[Hiring] Accounts Receivable Representative @Orlando Health

Role Description

Works as a part of the team which is responsible for facilitating the timely collection of monies owed to the organization.

Responsibilities

• Thorough knowledge of multi-specialty ICD-9 and CPT coding.
• Telephone insurance carrier/patient to seek resolution on account.
• Resolve inappropriate payments with insurance carriers that are not in compliance with payer contracts or governmental agency rates on individual accounts.
• Utilize specialized knowledge of contracts, regulatory or contractual billings guidelines to determine an account’s ability to pay after initial rejection from payer.
• Coordinate duplicate billings, coordination of benefits, medical records or clinical documents as needed to expedite payment of insurance claims.
• Identify trends in payer non-compliance and inform management if not able to resolve with payer.
• Negotiate within specified guidelines with payers.
• Ensure secondary carrier is appropriately billed or self-pay portion is pursued.
• Determines an individual’s ability to pay and seeks additional assistance either through governmental programs or uncompensated care programs.
• Follows up with appropriate staff to locate missing information.
• Ensures accurate and timely billing of all outstanding account balances to the appropriate third party payers and patient guarantors.
• Maintains necessary logs.
• Responsible for answering telephone calls in area when needed.
• Assist Physician & Professional Services A/R Representative III with the planning and organization of departmental activities as needed.
• Participate in departmental meetings as necessary.
• Seek to gain needed knowledge and experience to promote to Physician & Professional Services Accounts Receivable Representative III.
• Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards.
• Maintains compliance with all Orlando Health policies and procedures.

Qualifications

• High School graduate or GED required.
• Must complete staff development within the 6 months of hire date.
• One (1) year experience in related field (medical billing/collections/managed care) required.
• Knowledge of Microsoft Office Excel and Word required.
• Ability to type 30 wpm.

Requirements

• None.

Benefits

• Career-growing FREE education programs.
• Well-being services to support you and your family through every stage of life.
• Benefits begin on day one.
• Flexibility to be present for your passions.