Bill/Collect/Denials Account Rep II

AdventHealth

Tampa (FL)

Hybrid

USD 27,000 - 50,000

Full time

3 days ago
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Benefits offered by this job

Medical insurance
Dental insurance
Vision insurance
Life insurance
Disability insurance
Paid time off from day one
403-B Retirement Plan
Parental leave
Career development
Well-being resources
Mental health resources
Pet benefits

Job summary

AdventHealth in Tampa, FL seeks a Revenue Cycle Associate to collaborate with payers for accurate billing, denials resolution, and follow-up. You will review accounts, escalate issues, and document all activities to support timely reimbursement.

The role requires 3+ years of revenue cycle experience, proficiency in Microsoft Office, and the ability to work in remote or hybrid environments. Epic experience is preferred.

Qualifications

  • Confidentiality and discretion with sensitive information.
  • Adaptability to changing needs of the organization.
  • Working knowledge of Revenue Cycle including Charge Capture, Access, HIM, Coding, Utilization Management, and Patient Financial Services.
  • Strong verbal and written communication skills.
  • Self-motivation with problem-solving ability.
  • Typing proficiency (minimum 20 WPM).
  • Proficiency in Microsoft Office (Word, Excel).
  • Teamwork and ability to work in remote or hybrid environments.

Responsibilities

  • Collaborate with insurance payers to ensure accurate billing, collections, and denial resolution.
  • Review AR reports and escalate issues as needed.
  • Analyze payer contracts to ensure proper reimbursement and communicate findings to the team.
  • Follow-up on accounts to meet productivity goals and escalate barriers to leadership.
  • Respond to denials and billing issues with clear written communication to payers and patients.
  • Document all billing, denial and collection activities, including escalations.
  • Initiate contact with patients, insurers, or employers as needed; submit primary and secondary claims.
  • Pass Epic training within 30 days of starting.

Skills

Strong communication
Attention to detail
Problem solving
Typing
Microsoft Office

Education

High School Diploma or equivalent
Associates degree (preferred)

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: 3100 E FLETCHER AVE City: TAMPA State: Florida Postal Code: 33613

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 **escalate** 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; **escalate** 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.
  • 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:
  • (Please click the link below to view work 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.

Every day, our fellow team members show up to work, unified by one shared mission: Extending the Healing Ministry of Jesus Christ. As a faith-based health care organization, our story is one of hope as we strive to heal and restore the body, mind and spirit. Though our facilities are spread across the country, this unwavering belief binds us together. Across every office, exam and patient room, we're committed to providing individualized, holistic care. This is our Christian mission, and it inspires us to help make communities healthier and happier.

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