Collector Reimbursement Specialist

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.

• Processes Explanation of Benefits and denials according to contract specifications.
• Makes collection calls to responsible parties.
• Provides customer service to patients, insurance companies, and centers.
• Ensures accuracy of account balance according to Managed Care contracts.
• Coordinates with appropriate coding representatives on questions regarding coding.
• Identifies encounters that are ready for bad debt placement.
• Reviews patient accounts for accuracy and completeness.
• Communicates with patients and insurance companies to resolve account issues. Prepares and submits appeals for denied claims.
• Maintains detailed records of all account activities.
• Monitors and reports on account status and progress.
• Other duties as assigned.

• Perform basic math functions [Required]
• Capable of communicating professionally with an acceptable use of English and spelling [Required]
• Aptitude for strong organizational skills [Required]
• Ability to work with people of various backgrounds [Required]
• Basic knowledge of ICD-10 & CPT coding [Preferred]

• High School Grad or Equiv [Required]

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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.