Patient Finance Representative II

adventhealth; Orlando (FL); On-site; USD 26,000 - 41,000; Full time

Benefits offered by this job

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

Job summary

AdventHealth in Orlando, FL is seeking a Billing Specialist to accurately capture charges and manage billing documentation for services rendered. The role requires verifying insurance coverage, obtaining authorizations, and educating patients about benefit options.

You will collaborate with providers and the billing team to improve accuracy, generate reports, and support training of Patient Financial Representatives. Prior CPT/ICD coding knowledge is essential.

Qualifications

• 4+ years in a complex healthcare setting with financial duties.
• Ability to communicate effectively in English; written and verbal.
• Strong interpersonal and organizational skills.
• Autonomous, self-directed; able to collaborate in high intensity.
• Proficient in CPT, ICD-9/ICD-10 coding and billing processes.
• Bilingual English/Spanish preferred.

Responsibilities

• Accurately captures charges and completes billing documentation.
• Verifies insurance coverage and obtains authorizations.
• Educates patients about benefit options and government exchanges.
• Acts as liaison between billing service and providers.
• Prepares and disseminates billing reports and RVU validation.
• Supports onboarding/training of Patient Financial Representatives.

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:

601 E ROLLINS ST

City:

ORLANDO

State:

Florida

Postal Code:

32803

Job Description:

Accurately captures charges and completes billing documentation for services provided. Assists with ongoing billing-related training and professional development of providers. Verifies insurance coverage and obtains authorizations for all provider visits and procedures. Negotiates single case agreements with non-contracted health plans to determine patient financial responsibilities. Provides education and information about governmental insurance exchanges and assists patients with benefit choices. Acts as a liaison between the billing service and providers to address billing-related concerns. Prepares and disseminates reports related to charge submission, delayed charges, and provider RVU validation. Participates in special projects to improve quality and efficiency in billing processes. Assists with onboarding, training, and professional development of Patient Financial Representatives. Reviews and codes physician and physician extenders' documentation for professional services. Serves as an informational resource to patients regarding insurance coverage and billing inquiries. Validates ICD-9, ICD-10, CPT, and HCPCS codes to ensure accurate billing.

Knowledge, Skills, and Abilities:

• Able to communicate effectively both verbally and in writing in English with patients, staff, and customers of varied backgrounds in a respectful, effective, and professional manner [Required]
• Strong interpersonal, organizational skills and the ability to work effectively in an environment with frequent interruptions [Required]
• Able to act in an autonomous, self-directed manner while maintaining the ability to collaborate with other professionals and non-professionals in situations of high complexity and high intensity [Required]
• Self-motivated, with the ability to multi-task and adapt to changing demands [Required]
• Mature judgement and the ability to handle confidential information within AdventHealth guidelines and applicable regulations [Required]
• Knowledge of clinical documentation, exam procedures and protocols [Required]
• Proficiency using personal computer, word processing and email system. Must have knowledge of Microsoft Excel and Microsoft Word [Required]
• Understanding of CPT codes and ICD 9/ICD 10 coding [Required]
• Bilingual (English/Spanish) [Preferred]
• Knowledge of medical terminology [Preferred]

Education:

• Associate [Preferred]

Field of Study:

• in Healthcare, Business or related field

Work Experience:

• 4+ experience in a complex healthcare setting with primary responsibility of providing full financial work-up and financial reimbursements [Required]

Licenses and Certifications:

• Certified Professional Coder (CPC) [Preferred]

Physical Requirements:

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

Pay Range:

$18.69 - $29.89

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 https://info.flclearinghouse.com/

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