Account Representative II

adventhealth; Florida; Hybrid; USD 27,000 - 50,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

PTO from Day One

403-B Retirement Plan

Parental Leave

Career Development

Well-being Resources

Mental Health Resources

Pet Benefits

Job summary

AdventHealth in Ormond Beach, FL is hiring for a Revenue Cycle Specialist who will collaborate with insurers to optimize billing, denials resolution, and patient communications. You will review accounts, follow up on claims, and ensure accurate reimbursement while maintaining HIPAA standards.

Join a full-time daytime schedule, with benefits starting at day one. The role emphasizes attention to detail, strong communication, and the ability to work in remote or hybrid settings as needed.

Qualifications

• Experience in Revenue Cycle operations.
• Knowledge of billing, denials, and patient accounts.
• Proficiency with Epic and claims processing.
• Minimum 3+ years in related roles.
• Ability to work in a remote or hybrid environment.

Responsibilities

• Collaborate with payers to ensure accurate billing and denials resolution.
• Analyze payer contracts for proper reimbursement.
• Follow up on accounts to meet production goals.
• Document all billing and collection activities.
• Support training and audits.
• Maintain HIPAA compliance.

Skills

Revenue Cycle Knowledge

HIPAA Compliance

Communication Skills

Microsoft Office

Data Entry

Analytical Thinking

Remote/Hybrid Work

Education

High School Diploma or Equivalent

Associates degree

Tools

Epic

SSI Claims Scrubber

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: 770 W Granada Blvd City: Ormond Beach State: Florida Postal Code: 32174

Job Description:

• Demonstrate AdventHealth's service standards through consistent behavior.
• Collaborate with insurance payers to ensure accurate billing, collections, and denial resolution. Participate in calls, review AR reports, and elevate to manager issues as needed.
• Analyze payer contracts to ensure proper reimbursement, identify inconsistencies, and communicate findings and updates to the team.
• Work daily follow up reports to meet production goals; elevate barriers to leadership if needed.
• Respond to correspondence related to denials, underpayments, and billing issues. Provide written communication to payers and patients regarding claim status or additional information requests.
• Review account history and determine appropriate actions to resolve accounts, including billing, follow up, or collection.
• Initiate contact with patients, insurers, or employers as needed; submit primary and secondary claims appropriately.
• Accurately document all billing, denial, and collection activities, including escalations.
• Process appeals, refunds, reinstatements, and claim rejections.
• Maintain consistent communication with team members and leadership; participate in meetings and assigned projects.
• Support team development by assisting with training, audits, and performance feedback.
• Ensure HIPAA compliance by verifying caller authorization prior to sharing account information.
• Take on additional departmental projects and other duties as assigned.
• Maintain productivity standards and handle increased workload expectations as experience grows.
• Ability to pass Epic training in first 30 days of starting.
• Performs other duties as assigned.

Knowledge, Skills, and Abilities:

• Ability to maintain confidentiality and exercise discretion with sensitive information. [Required]
• Adaptability to changing organizational and operational needs. [Required]
• Working knowledge of the Revenue Cycle, including Charge Capture, Access, HIM, Coding, Utilization Management, and Patient Financial Services. [Required]
• Strong communication skills (verbal and written). [Required]
• Self-motivated with strong problem-solving ability. [Required]
• Typing proficiency (minimum 20 WPM). [Required]
• Basic math proficiency. [Required]
• Proficiency in Microsoft Office (Word, Excel). [Required]
• Strong analytical and research skills. [Required]
• Ability to work in remote or hybrid environments. [Required]
• Experience with SSI Claims Scrubber [Preferred]
• Experience with Epic [Preferred]

Schedule:

Monday-Friday 8am-4:30pm

Education:

High School Grad or Equiv [Required]

Associates degree [Preferred]

Field of Study:

In business or a related field

Work Experience:

3+ years of experience or revenue cycle operations experience [Required]

Licenses and Certifications:

Certified Revenue Cycle Rep (CRCR) [Preferred]

Physical Requirements:

Physical Requirements - https://tinyurl.com/23km2677

Pay Range:

$19.41 - $36.10

Background Screening Requirement (Florida Law)

Certain positions are subject to Florida Level 2 background screening , including fingerprinting, as required by state law. Applicants may review general information about Florida's background screening requirements at the Florida Care Provider Background Screening Clearinghouse : https://info.flclearinghouse.com/

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.