Reconciliation Enrollment Special

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.

• Researches and acquires supporting documentation, completes necessary forms, and obtains required signatures.
• Initiates, monitors, and maintains enrollment requirements for electronic remittance advice (ERA) and electronic funds transfers (EFT) set by payers, payer intermediaries, and clearinghouses.
• Stays updated on payer mergers and acquisitions impacting enrollment requirements.
• Collaborates with clearinghouse partners and third-party intermediaries to complete, submit, monitor, and maintain ERA and EFT enrollment activities.
• Troubleshoots and escalates issues with leadership and vendors as needed.
• Analyzes bank lockbox activity to identify and pursue direct EFT opportunities.
• Identifies payers using alternative payment methods and converts them to preferred ACH payment methods.
• Investigates global billing errors impacting payments in collaboration with facility patient finance leadership.
• Maintains a general understanding of payer electronic data interchange (EDI) requirements related to claims adjudication.
• Achieves and maintains performance standards for productivity, quality, and service levels.
• Develops and maintains productive team-oriented relationships through individual contacts and group meetings.
• Other duties as assigned.

• The ability to multitask [Required]
• The ability to work with minimal oversight, self-starter [Required]
• Demonstrate strong attention to detail and thoroughness [Required]
• Work well under pressure [Required]
• The ability to communicate clearly and effectively to internal and external partners across both verbal and non-verbal mediums (e.g. conference calls, emails, virtual meetings, and team chats) [Required]
• Demonstrate the ability for root cause analysis and correction rather than acute resolution alone [Required]
• Must be comfortable or demonstrate the ability to quickly learn and use proprietary and third-party software applications (e.g. Microsoft Office Suite) [Required]
• Familiarity with healthcare insurance payers and processes [Preferred]
• Prior electronic funds transfer (EFT) and/or electronic data interchange (EDI) enrollment knowledge [Preferred]

• High School Grad or Equiv [Required]

• 1+ years of 837 claim and/or 835 payment edi experience [Preferred]
• 1+ years relevant healthcare revenue cycle experience (e.g. commercial insurance billing/collections) or healthcare enrollment experience [Required]
• Prior experience with healthcare clearinghouses (e.g. SSI, Availity, Change Healthcare) [Preferred]
• Prior insurance billing or collection experience [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.