Patient Account Billing Representative AdventHealth at AdventHealth

Date Posted: 2/23/2021

Job Snapshot

  • Job Schedule
    Full-Time
  • Date Posted:
    2/23/2021
  • Job ID:
    21005415
  • Job Family
    Patient Financial Services
  • Travel
    No
  • Shift
    1 - Day

Job Description


Description

Patient Account Billing Representative AdventHealth Hendersonville

Location Address: 100 Hospital Dr, Hendersonville, NC 28792

Top Reasons to Work at AdventHealth Hendersonville

Community Involvement

Located in the beautiful mountains of Western North Carolina

Great Benefits

Co-workers that feel like family

Faith Based

Work Hours/Shift:

Full Time

You Will Be Responsible For:

  • Reviews Work Items daily and carries out action needed for claim resolution.  Documents all activity clearly including information essential for future follow-up.
  • Relies on online resources for claim status and updates. Monitors websites for Payer policy changes and shares information with management and team members. 
  • Resolves denied claims that do not require an appeal.  Claims needing appeal are referred to denial team.
  • Processes correspondence and email in a timely manner; responds to requests for additional information promptly.
  • Maintains days in A/R, aging of accounts and collections for rep assignment within corporate defined goals.
  • Communicate effectively with physician offices.
  • Prepare analysis of ATB greater than 60 days with detailed understanding of problems creating payment delay, as needed, and reports this to Assistant Director.
  • Process correspondence and emails in a timely manner and completes necessary actions.
  • Maintain days in A/R, aging of accounts and collections within corporate defined goals.
  • Make appropriate decisions for resolution of unpaid claims.
  • Accept other duties as assigned.
Qualifications

What You Will Need:

  • High school graduate or equivalent required.
  • Experience with medical terminology, insurance reimbursement, ICD-10 and CPT coding preferred.

Job Summary:

Reviews all 72 hour and OP to OP overlaps for possible combining according to policy.  Works in other areas as assigned.


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

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