Account Representative II

adventhealth; Orlando (FL); On-site; USD 26,000 - 48,000; Full time

Benefits offered by this job

Benefits from Day One

Paid Time Off from Day One

403-B Retirement Plan

4 Weeks Parental Leave

Job summary

AdventHealth in Orlando, FL is seeking a Revenue Cycle professional focused on payer billing, denials, and collections. You will collaborate with insurers to ensure correct reimbursement, analyze contracts, and manage daily follow-ups to meet productivity goals.

The role requires 3+ years in revenue cycle operations, proficiency in Microsoft Office, and the ability to work in a remote or hybrid environment. Epic experience is preferred, with opportunities for professional development.

Qualifications

• Must maintain confidentiality and discretion with sensitive information.
• Experience in Revenue Cycle or related field required.
• Strong communication, both verbal and written, with attention to detail.
• Proficient in Microsoft Office and basic math skills.
• Ability to work in remote or hybrid environments.
• Epic training or experience preferred.

Responsibilities

• Collaborate with insurance payers to ensure accurate billing, collections, and denial resolution.
• Review AR reports and elevate issues to leadership as needed.
• Analyze payer contracts for reimbursement accuracy and communicate findings to the team.
• Follow daily follow-up reports to meet productivity goals and resolve barriers.
• Respond to denials and billing inquiries with clear, written communications to payers and patients.
• Document all billing, denial, and collection activities; escalate as required.
• Submit primary and secondary claims; initiate contact with patients, insurers, or employers as needed.
• Maintain HIPAA compliance by verifying caller authorization before sharing information.
• Participate in training, audits, and performance feedback to support team development.
• Assist with training, audits, and performance feedback.
• Take on additional projects as assigned.

Skills

Strong communication

Discretion/confidentiality

Problem-solving

Typing 20 WPM

Microsoft Office

Analytical skills

Remote or hybrid work

Education

High School Diploma

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

900 HOPE WAY

City

ALTAMONTE SPRINGS

State

Florida

Postal Code

32714

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 issues as needed.
• Analyze payer contracts to ensure proper reimbursement and identify inconsistencies; communicate findings and updates to the team.
• Work daily follow-up reports to meet productivity goals; elevate barriers to leadership as 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 collections.
• 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]

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

$19.22 - $35.75

Background Screening Requirement (Florida Law)

Certain positions are subject 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.