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Orlando Health is a nonprofit healthcare provider with a network of facilities throughout Orlando, Florida. The provider’s network of facilities consists of specialty hospitals f
Accounts Receivable Representative
Location
United States
Posted
14 days ago
Salary
0
Seniority
Mid Level
No structured requirement data.
Job Description
Accounts Receivable Representative
Orlando Health
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.
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