Account Representative II

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.

• Demonstrate AdventHealth’s service standards through consistent behavior. 

• Collaborate with insurance payers to ensure accurate billing, collections, and denial resolution. Participate in calls, review AR reports, and escalate issues as needed. 

• Analyze payer contracts to ensure proper reimbursement and identify inconsistencies; communicate findings and updates to the team. 

• Work daily follow-up reports to meet productivity goals; escalate barriers to leadership as needed. 

• Respond to correspondence related to denials, underpayments, and billing issues. Provide written communication to payers and patients regarding claim status or additional information requests. 

• Review account history and determine appropriate actions to resolve accounts, including billing, follow-up, or collections. 

• Initiate contact with patients, insurers, or employers as needed; submit primary and secondary claims appropriately. 

• Accurately document all billing, denial, and collection activities, including escalations. 

• Process appeals, refunds, reinstatements, and claim rejections. 

• Maintain consistent communication with team members and leadership; participate in meetings and assigned projects. 

• Support team development by assisting with training, audits, and performance feedback. 

• Ensure HIPAA compliance by verifying caller authorization prior to sharing account information. 

• Take on additional departmental projects and other duties as assigned. 

• Maintain productivity standards and handle increased workload expectations as experience grows. 

• Ability to pass Epic training in first 30 days of starting

• Performs other duties as assigned

• Ability to maintain confidentiality and exercise discretion with sensitive information. [Required]

• Adaptability to changing organizational and operational needs. [Required]

• Working knowledge of the Revenue Cycle, including Charge Capture, Access, HIM, Coding, Utilization Management, and Patient Financial Services. [Required]

• Strong communication skills (verbal and written). [Required]

• Self-motivated with strong problem-solving ability. [Required]

• Typing proficiency (minimum 20 WPM). [Required]

• Basic math proficiency. [Required]

• Proficiency in Microsoft Office (Word, Excel). [Required]

• Strong analytical and research skills. [Required]

• Ability to work in remote or hybrid environments. [Required]

• Experience with SSI Claims Scrubber [Preferred] 

• Experience with Epic [Preferred]

• High School Grad or Equiv [Required]

• Associates degree [Preferred]

• In business or a related field

• 3+ years of experience or revenue cycle operations experience [Required]

• Certified Revenue Cycle Rep (CRCR) [Preferred]

Certain positions are subject to Florida Level 2 background screening, including fingerprinting, as required by state law.

Applicants may review general information about Florida’s background screening requirements at the Florida Care Provider Background Screening Clearinghouse:
https://info.flclearinghouse.com/

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