Billing Collections Denials Account Representative II

Day (United States of America)

900 WINDERLEY PL

MAITLAND

Florida

32751

Works with insurance payers to ensure proper billing, collections, or denial management on patient accounts. Examines contracts to ensure proper reimbursement, educates team members on inconsistencies, and documents any changes. Works follow-up reports daily, maintaining established goals, and notifies the supervisor of issues preventing goal achievement. Follows up on daily correspondence related to denials, underpayments, and billing to appropriately manage patient accounts. Assists customer service with patient concerns and questions to ensure prompt and accurate resolution. Produces written correspondence to payors and patients regarding claim status and requests for additional information. Reviews previous account documentation to determine necessary actions to resolve assigned accounts. Initiates next billing, follow-up, and collection steps, including contacting patients, insurers, or employers as appropriate. Documents billing, denials, and collection steps taken, escalating to the supervisor or manager if necessary. Processes administrative and medical appeals, refunds, reinstatements, and rejections of insurance claims. Communicates consistently with team members to foster a collaborative atmosphere and engages with the supervisor or manager on educational opportunities. Assists with training new staff, performs audits of work, and communicates progress to the appropriate supervisor. Other duties as assigned.

$16.63 - $26.60

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.