About the position
The Account Representative II is responsible for billing, follow-up, and managing denials to timely collect on assigned accounts receivable. This role involves daily communication with team members and managers on assigned projects to meet prescribed deadlines. The representative examines contracts and learns payer contracts to understand reimbursement methodology to appropriately reconcile patient accounts. Responsibilities include resolving and resubmitting rejected claims, processing daily and special reports, and reviewing previous account documentation to determine necessary actions to avoid denial and facilitate timely payment. The representative performs outgoing calls and accepts incoming calls from patients and insurance companies to obtain necessary information for accurate billing, collections, and correction of denials, while actively prioritizing customer service concerns. Participation in continuing education and team meetings is also required, along with adherence to compliance plans and regulations.
Responsibilities
- Bill, follow-up, and manage denials to collect on assigned accounts receivable.
- Communicate daily with team members and managers on assigned projects.
- Examine contracts and learn payer contracts to understand reimbursement methodology.
- Resolve and resubmit rejected claims as necessary.
- Process daily and special reports, unlisted invoices, letters, error logs, stalled reports, and aging claim reports.
- Review previous account documentation to determine necessary actions to resolve denials.
- Perform outgoing calls and accept incoming calls from patients and insurance companies.
- Document patient account information accurately.
- Participate in continuing education and team meetings.
- Adhere to AdventHealth Corporate Compliance Plan and applicable regulations.
Requirements
- Three years of experience in Patient Financial Services or related areas such as patient registration, finance, insurance collections, customer service, coding, medical, or contract management.
- High school diploma or GED.
Nice-to-haves
- Associates Degree in business or related field.
- Certified Revenue Cycle Representative (CRCR).
Benefits
- Benefits from Day One
- Career Development
- Whole Person Wellbeing Resources
- Mental Health Resources and Support
