• Managing a high volume of medical claims that have denied • Provide representation of the Accounts Receivable area to internal and external departments • Identifying and quantifying trends/issues and developing potential solutions • Effectively prioritize and manage outstanding refund requests and overpayments • Identify and implement process efficiencies across the department • Recognize and identify coding deficiencies and exercise appropriate action • Identify key stakeholders or primary contacts within payer communities

Role Description Works as a part of the team which is responsible for facilitating the timely collection of monies owed to the organization. Responsibilities - Thorough knowledge of multi-specialty ICD-9 and CPT coding. - Telephone insurance carrier/patient to seek resolution on account. - Resolve inappropriate payments with insurance carriers that are not in compliance with payer contracts or governmental agency rates on individual accounts. - Utilize specialized knowledge of contracts, regulatory or contractual billings guidelines to determine an account’s ability to pay after initial rejection from payer. - Coordinate duplicate billings, coordination of benefits, medical records or clinical documents as needed to expedite payment of insurance claims. - Identify trends in payer non-compliance and inform management if not able to resolve with payer. - Negotiate within specified guidelines with payers. - Ensure secondary carrier is appropriately billed or self-pay portion is pursued. - Determines an individual’s ability to pay and seeks additional assistance either through governmental programs or uncompensated care programs. - Follows up with appropriate staff to locate missing information. - Ensures accurate and timely billing of all outstanding account balances to the appropriate third party payers and patient guarantors. - Maintains necessary logs. - Responsible for answering telephone calls in area when needed. - Assist Physician & Professional Services A/R Representative III with the planning and organization of departmental activities as needed. - Participate in departmental meetings as necessary. - Seek to gain needed knowledge and experience to promote to Physician & Professional Services Accounts Receivable Representative III. - Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards. - Maintains compliance with all Orlando Health policies and procedures. Qualifications - High School graduate or GED required. - Must complete staff development within the 6 months of hire date. Requirements - One (1) year experience in related field (medical billing/collections/managed care) required. - Knowledge of Microsoft Office Excel and Word required. - Ability to type 30 wpm.

• Support the firm’s billing, expense tracking, client communication, and matter management processes within Clio. • Retrieve and process invoices for Service of Process and Depositions/Transcripts. • Review Firm E-Filing reports and reconcile expenses per matter. • Create and send invoices for Flat Fees and Retainers. • Confirm and apply payments in Clio; mark invoices as paid. • Draft Fee Representation Contracts and Addendums. • Manage the end-to-end e-signature process; save executed versions in Clio and update internal tracking spreadsheets. • Draft Designations of Tax Refunds and verify all details. • Maintain the firm’s database within Clio; create, update, and link contacts to specific legal matters. • Ensure data accuracy and organization across systems.

• Oversee customer billing and collections • Manage AR operations including invoice generation and payment application • Implement controls to reduce risk and support audit readiness • Collaborate with Sales and Finance teams to resolve account issues • Develop reporting dashboards for executive visibility