Account Representative I

adventhealth

Tampa (FL)

On-site

USD 35,000 - 55,000

Full time

14 days+

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Benefits offered by this job

Benefits from Day One

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

Job summary

AdventHealth in Tampa, Florida is seeking an experienced Patient Accounts / Insurance Billing Associate to manage payer reimbursements, process appeals, and follow up on unpaid accounts. You will analyze denials, respond to payers and patients, and escalate issues to management as needed.

The role requires general accounting skills, confidentiality, and strong English communication. A fast-paced hospital environment offers growth and the chance to contribute to patient financial services.

Qualifications

Three years of knowledge in payer types or business office setting.
Ability to maintain confidentiality of personnel/patient information.
Adaptable to changing hospital needs and dynamics.
Typing speed of 27 wpm net.
Able to perform basic math accurately.
Clear professional English communication, both written and spoken.
Experience with payers beyond Government programs is a plus.
Experience in Customer Service/Call Center is preferred.

Responsibilities

Collaborate with assigned payers to ensure proper reimbursement and expedite resolutions.
Process administrative/technical appeals, refunds, reinstatements, and rejections.
Escalate when accounts receivable are not collected timely; daily follow-up to meet goals.
Analyze denials and underpayments to resolve issues and respond to payers/patients.
Support Customer Service with patient inquiries to ensure accurate resolution.
Initiate next steps for billing, follow-up, and collections, including calls to patients and insurers.

Skills

HMO PPO/Commercial payers

Medicare/Medicaid payers

Confidentiality

Typing 27 wpm

Basic math

English communication

Non-government payors experience

Customer service/call center (pref.)

Education

High School graduate or equiv

Tools

MS Office (basic)

Job description

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:

Full time

Shift:

Day (United States of America)

Address:

3100 E FLETCHER AVE

City:

TAMPA

State:

Florida

Postal Code:

33613

Job Description:

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. Assists Customer Service with patient concerns and questions to ensure prompt and accurate resolution. Fosters a team-spirited approach while interacting with co-workers, peers, and management. Analyzes previous account documentation to determine appropriate actions necessary to resolve each assigned account. Initiates next billing, follow-up, and collection steps, including calling patients, insurers, or employers as appropriate. Remits initial or secondary bills to insurance companies immediately following payment from the primary insurance payer. Other duties as assigned.

Knowledge, Skills, and Abilities:

Three (3) years of knowledge in HMO PPO/Commercial, Medicare or Medicaid/Government payers or business office setting. [Required]
Uses discretion when discussing personnel/patient related issues that are confidential in nature. [Required]
Is responsive to ever-changing matrix of hospital needs and acts accordingly. [Required]
Typing skills equal to 27 words per minute net. [Required]
Proficiency in performance of basic math functions. [Required]
Communicates professionally and effectively in English, both verbally and in writing. [Required]
For HMO/PPO/Commercial Account Representatives, prior experience with non-government payors preferred, including billing and claim submission experience. [Preferred]
For Medicare/Government Account Representatives, prior experience with Medicare and/or Government payors preferred, including eligibility inquiries, billing and claim submission experience. [Preferred]
For Medicaid/Medicaid HMO Account Representatives, prior experience with Medicaid/Medicaid HMO payors preferred, including eligibility inquiries, billing and claim submission experience. [Preferred]
For Customer Service Account Representatives, multiline call center type experience preferred. [Preferred]
For Customer Service Account Representatives, prior experience within Customer Service / Call Center Operations within a multi-campus health system, including incoming and outbound calls. [Preferred]