Patient Account Rep Job at AdventHealth Medical Group West FL

AdventHealth Medical Group West FL Ocala, FL

Description


All the benefits and perks you need for you and your family:
Benefits from Day One

  • Paid Days Off from Day One
  • Student Loan Repayment Program
  • Career Development
  • Whole Person Wellbeing Resources
  • Mental Health Resources and Support

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.

Schedule: Full Time/Days

Location: Ocala, FL

The community you’ll be caring for: AdventHealth Ocala Medical Group

The role you’ll contribute: The Patient Account Representative is responsible for maintaining patient accounts by assisting Physician staff and the Central Billing Office to resolve issues related to Revenue Cycle. The Patient Account Representative may provide training to the Physician practices to facilitate resolution of patient accounts by training about insurance companies, government agencies and patients in the payment for services that have been provided. The Patient Account Representative will respond to questions, research discrepancies and insurance denials while following Florida Hospital policies and procedures for billing and account management.


The value you’ll bring to the team:

  • Work with offices to resolve billing tasks to prepare claims for submission to insurance companies
  • Work directly with the Physician practice and/or patient to get a claim processed and paid
  • Review and assist Physician office and Central Billing Office with appeals of unpaid and denied claims
  • Work tasks related to RTE and claim denials to find resolution and obtain payment
  • Verify patients' insurance coverage through eligibility system, contacting patient or calling insurance company
  • Assist office with referrals and authorization process

Qualifications


The expertise and experiences you’ll need to succeed:

EDUCATION AND EXPERIENCE REQUIRED:

  • High School Diploma or Equivalent
  • 1 years’ experience working in health care or completed a certificate or degree from a medical billing program
  • Experience working with ICD-9, ICD-10 and CPT coding
  • Insurance and A/R experience specific to eligibility, authorizations and claim denials

EDUCATION AND EXPERIENCE PREFERRED:

  • Associates Degree; NextGen, Cerner and Athena Software experience preferred


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



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