Patient Account Billing Rep

Calhoun, Georgia, Description All the benefits and perks you need for you and your family:  Benefits from Day One Paid Days Off from Day One Student Loan Repayment Program Career Development Whole Person Wellbeing Resources 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. Schedule:  Full Time Shift: Days Location: Remote – Preferrably residing near Hendersonville, NC; serving AdventHealth hospitals in NC, GA, and Kentucky The value you’ll bring to the team  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. Prepare analysis of ATB greater than 60 days with detailed understanding of problems creating payment delay, as needed, and reports this to Assistant Director. Maintain days in A/R, aging of accounts and collections within corporate defined goals.     Qualifications The expertise and experiences you’ll need to succeed: High school graduate or equivalent required. Experience with medical terminology, insurance reimbursement, ICD-10 and CPT coding preferred . This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

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