Los Angeles, California
Springfield, Massachusetts
Lakewood, Colorado
Posted: 19-Nov-23
Location: Tampa, Florida
Salary: Open
Internal Number: 23042721
Description
All the benefits and perks you need for you and your family:
· Benefits from Day One
· Paid Days Off from Day One
· 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
Shift: Day Shift
Location: 3100 East Fletcher Avenue Tampa, Florida 33613
The community you’ll be caring for: AdventHealth Tampa
· AdventHealth Pepin Heart Institute, known across the country for its advances in cardiovascular disease prevention, diagnosis, treatment and research.
· Surgical Pioneers – the first in Tampa with the latest robotics in spine surgery
· Building a brand new, six story surgical and patient care tower which will ensure state of the art medical and surgical car for generations to come
· Awarded the Get With The Guidelines – Stroke GOLD Quality Achievement Award from the American Heart Association/American Stroke Association and have been recognized as a recipient of their Target: Stroke Honor Roll for our expertise in stroke care. We have also received certification by The Joint Commission in collaboration with the American Stroke Association as a Primary Stroke Center.
The role you’ll contribute:
Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all. Under general supervision, is responsible for processing insurance claims, expediting billing and payments for insurance claims. Processes daily and special reports, unlisted invoices and letters, error logs, stalled reports and aging. Performs outgoing calls and correspondence to patients and insurance companies to obtain necessary information for accurate billing. Responds to incoming calls from Insurance companies requesting additional information and/or checking status of billings. Adheres to AdventHealth Corporate Compliance Plan and to all rules and regulations of all applicable local, state and federal agencies and accrediting bodies.
The value you’ll bring to the team:
· Works all assigned insurance payers to ensure proper reimbursement on patient accounts to expedite resolution. Processes administrative, technical appeals, request refunds when applicable, reinstatements and rejections of insurance claims. Ensures proper escalation is met when account receivable is not collected in a timely manner.
· Completes account follow up daily, maintaining established goal (s), and notifies Assistant Supervisor, when necessary, of issues preventing achievement of such goal(s). Ensures our corporate goals are met by consistently keeping our account receivables below our corporate standard.
· Analyzes daily correspondence (denials, underpayments) to appropriately resolve issues. Responds to written correspondence received from Payer and/or Patients. Is responsible to stay current on all active, assigned accounts which prevents abandonment, uncollected account receivables.
· Assists Customer Service area with patient concerns/questions to ensure prompt and accurate resolution is achieved. Ensures we foster a team-spirited approach while interacting with co-workers, peers, management, etc. Stays committed to delivering superior customer service to our patients.
Qualifications
The expertise and experiences you’ll need to succeed:
· Three (3) years of knowledge in HMO PPO/Commercial, Medicare or Medicaid/Government payers or business office setting.
· High school diploma or GED
· Typing skills equal to 27 words per minute net.
· Proficiency in performance of basic math functions
