Patient Financial Services Account Rep II Virtual

Shawnee Mission, Kansas, 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 –         Mental Health Resources and Support 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 Location: Virtual The community you’ll be caring for:   At AdventHealth Shawnee Mission, formerly Shawnee Mission Medical Center, you’re more than just a number on a chart. You’re a whole person, who functions best when physically, emotionally, and spiritually fit. Find whole-person care, dedicated teams and staff, and a wide variety of medical services, all at our hospital in Shawnee Mission, Kansas.   The role you’ll contribute: Under general supervision and direction, it’s the responsibility of the Account Representative II to bill, follow-up, and manage denials to timely collect on assigned accounts receivable . Daily communicates with team members and manager on assigned projects in collaboration to meet prescribed deadlines.

Examines contracts, and learns payer contracts to understand reimbursement methodology to appropriately reconcile patient accounts. Resolves and resubmits rejected claims appropriately as necessary.   Processes daily and special reports, unlisted invoices and letters, error logs, stalled reports, and aging claim reports.   Reviews previous account documentation, determining appropriate action(s) necessary to resolve avoid denial, and facilitate timely payment. Performs outgoing calls and accepts incoming calls from patients and insurance companies to obtain necessary information for accurate billing, collections, and correction of denials, accurately documenting the patient account. Actively prioritizes all outstanding customer service concerns and accepts responsibility in maintaining relationships that are equally respectful to all. Participates in continuing education, team meetings, and performs other functions as assigned by supervisor/manager. Adheres to AdventHealth Corporate Compliance Plan and to all rules and regulations of all applicable local, state, and federal agencies and accrediting bodies. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.   The value you’ll bring to the team: ·         Works with insurance payers to ensure proper billing, collections, or denial management on patient accounts.

Depending on payer contract may be required to participate in conference calls, review accounts receivable reports, and compile the issue report to expedite resolution of accounts. ·           ·         Examines contract to ensure proper reimbursement, helps educate team members on inconsistencies in processing, and document any changes contract, if identified. ·           ·         Works follow up report daily, maintaining established goal(s), and notifies supervisor of issues preventing achievement of such goal(s).   Follows up on daily correspondence (denials, underpayments, billing) to appropriately work patient accounts.   Assists customer service with patient concerns/questions to ensure prompt and accurate resolution is achieved. Produces written correspondence to payors and patients regarding status of claim, requesting additional information, etc.    ·           ·         Reviews previous account documentation, determining appropriate action(s) necessary to resolve each assigned account. Initiates next billing, follow-up and/or collection step(s), this is not limited to calling patients, insurers, or employers, as appropriate. Sends initial or secondary bills to Insurance companies ·           ·         Documents billing, denials and/or collection step(s) that are taken and all measures to resolve assigned accounts, including escalation to supervisor/manager if necessary.   Processes administrative and medical appeals, refunds, reinstatements, and rejections of insurance claims.

Qualifications The expertise and experiences you’ll need to succeed : Minimum qualifications : Three years of relevant experience, High School Diploma or GED This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

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