Opportunity:

AdventHealth is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected veteran status.