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.

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. 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]

• in healthcare, business administration or related field

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.