Bill Collect Denials Account Rep II

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 WINDERLEY PL

City:

MAITLAND

State:

Florida

Postal Code:

32751

Job Description:

Confirms insurance coverage and determines the necessity for pre-authorization, obtaining authorization for scheduled procedures. Determines financial responsibility for services to be provided and notifies patients and/or practitioners of any services not authorized by insurance. Communicates with patients and practitioners regarding financial responsibility and insurance coverage issues. Prepares and completes claims for commercial insurance companies, third-party organizations, and government or self-payers. Researches, analyzes, and reconciles Medicare/Medicaid billing and reimbursement practices. Maintains detailed documentation in the patient account record of all billing activities and claims processed as part of the daily claims reconciliation process. Consults with appropriate parties to resolve unbilled claims and reviews recent accounts for proper billing practices and reimbursement. Ensures timely acceptance of patient transfer and placement, communicating patient updates to physicians with appropriate triage of urgency. Completes and documents patient assessments, treatments, medications, and reactions per department protocols and policy. Adheres to safety requirements while transporting patients and maintains thorough and accurate information in the Right CAD system for department statistics. Completes the QA process on chart reviews for patient safety and improved outcomes. Performs other duties as assigned.Knowledge, Skills, and Abilities:
• N/A
Education:
• High School Grad or Equiv [Required]
Field of Study:
• N/A
Work Experience:
• N/A
Additional Information:
• N/A
Licenses and Certifications:
• N/A
Physical Requirements: (Please click the link below to view work requirements)
Physical Requirements - https://tinyurl.com/23km2677

Pay Range:

$16.79 - $26.86

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.