Account Representative I

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: Works with assigned insurance payers to ensure proper reimbursement on patient accounts and expedite resolution. Processes administrative and technical appeals, requests refunds, and handles reinstatements and rejections of insurance claims. Ensures proper escalation when accounts receivable are not collected in a timely manner. Completes daily account follow-up, maintaining established goals, and notifies Assistant Supervisor of issues preventing achievement of goals. Analyzes daily correspondence, including denials and underpayments, to appropriately resolve issues. Responds to written correspondence received from payers and patients. Stays current on all active, assigned accounts to prevent abandonment and uncollected receivables. Assists Customer Service with patient concerns and questions to ensure prompt and accurate resolution. Fosters a team-spirited approach while interacting with co-workers, peers, and management. Analyzes previous account documentation to determine appropriate actions necessary to resolve each assigned account. Initiates next billing, follow-up, and collection steps, including calling patients, insurers, or employers as appropriate. Remits initial or secondary bills to insurance companies immediately following payment from the primary insurance payer. Other duties as assigned. Knowledge, Skills, and Abilities: Three (3) years of knowledge in HMO PPO/Commercial, Medicare or Medicaid/Government payers or business office setting. [Required] Uses discretion when discussing personnel/patient related issues that are confidential in nature. [Required] Is responsive to ever-changing matrix of hospital needs and acts accordingly. [Required] Typing skills equal to 27 words per minute net. [Required] Proficiency in performance of basic math functions. [Required] Communicates professionally and effectively in English, both verbally and in writing. [Required] For HMO/PPO/Commercial Account Representatives, prior experience with non-government payors preferred, including billing and claim submission experience. [Preferred] For Medicare/Government Account Representatives, prior experience with Medicare and/or Government payors preferred, including eligibility inquiries, billing and claim submission experience. [Preferred] For Medicaid/Medicaid HMO Account Representatives, prior experience with Medicaid/Medicaid HMO payors preferred, including eligibility inquiries, billing and claim submission experience. [Preferred] For Customer Service Account Representatives, multiline call center type experience preferred. [Preferred] For Customer Service Account Representatives, prior experience within Customer Service / Call Center Operations within a multi-campus health system, including incoming and outbound calls. [Preferred] Education: High School Grad or Equiv [Required] Field of Study: • in healthcare, business administration or related field Physical Requirements: (Please click the link below to view work requirements) Physical Requirements - https://tinyurl.com/23km2677 Pay Range: $16.63 - $26.60 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.