Account Representative II-Billing/Collection/Denials Remote

Texas Health Huguley FWS; Altamonte Springs (FL); Remote; USD 40,000 - 60,000; Full time

Job summary

A leading healthcare organization seeks an Account Representative II to manage billing and collections for patient accounts. This remote position involves working with insurance payers, resolving denials, and ensuring timely payments. Candidates should have at least three years of experience in financial services and a high school diploma or GED.

Benefits

Benefits from Day One

Whole Person Wellbeing Resources

Mental Health Resources and Support

Qualifications

• Three years of experience in Patient Financial Services or related areas.
• High school diploma or GED required.

Responsibilities

• Bill, follow-up, and manage denials to collect on assigned accounts receivable.
• Communicate with team members and manager on assigned projects.
• Resolve and resubmit rejected claims as necessary.

Skills

Customer Service

Billing

Collections

Denial Management

Education

High school diploma or GED

Associates Degree in business or related field

Job description

Job Description - Account Representative II-Billing/Collection/Denials Remote (25019622)

Job Number:

25019622

AdventHealth Corporate

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

• Benefits from Day One
• Whole Person Wellbeing Resources
• Mental Health Resources and Support

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.

Shift: Monday-Friday; Full-time, hours vary depending on department needs

Job Location: Remote

The role you will contribute:

Under general supervision and direction, it’s the responsibility of the Account Representative II to bill, follow-up, and manage denials to timely collect on assigned accounts receivable. Daily communicates with team members and manager on assigned projects in collaboration to meet prescribed deadlines. Examines contracts, and learns payer contracts to understand reimbursement methodology to appropriately reconcile patient accounts. Resolves and resubmits rejected claims appropriately as necessary. Processes daily and special reports, unlisted invoices and letters, error logs, stalled reports, and aging claim reports. Reviews previous account documentation, determining appropriate action(s) necessary to resolve avoid denial, and facilitate timely payment. Performs outgoing calls and accepts incoming calls from patients and insurance companies to obtain necessary information for accurate billing, collections, and correction of denials, accurately documenting the patient account. Actively prioritizes all outstanding customer service concerns and accepts responsibility in maintaining relationships that are equally respectful to all. Participates in continuing education, team meetings, and performs other functions as assigned by supervisor/manager. Adheres to AdventHealth Corporate Compliance Plan and to all rules and regulations of all applicable local, state, and federal agencies and accrediting bodies. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.

The value you will bring to the team:

• Works with insurance payers to ensure proper billing, collections, or denial management on patient accounts. Depending on payer contract may be required to participate in conference calls, review accounts receivable reports, and compile the issue report to expedite resolution of accounts.
• Examines contract to ensure proper reimbursement, helps educate team members on inconsistencies in processing, and document any changes contract, if identified.
• Works follow up report daily, maintaining established goal(s), and notifies supervisor of issues preventing achievement of such goal(s). Follows up on daily correspondence (denials, underpayments, billing) to appropriately work patient accounts. Assists customer service with patient concerns/questions to ensure prompt and accurate resolution is achieved. Produces written correspondence to payors and patients regarding status of claim, requesting additional information, etc.
• Reviews previous account documentation, determining appropriate action(s) necessary to resolve each assigned account. Initiates next billing, follow-up and/or collection step(s), this is not limited to calling patients, insurers, or employers, as appropriate. Sends initial or secondary bills to Insurance companies
• Documents billing, denials and/or collection step(s) that are taken and all measures to resolve assigned accounts, including escalation to supervisor/manager if necessary. Processes administrative and medical appeals, refunds, reinstatements, and rejections of insurance claims.
• Consistently communications with team members to foster a collaborative atmosphere and engages with supervisor/manager on any potential educational opportunities, providing updates on assigned projects. Attends required scheduled meetings, events, and activities
• Assists team members regularly, providing feedback, ensuring both goals and job requirements are met as assigned by manager. Helps with training new staff, performs audits of work performed, and communicates progress to appropriate supervisor. Assist the supervisor/manager as requested.
• Adheres to HIPAA regulations by verifying pertinent information to determine caller authorization level receiving information on account

Qualifications

The expertise and experiences you’ll need to succeed:

• Three-years of experience in Patient Financial Services or related areas such as patient registration, finance, insurance collections, customer service, coding, medical, or contract management
• High school diploma or GED

Preferred Qualifications:

• Associates Degree in business or related field

Job

Organization

Organization

: AdventHealth Corporate

Primary Location

Work Locations

Work Locations

: CP AH HEADQUARTERS VIRTUAL VIRTUAL Altamonte Springs 32714

Operating Unit : AH Revenue Cycle Services