Account Representative II Billing/Collections/Denials jobs in United States
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AdventHealth · 2 days ago

Account Representative II Billing/Collections/Denials

AdventHealth is a community-focused organization dedicated to uplifting individuals in body, mind, and spirit. The Account Representative II is responsible for managing billing, collections, and denial processes for patient accounts, ensuring proper reimbursement and educating team members on inconsistencies.

Health CareHospitalOnline Portals
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H1B Sponsor Likelynote

Responsibilities

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

Qualification

Revenue Cycle knowledgeMicrosoft Office proficiencyAnalytical skillsCerner Patient AccountingSSI Claims ScrubberEpicCustomer serviceTyping skillsBasic math proficiencyCommunication skills

Required

Ability to use discretion when discussing personnel/patient related issues that are confidential in nature
Ability to be responsive to ever-changing matrix of hospital needs and act accordingly
Working knowledge of the Revenue Cycle and the links between departments: Charge Capture, Consumer Access, PreAccess, HIM, Coding, and Patient Financial Services
Self-motivator, quick thinker, communicates professionally and effectively in English, both verbally and in writing
Typing skills equal to 20 words per minute
Proficiency in performance of basic math functions
Ability to communicate professionally and effectively in English, both verbally and in writing
Proficiency in Microsoft office products such as Word and Excel
Strong analytical and research skills
Able to conduct assigned work in either a fully remote or hybrid work environment
High School Grad or Equiv
2+ experience in patient financial services or related areas such as patient registration, finance, insurance collections, customer service, coding, medical, or contract management

Preferred

Cerner Patient Accounting
SSI Claims Scrubber
Epic
Associate
Certified Revenue Cycle Rep (CRCR)

Benefits

Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
Paid Time Off from Day One
403-B Retirement Plan
4 Weeks 100% Paid Parental Leave
Career Development
Whole Person Well-being Resources
Mental Health Resources and Support
Pet Benefits

Company

AdventHealth

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AdventHealth is a nonprofit healthcare system providing whole-person care through hospitals, clinics, and virtual services.

H1B Sponsorship

AdventHealth has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2020 (5)

Funding

Current Stage
Late Stage
Total Funding
$0.25M
Key Investors
Florida Blue FoundationKentucky Opioid Abatement Advisory Commission
2025-09-15Grant
2023-10-05Grant· $0.25M

Leadership Team

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Clifton Scott
COO Flagler | St. Johns Market
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Bela Nand
Chief Medical Officer
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Company data provided by crunchbase